Federal Aviation Administration Sponsored Safety Seminar

Federal Aviation Administration, Flight Standards Customer Satisfaction Survey

2120-0568survey instrum..DOC

Federal Aviation Administration, Flight Standards Customer Satisfaction Survey

OMB: 2120-0568

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DRAFT

F

OMB No. 2120-0568: Expires 7/31/2007

ederal Aviation Administration Sponsored

Safety Seminar Program


PLEASE USE A BLUE OR BLACK PEN TO FILL IN THE BUBBLE FOR THE

RESPONSE THAT BEST REPRESENTS YOUR ANSWER.


1. During the last 2 years, how many FAA- sponsored Safety Seminars did you attend?

  • None

  • 1-2

  • 3-4

  • 5 or more


2. Overall, how satisfied are you with the information you have received from FAA-sponsored Safety Seminars?

  • Does not apply; I have not attended any FAA-sponsored seminars.

  • Very satisfied

  • Satisfied

  • Neither satisfied nor dissatisfied

  • Dissatisfied

  • Very dissatisfied


3. If you have not attended any FAA-sponsored Safety Seminars in the last 2 years, what is your MAIN reason for not attending?

MARK ONLY ONE.

  • Does not apply; I have attended a seminar in the last 2 years.

  • Location is not convenient

  • Scheduled class time is not convenient

  • Material is not relevant to me

  • Instructors are not knowledgeable

  • I do not like the training format (e.g. lecture)

  • I receive my safety training from my employer

  • Some other reason


4. Which of the following best describes your current level in the WINGS Program?

  • I am not familiar with the WINGS Program.

  • I am aware of the WINGS program but I have not participated.

  • Current level is between 1 – 3

  • Current level is between 4 – 6

  • Current level is between 7 – 9

  • Current level is 10 or higher

5. How much do you agree or disagree with the following statements?


Strongly disagree

D isagree


N either agree nor disagree



A gree




S trongly agree





P articipation in the WINGS Program makes pilots safer aviators.



O



O



O



O



O

I have applied information I received in Safety Seminars to my own flying experiences.



O



O



O



O



O

Information presented in FAA-sponsored Safety Seminars increases safety awareness.



O



O



O



O



O

Information I received in an FAA-sponsored Safety Seminar helped me to avoid an accident.




O




O




O




O




O


6. The BEST way to get new safety information would be through:

MARK ONLY ONE

  • Newsletters or articles by regular mail

  • E-mail

  • CD-ROM

  • Videotapes

  • Audio cassettes

  • Attending Safety Seminars with a speaker

  • Reviewing interactive websites


7. Which of the following best describes your computer access? MARK ALL THAT APPLY.

  • I have access to a computer at home.

  • I have access to the Internet at home

  • I have a high-speed Internet connection (e.g. DSL or cable connection) at home

  • I have access to e-mail at home

  • I have access to a computer at work

  • I have access to the Internet at work

  • I have a high-speed Internet connection at work

  • I have access to e-mail at work

8. Which of the following list of potential seminar topics would be of most interest to you.

MARK ALL THAT APPLY.

  • Aerodynamics

  • Aircraft Icing

  • Aircraft Maintenance

  • Aircraft Maintenance-Preventative

  • Aircraft Performance/Density Attitude

  • Aircraft Record Keeping

  • Airspace

  • ATC Communications

  • Balloons

  • Controlled Flight Into Terrain

  • Crash Survival (Land)

  • Crash Survival (Water)

  • Crew Resource Management

  • Currency-Skills Proficiency

  • Decision Making

  • Flight Planning

  • Fuel Management

  • Gliders

  • Human Factors

  • Mountain Flying

  • Multi-Engine Airplanes

  • Rotorcraft

  • Runway Safety

  • Single Pilot/IFR Flying

  • Stall Spin

  • Take Off And Landings

  • Towered Airport Operations

  • Visual Flight Rules (VFR)

  • Wake Turbulence

  • Weather

  • Specialty Seminars (e.g. Seaplanes, Agricultural Flying)

  • Event Operations (e.g. Oshkosh, Sun & Fun)

  • Other (Please Specify:____________

__________________________________

__________________________________

__________________________________)


9. Is piloting an aircraft your main source of income?

  • No

  • Yes


10. Do you own or co-own an aircraft?

  • No

  • Yes


11. Which of the following pilot certificates do you hold? MARK ALL THAT APPLY.

  • Student

  • Recreational

  • Private

  • Commercial

  • Airline Transport


12. Which of the following ratings are on your pilot’s certificate? MARK ALL THAT APPLY.

  • Airplane

  • Rotorcraft

  • Lighter than Air

  • Glider


13. Which of the following certifications do you hold? MARK ALL THAT APPLY.

  • Designated Pilot Examiner

  • Certified Flight Instructor

  • Safety Counselor

  • Ground Instructor

  • Pilot Proficiency Examiner

  • Check Airman

  • None of the above


14. For which kind of operator(s) do you fly? MARK ALL THAT APPLY.

  • Does not apply; I am not employed as a pilot.

  • Flight School

  • Air Taxi

  • Corporate

  • Regional

  • Major Commercial Airline

  • Other


15. How many hours have you flown . . .


During your career

In the last 12 months

O

Under 100 hrs

O

None

O

101 to 500

O

1 to 10

O

501 to 1,000

O

11 to 50

O

1,001 to 3,000

O

51 to 150

O

3,001 to 10,000

O

151 to 300

O

Over 10,000 hrs

O

Over 300 hrs


16. What is your current age?

  • Under 21

  • 21 – 29

  • 30 – 39

  • 40 – 49

  • 50 – 59

  • 60 or more

Paperwork Reduction Act Statement: This voluntary collection of information is authorized by Executive Order #12862. We estimate that it will take approximately 10 minutes to complete the survey. According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The OMB control number associated with this collection is 2120-0568. Comments concerning the accuracy of this burden and suggestions for reducing the burden should be directed to the FAA at: 800 Independence Ave. SW, Washington, DC, 20691., Attn:: Information Collection Clearance Officer, AES-200.


File Typeapplication/msword
File TitleAviation Safety Program
Authorjune jones
Last Modified Bytaylor ctr dahl
File Modified2007-07-25
File Created2007-07-25

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