Grew up in WV and return all the time to visit family. This is 100% true. I have vivid childhood memories of being on my grandfather's tractor on a hillside & being terrified that the contraption would roll over.
(He also occasionally herded his cattle by sticking his head through the roof of an ancient VW Beetle. But that's another story.)
(He also occasionally herded his cattle by sticking his head through the roof of an ancient VW Beetle. But that's another story.)