This document discusses performance measures for two-way, two-lane highways and identifies shortcomings in the current Highway Capacity Manual methodology. It summarizes alternative performance measures that have been suggested in research to address the discrepancies, such as Percent Impeded and Average Travel Speed. The document also reviews empirical models that have been developed to predict level of service based on these alternative measures and identifies additional measures used in different studies and countries. It concludes by recommending further research is needed to determine the best headway threshold for differentiating platoons and to identify the most suitable level of service measure for different road environments as the HCM may not always be applicable.