Safety Awareness, Feedback, and Evaluation (SAFE) Program Survey

Safety Awareness, Feedback, and Evaluation (SAFE) Program

FAA Safety Awareness and Feedback Survey_sample items_revised

Safety Awareness, Feedback, and Evaluation (SAFE) Program Survey

OMB: 2120-0759

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 2120-0759 can be found here:

2020-11-29 - Extension without change of a currently approved collection

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OMB Control #

FAA Safety Awareness and Feedback Survey

Instructions: Read each item carefully then mark the response that best describes your experiences as a certificated general aviation pilot with the services and support provided by the FAA during the past 12 months.

Responses to some items are required in order to skip those items that are not relevant to you. (OMB Control #, expires date) Participation is voluntary and anonymous. Your responses will be kept private to the extent provided by law.

	SECTION A: Demographics
A1	Have you utilized, been issued, or renewed your pilot certificate within the past 12 months? o Yes ^o^N^o^(skip^to^t^h^e^“^T^h^aⁿ^k^y^o^u^!^P^lea^s^e^s^u^b^mⁱ^t^/^ret^u^rn^t^h^e^s^u^r^v^e^y^.^”⁾
^A²	^Wha^tⁱ^s^t^h^e^h^ig^he^s^t^l^e^v^e^l^o^f^p^il^o^t^c^e^r^tⁱ^fⁱ^c^a^te^y^o^u^c^u^r^r^en^t^l^y^ho^l^d? o Student ^o^R^e^cr^e^a^ti^oⁿ^al ^o^Sp^o^rt ^o^P^ri^v^a^te ^o^C^o^m^m^e^rcial ^o^A^irliⁿ^e^Traⁿ^s^p^o^r^t
^A3	^Wh^ic^h^Fl^ig^h^t^S^t^anda^r^d^s^R^e^gi^oⁿ^d^o^y^o^u^li^v^eⁱⁿ^? o Alaskan Region (Alaska) ^o^C^eⁿ^tral^R^e^gⁱ^o^n (Illiⁿ^o^is:^oⁿ^l^y^M^a^dⁱ^s^oⁿ^,^S^t.^Clair,^Moⁿ^r^o^e^c^o^un^ties;^I^o^wa;^K^aⁿ^sa^s^; ^Keⁿ^t^u^c^k^y^:ⁿ^o^t^B^o^oⁿ^e^,^Keⁿ^t^oⁿ^,^aⁿ^d C^a^m^pb^e^ll^c^o^un^ti^e^s;^M^is^s^o^u^ri;^Teⁿⁿ^es^s^e^e^;^N^e^b^r^aska) o Eastern Region (Connecticut; Delaware; Maine; Maryland; Massachusetts; ^N^e^w^H^a^m^p^s^h^ir^e^;^N^e^w^J^e^rs^e^y^;^N^e^w^Y^o^r^k^;^N^o^r^t^h Ca^r^o^liⁿ^a;^P^eⁿⁿ^s^y^l^v^aⁿ^ia;^R^h^o^d^e^Isl^a^nd^; ^V^e^r^m^oⁿ^t;^V^ir^gⁱⁿ^ia;^W^e^st^Vⁱ^r^gⁱⁿ^ia) o Great Lakes Region (Illinois: not Madison St. Clair, Monroe counties; Indiana; Kentucky: only Boone, Kenton, and Campbell Counties; Michigan; Minnesota; North Dakota; Ohio; South Dakota; Wisconsin) o Northwest Mountain Region (Colorado; Idaho; Montana; Oregon; Utah; Washington; Wyoming) o Southern Region (Alabama; Florida; Georgia; Puerto Rico; South Carolina) ^o^S^o^u^t^h^we^s^t^R^e^gⁱ^o^n (^A^r^kaⁿ^s^a^s;^L^o^u^isiaⁿ^a;^Mⁱ^s^sissi^pp^i;^N^ew^M^exⁱ^c^o^;^O^kla^ho^m^a^;^T^e^x^as) ^o^Wes^t^erⁿ^-^P^acifⁱ^c^R^e^gⁱ^o^n (^A^rⁱ^z^oⁿ^a;^Cali^f^o^rⁿ^ia;^H^awaiⁱ^;^N^ev^a^d^a) ^o^Iⁿ^t^e^rⁿ^ati^oⁿ^al
^A4	^Do^y^o^u^u^s^e^y^ou^r^c^e^r^tⁱ^f^ic^a^te^f^o^r^h^ir^eⁱⁿ^an^y^o^f^t^h^e f^o^ll^o^wiⁿ^g^?^[^m^ark^{all t}^h^at^a^pp^l^y^] I do not use my certificate for hire Part 61 (flight instructor) Part 91 (corporate) Part 121 (flag, domestic, supplemental operations) Part 125 (aircraft with 20 or more seats and cargo payload of 6,000 pounds or more when common carriage is not involved) Part 129 (foreign carrier and foreign operator of US-registered aircraft used in common carriage) Part 133 (rotorcraft external loads) Part 135 (commuter/on-demand operations) Part 137 (agricultural operations) Part 141 (pilot schools) Part 142 (training centers) Other (write in): _________

	SECTION A: Demographics
^A5	Total flight hours you have logged: hours
^A6	^Do^y^o^u^ho^l^d^an^y^o^f t^h^e f^ollo^wiⁿ^g^?^[^m^ark^{all t}^h^at^a^pp^l^y^] None of the below Instrumental Flight Rules (IFR) Certified Flight Instructor (CFI) Certified Flight Instrumental Instructor (CFII) Certified Flight Instructor Multi-Engine (CFIM) Multi-engine Single-engine Rotorcraft Balloon Glider Other (write in): ________
^A7	How long since you received your initial pilot certificate? years

SECTION B: FAA Guidance such as policy, regulations, handbooks, advisory circulars, orders and notices

How familiar are you with current FAA guidance governing general aviation pilots?

o Not at all familiar (skip to the next section)

^o^Som^e^what^fa^m^iliar

^o^Q^ui^t^e^fa^m^iliar

^o^Ex^t^re^m^e^ly^f^a^m^iliar

^B²

^In^t^he^pa^s^t¹²^m^on^t^h^s^,^ho^w^o^ft^eⁿ^dⁱ^d^y^o^u^r^el^y^o^n
t^h^e
f^o^ll^owⁱⁿ^g^s^ou^rc^e^s^to^ac^c^e^s^s^F^A^A^g^uⁱ^dan^c^e for general aviation pilots?

	never	a few times in the 12 months	about once a month	2 to 3 times a month	once a week	more than once a week
FAA website (faa.gov)						
^FA^A^S^afety^T^e^a^m^w^e^b^si^t^e⁽^f^aasafe^t^y^.go^v⁾						
Email notification from FAA Safety Team (FAASTeam)						
FAA Safety Briefing Magazine						
FAA social media (e.g., Facebook, Twitter, and Instagram)						
Professional organization website (e.g., AOPA and EAA)						
Type club website (e.g., American Bonanza Society and Piper Flyer Association)						
Your company website						
Non-FAA online media (e.g., Flying)						
Other (write in): ______________						

^B³

^I^nd^ic^a^te^y^ou^r^t^o^p³^s^ou^r^c^e^s^f^o^r^F^A^A^g^uⁱ^dan^c^e
to^g^ene^r^a^l^avⁱ^a^tⁱ^oⁿ^pi^l^o^t^s^.

[use 1, 2, and 3 to order your choices, with 1 being your top choice]

__ FAA website (faa.gov)

__^FA^A^S^afety^T^e^a^m^w^e^b^si^t^e⁽^f^aasafe^t^y^.go^v⁾

__Email notification from FAA Safety Team

__FAA Safety Briefing Magazine

__ FAA social media (e.g., Facebook, Twitter, and Instagram)

__ Professional organization website (e.g., AOPA and EAA)

__ Type club website (e.g., American Bonanza Society and Piper Flyer Association)

__ Your company website

__ Non-FAA online media (e.g., Flying)

__ Other (write in): __________

^B⁴

^I^nd^ic^a^te^y^ou^r^t^o^p³^r^e^c^o^m^m^enda^tⁱ^on^s^oⁿ^ho^w^toⁱ^m^p^r^o^v^e
t^h^e^F^A^A’^s^c^o^mm^unica^tⁱ^oⁿ^o^f

guidance. [use 1, 2, and 3 to order your choices, with 1 being your top choice]

__ Provide an email notification that a change has been made with a link to the full text

__ Email short concise explanations of changes with a link to the full text

__ Advise general aviation industry groups and let them disseminate the information

__ Email link to short video (3-5 minute) explaining the change

__ Twitter posting with a link to the full text

__ Other (write in): __________

^B⁵

^H^o^wⁱ^m^po^r^t^an^tⁱ^s^F^A^A^g^uⁱ^d^an^c^e
f^o^r^g^ene^r^a^l^avⁱ^a^tⁱ^oⁿ^p^il^o^ts^{to t}^h^e^s^a^f^e^t^y^o^f
t^h^e^Na^tⁱ^ona^l

Airspace?

^o^N^o^t^at^allⁱ^m^p^o^r^taⁿ^t

^o^S^o^m^e^w^h^atⁱ^m^p^o^r^t^aⁿ^t

^o^Q^u^iteⁱ^m^p^o^r^taⁿ^t

^o^Extr^e^m^e^l^yⁱ^m^p^o^r^taⁿ^t

^B⁶

Indicate your top 3 recommendations on how to improve FAA guidance for general aviation pilots. [write in below]

#1 ___________________________

#2 ___________________________

#3 ___________________________

^B⁷

^Aⁿ^y^addⁱ^tⁱ^ona^l^f^eedba^c^k^r^e^g^a^r^dⁱⁿ^g^F^A^A^g^uⁱ^dan^c^e
to^g^ene^r^a^l^a^vi^a^tⁱ^oⁿ^p^il^o^t^s?[mark all that apply]

Compliments (write in): ____________
Complaints (write in): ______________
Comments (write in): ______________

	SECTION C: General Aviation Pilot Certification
C1	In the past 2 years, have you received a new general aviation pilot certification? o Yes ^o^N^o^(skip^to t^h^eⁿ^ext^se^c^ti^oⁿ⁾
C2	^O^v^e^r^al^l^,^ho^w^s^a^t^is^fⁱ^e^d^w^e^r^e^y^o^u^wⁱ^th^y^ou^r^m^o^s^t^r^e^c^eⁿ^t^c^e^r^tⁱ^fⁱ^c^a^tⁱ^oⁿ^expe^rⁱ^en^c^e^? ^o^V^e^ry^d^iss^a^tisfied ^o^D^issatisfⁱ^e^d ^o^N^e^it^h^e^r^d^issatⁱ^sfiedⁿ^o^r satⁱ^sfied ^o^S^atisfied ^o^V^e^ry^s^a^tisfied
C3	How did your most recent certification experience compare to your expectations? o Far below expectations ^o^Bel^o^w^e^x^p^ect^a^ti^oⁿ^s ^o^M^et^ex^p^e^ctatⁱ^oⁿ^s ^o^Exc^e^e^d^ed^e^x^p^ect^a^ti^oⁿ^s ^o^Well^b^e^yoⁿ^d^ex^p^e^c^tatⁱ^oⁿ^s
^C⁴	^H^o^w^w^ou^l^d^y^o^u^r^a^te^t^h^e^o^v^e^r^al^l^qua^li^t^y^o^f^c^e^r^tⁱ^fⁱ^c^a^t^ioⁿ^s^e^r^v^ic^e^s? o Very poor ^o^P^o^o^r ^o^A^ve^ra^g^e ^o^G^oo^d ^o^Excelleⁿ^t
^C⁵	Did the practical test for certification accurately measure your pilot skills? (matrix format) o Not at all ^o^P^ar^t^ial^l^y ^o^Fu^lly
^C⁶	Did the oral test for certification accurately measure your pilot knowledge? (matrix format) ^o^N^o^t^at^all ^o^P^ar^t^ial^l^y ^o^Fu^lly
^C⁷	^Dⁱ^d t^h^e^o^r^a^l^t^e^s^t^f^o^r^c^e^r^tⁱ^fⁱ^c^a^tⁱ^o^n m^ea^s^u^r^e^y^ou^r^o^v^e^r^a^l^l^unde^r^s^t^andⁱⁿ^g^o^f^avⁱ^a^tⁱ^oⁿ^s^a^f^e^ty^ris^k^s^? (matrix format) o Not at all ^o^P^ar^t^ial^l^y ^o^Fu^lly
^C⁸	^Dⁱ^d t^h^e^w^rⁱ^tt^eⁿ^t^e^s^t^f^o^r^c^e^r^tⁱ^fⁱ^c^a^tⁱ^oⁿ^ac^c^u^r^a^t^e^l^y^m^ea^s^u^r^e^y^ou^r^pi^l^o^t^k^now^l^ed^g^e^? (matrix format) o Not at all ^o^P^ar^t^ial^l^y ^o^Fu^lly
^C⁹	^Dⁱ^d t^h^e^w^rⁱ^tt^eⁿ^t^e^s^t^f^o^r^c^e^r^tⁱ^fⁱ^c^a^tⁱ^o^n m^e^a^s^u^r^e^y^ou^r^ove^r^a^l^l^unde^r^s^t^andⁱⁿ^g^o^f^avⁱ^a^tⁱ^oⁿ^s^a^f^e^ty risks? (matrix format) o Not at all ^o^P^ar^t^ial^l^y ^o^Fu^lly
^C¹⁰	^Wh^o^c^ondu^c^t^e^d^t^h^e^exa^m^ina^tⁱ^o^n f^o^r^y^ou^r^m^o^s^t^r^e^c^eⁿ^t^c^e^r^tⁱ^f^ic^a^tⁱ^on^? o FAA Aviation Safety Inspector (ASI) (skip to…) ^o^De^si^gn^a^t^e^d^Pⁱ^l^o^t^Ex^a^mⁱⁿ^e^r⁽^D^P^E) ^o^S^c^h^oo^l^with^e^x^a^mⁱⁿⁱⁿ^g a^u^t^h^o^rity⁽^P^a^rt¹⁴¹⁾⁽^skip^t^o^…⁾ ^o^Doⁿ^’^t^kⁿ^o^w^(skip^t^o^…⁾
^C¹¹	^H^o^w^s^a^t^is^fⁱ^e^d^w^e^r^e^y^o^u^wⁱ^th t^h^e f^e^e f^o^r^t^h^e D^e^s^ig^na^t^e^d P^il^o^t^E^xa^mⁱ^ne^r⁽^D^P^E⁾^? o Very dissatisfied ^o^D^issatisfⁱ^e^d ^o^N^e^it^h^e^r^d^issatⁱ^sfiedⁿ^o^r satⁱ^sfied ^o^S^atisfied ^o^V^e^ry^s^a^tisfied
C12	What would you give the examiner high ratings on? [mark all that apply] Knowledgeable/Credible Professional Courteous and respectful Thorough Asked clear and concise questions Followed the PTS—the FAA’s practical test standard Clearly explained why a maneuver/answer was not correct On time Allowed enough time for the test--did not rush Flexible scheduling Attentive None of the above Other (write in): ____________
^C¹³	^Wha^t^w^ou^l^d^y^o^u^gⁱ^v^e t^h^e^e^xa^mⁱ^ne^r^l^o^w^r^a^tⁱⁿ^g^s^on^?^[^m^ark^{all t}^h^at^a^pp^l^y^] Knowledgeable/Credible Professional Courteous and respectful Thorough Asked clear and concise questions Followed the PTS—the FAA’s practical test standard Clearly explained why a maneuver/answer was not correct On time Allowed enough time for the test--did not rush Flexible scheduling Attentive None of the above Other (write in): ____________
C14	^Dⁱ^d^y^o^u^pa^s^s^t^h^e^p^r^a^c^tⁱ^c^a^l^t^e^s^t^f^o^r^c^e^r^tⁱ^fⁱ^c^a^tⁱ^oⁿ^oⁿ^y^ou^r^fⁱ^r^s^t^a^tt^e^m^p^t? ^o^Yes⁽^s^kipⁿ^e^x^t^qu^estⁱ^oⁿ⁾ ^o^N^o
^C¹⁵	^Dⁱ^d t^h^e^exa^mⁱ^ne^r^f^u^l^l^y^ex^p^l^aⁱⁿ^w^h^y^y^o^u f^a^il^ed? o Yes ^o^N^o
^C¹⁶	^Wh^ic^h^s^ou^r^c^e^dⁱ^d^y^o^u^u^s^e^{to f}ⁱⁿ^dⁱⁿ^f^o^r^m^a^tⁱ^oⁿ^r^e^g^a^r^din^g^t^h^e^c^e^r^tⁱ^f^ic^a^tⁱ^oⁿ^p^r^o^c^e^s^s^? [mark all that apply] FAA website (faa.gov) FAA Safety Team website (faasafety.gov) (skip to…) Email notification from FAA Safety Team (skip to…) FAA Safety Briefing Magazine (skip to…) FAA social media (e.g., Facebook, Twitter, and Instagram) (skip to…) Professional organization website (e.g., AOPA and EAA) (skip to…) Type club website (e.g., American Bonanza Society and Piper Flyer Association) (skip to…) Your company website (skip to…) Non-FAA online media (e.g., Flying) (skip to…) Other (write in): (skip to…)
^C¹⁷	^Dⁱ^d t^h^e^F^A^A^w^eb^sⁱ^te⁽^f^aa.^g^o^v⁾^p^r^o^vi^d^e t^h^e^c^e^r^tⁱ^fⁱ^c^a^tⁱ^oⁿⁱⁿ^f^o^r^m^a^tⁱ^oⁿ^y^o^u^w^e^r^e^s^e^e^kⁱⁿ^g^? o Yes ^o^N^o ^o^D^idⁿ^o^t^u^se
^C¹⁸	What would you give the FAA website (faa.gov) high ratings on? [mark all that apply] Ease of use/navigation ^Sⁱ^m^p^licit^y^/^no^t^cl^u^t^t^e^r^e^d Active links Reliable search Relevant/current information Completeness of information Useable, clearly written content Downloadable information Secure Accessible 24/7 User support (embedded help, tech support) None of the above Other (write in):____________
^C¹⁹	What would you give the FAA website (faa.gov) low ratings on? [mark all that apply] Ease of use/navigation ^Sⁱ^m^p^licit^y^/^no^t^cl^u^t^t^e^r^e^d Active links Reliable search Relevant/current information Completeness of information Useable, clearly written content Downloadable information Secure Accessible 24/7 User support (embedded help, tech support) None of the above Other (write in):____________
^C²⁰	^I^nd^ic^a^te^y^ou^r^t^o^p³^r^e^c^o^m^m^enda^tⁱ^on^s^oⁿ^ho^w^toⁱ^m^p^r^o^v^e t^h^e F^A^A^w^eb^si^te^r^e^g^a^r^dⁱⁿ^g^pi^l^o^t certification. [write in below] #1 ___________________________ #2 ___________________________ #3 ___________________________
C21	^Fo^r^y^ou^r^m^o^s^t^r^e^c^en^t^p^il^o^t^c^e^r^tⁱ^fⁱ^c^a^tⁱ^on^,^dⁱ^d^y^o^u^appl^y^on^liⁿ^e^u^siⁿ^g^t^h^e^Iⁿ^t^e^g^r^a^t^e^d^Ai^r^m^aⁿ Certification and Rating Application (IACRA)? ^o^Yes ^o^N^o^(skip^t^o^…⁾
C22	What would you give IACRA high ratings on as an application tool for pilot certification? [mark all that apply] Ease of use/navigation ^Sⁱ^m^p^licit^y^/^no^t^cl^u^t^t^e^r^e^d Active links Reliable search Relevant/current information Completeness of information Useable, clearly written content Downloadable information Secure Accessible 24/7 User support (embedded help, tech support) None of the above Other (write in):____________
C23	^Wha^t^w^ou^l^d^y^o^u^gⁱ^v^e^I^A^CR^A^l^o^w^r^a^tⁱⁿ^g^s^oⁿ^a^s^aⁿ^appl^ic^a^tⁱ^o^n t^oo^l^f^o^r^pi^l^o^t^c^e^r^tⁱ^fⁱ^c^a^tⁱ^on? ^[^m^ark^all^t^h^at^a^pp^l^y^] Ease of use/navigation ^Sⁱ^m^p^licit^y^/^no^t^cl^u^t^t^e^r^e^d Active links Reliable search Relevant/current information Completeness of information Useable, clearly written content Downloadable information Secure Accessible 24/7 User support (embedded help, tech support) None of the above Other (write in):____________
^C²⁴	Indicate your top 3 recommendations on how to improve IACRA. [write in below] #1 ___________________________ #2 ___________________________ #3 ___________________________
^C²⁵	^H^o^wⁱ^m^po^r^t^an^tⁱ^s^t^h^e^g^ene^r^a^l^avⁱ^a^tⁱ^oⁿ^pi^l^o^t^c^e^r^tⁱ^fⁱ^c^a^t^ioⁿ^p^r^o^c^e^s^s^{to t}^h^e^s^a^f^e^t^y^o^f^t^h^e^N^a^tⁱ^ona^l Airspace? o Not at all important ^o^S^o^m^e^w^h^atⁱ^m^p^o^r^t^aⁿ^t ^o^Q^u^iteⁱ^m^p^o^r^taⁿ^t ^o^Extr^e^m^e^l^yⁱ^m^p^o^r^taⁿ^t
C26	^I^nd^ic^a^te^y^ou^r^t^o^p³^r^e^c^o^m^m^enda^tⁱ^on^s^oⁿ^ho^w^toⁱ^m^p^r^o^v^e t^h^e^pi^l^o^t^c^e^r^tⁱ^fⁱ^c^a^tⁱ^oⁿ^p^r^o^c^e^s^s^. ^[u^se¹^,²^,^aⁿ^d³^to^o^r^d^e^r^you^r c^h^o^ic^e^s,^wⁱ^th 1^b^eⁱⁿ^g^you^r t^o^p c^h^oⁱ^c^e^] __ Increase availability of FAA Inspectors to perform certification __ Provide more Designated Pilot Examiners (DPEs) __ Further standardization of testing conducted by DPEs __ Control the fee charged by the DPEs ^{__ I}^m^p^r^o^v^e^t^h^e^Iⁿ^t^e^g^ra^te^d^Aⁱ^r^m^an C^e^r^t^ificatⁱ^o^n aⁿ^d R^a^tiⁿ^g^App^licati^o^n (I^A^CR^A⁾ __ Provide more online courses at faasafety.gov __ Provide more free courses at faasafety.gov __ Other (write in):________________
^C²⁷	Any additional feedback regarding pilot certification? [mark all that apply] Compliments (write in): ______________ Complaints (write in): ______________ Comments (write in): ______________

	SECTION D: FAA Training
D1	In the past 2 years, did you complete required training for certification? o Yes ^o^N^o^(skip^to^t^h^eⁿ^ext^se^c^ti^oⁿ⁾
^D2	^H^o^w^dⁱ^d^y^o^u m^ee^t^t^h^e^r^equ^ir^e^d t^r^aⁱⁿⁱⁿ^g^f^o^r^c^e^r^tⁱ^fⁱ^c^a^tⁱ^on? o FAA approved training (Part 141 school) ^o^S^elf-st^ud^y⁽^P^art⁶¹⁾ ^o^M^ilitary^c^om^p^e^t^eⁿ^c^e ^o^H^o^ld a^f^o^r^eⁱ^g^n li^c^eⁿ^se ^o^Ot^h^er⁽^writeⁱⁿ⁾^{: ________________}
^D3	^T^o^w^ha^t^ex^t^en^t^dⁱ^d t^h^e^r^e^q^u^ir^e^d t^r^aⁱⁿⁱⁿ^gⁱ^nc^r^ea^s^e^y^o^u^r^a^w^a^r^ene^s^s^o^f^s^a^f^e^t^y^r^is^k^s^a^ss^ocⁱ^a^t^e^d with general aviation? (matrix format) o Not at all ^o^Lⁱ^mⁱ^t^ed^e^xteⁿ^t ^o^Mo^d^e^rate^e^x^teⁿ^t ^o^C^oⁿ^si^d^e^ra^b^le^e^x^t^eⁿ^t
^D4	^T^o^w^ha^t^ex^t^en^t^dⁱ^d t^h^e^r^e^q^u^ir^e^d t^r^aⁱⁿⁱⁿ^gⁱ^nc^r^ea^s^e^y^o^u^r^abⁱ^lⁱ^ty^to^m^ana^g^e^s^a^f^e^ty^r^is^ks^a^ss^o^ci^a^t^e^d with general aviation? (matrix format) o Not at all ^o^Lⁱ^mⁱ^t^ed^e^xteⁿ^t ^o^Mo^d^e^rate^e^x^teⁿ^t ^o^C^oⁿ^si^d^e^ra^b^le^e^x^t^eⁿ^t
^D5	^H^o^wⁱ^m^po^r^t^an^t^a^r^e t^h^e^t^r^aⁱⁿⁱⁿ^g^r^equ^ir^e^m^en^t^s^f^o^r^g^eⁿ^e^r^a^l^avⁱ^a^tⁱ^oⁿ^pi^l^o^t^c^e^r^tⁱ^fⁱ^c^a^tⁱ^o^{n to t}^he safety of the National Airspace? o Not at all important ^o^S^o^m^e^w^h^atⁱ^m^p^o^r^t^aⁿ^t ^o^Q^u^iteⁱ^m^p^o^r^taⁿ^t ^o^Extr^e^m^e^l^yⁱ^m^p^o^r^taⁿ^t
^D6	^I^n t^he^pa^s^t¹²^m^on^t^h^s^,^w^hⁱ^c^h t^r^aⁱⁿⁱⁿ^g^p^r^o^gr^a^m^dⁱ^d^y^o^u^u^s^e to^ad^v^an^c^e^y^ou^r^g^eⁿ^e^r^a^l^avⁱ^a^tⁱ^oⁿ knowledge? [mark all that apply] FAA WINGS Pilot Proficiency Program Professional organization (e.g., AOPA) Type club (e.g., American Society and Piper Flyer Association) Flight school Self-study Other (write in): _________________
D7	Which is your preferred method for training on the FAASTeam website (faasafety.gov)? o Webinar ^o^S^elf-^p^ac^e^d^oⁿ^liⁿ^e^traiⁿⁱⁿ^g ^o^Po^d^c^a^sts ^o^Y^o^u^t^ub^e ^o^App^licati^oⁿ^s⁽^Ap^s)^f^o^r^m^o^bⁱ^le^d^evⁱ^c^e^s ^o^E-^b^o^o^k ^o^Lⁱ^v^e^s^e^mⁱⁿ^ar^/^class ^o^Ot^h^er⁽^writeⁱⁿ⁾^:^{______________}
^D8	^I^n t^he^pa^s^t¹²^m^on^t^h^s^,^ho^w^o^ft^eⁿ^dⁱ^d^y^o^u^g^o^to^t^h^e^F^AA^S^T^ea^m^w^eb^sⁱ^te⁽^f^aa^s^a^f^e^t^y^.^g^o^v⁾^? o Never ^o^{A few times in the 12 months} ^o^{About once a month} ^{2 to 3 times a month} ^o^{About once a week} ^{More than once a week}
^D9	^O^v^e^r^al^l^,^ho^w^s^a^t^is^fⁱ^e^d^a^r^e^y^o^u^wⁱ^thⁱⁿ^f^o^r^m^a^tⁱ^oⁿ^p^r^ovⁱ^de^d^o^n t^h^e^F^AA^S^T^ea^m^w^e^b^si^te (faasafety.gov)? o Very dissatisfied ^o^D^issatisfⁱ^e^d ^o^N^e^it^h^e^r^d^issatⁱ^sfiedⁿ^o^r satⁱ^sfied ^o^S^atisfied ^o^V^e^ry^s^a^tisfied
D10	Do you have an account on faasafety.gov? o Yes ^o^N^o^(skip^to^t^h^eⁿ^ext^se^c^ti^oⁿ⁾
^D¹¹	^I^n t^he^pa^s^t¹²^m^on^t^h^s^,^ho^w^o^ft^eⁿ^dⁱ^d^y^o^u^l^o^gⁱⁿ^to^y^ou^r^ac^c^oun^t^o^n f^aa^s^a^f^e^t^y.g^o^v^? o Never (skip to…) ^o^{A few times in the 12 months} ^o^{About once a month} ^{2 to 3 times a month} ^o^{About once a week} ^{More than once a week}
^D¹²	In the past 12 months, did you receive email from the FAASTeam? o Yes ^o^N^o^(skip^t^o^…⁾
^D¹³	^I^n t^he^pa^s^t¹²^m^on^t^h^s^,^w^h^a^t^po^r^tⁱ^oⁿ^o^f t^h^e^F^A^A^S^T^e^a^m^e^m^ai^l^s^dⁱ^d^y^o^u^r^ead? o None ^o^V^ery^f^ew ^o^Ab^o^u^t^h^alf ^o^Mo^st ^o^A^ll
^D¹⁴	^I^nd^ic^a^te^y^ou^r^t^o^p³^r^e^c^o^m^m^enda^tⁱ^on^s^oⁿ^ho^w^toⁱ^m^p^r^o^v^e^F^A^A^S^T^ea^m^s^a^f^e^ty^m^e^ss^a^g^e^s^togeneral aviation pilots. [use 1, 2, and 3 to order your choices, with 1 being your top choice] __ Provide just in time messages for identified emerging threats __ Shorter messages __ More in-depth information in the messages __ More variety in emailed safety messages __ More frequent emailed safety messages __ Use social media (e.g., Facebook, Twitter, and Instagram) __ Include links to more information in Twitter postings __ Other (write in): ____________
^D¹⁵	^Ar^e^y^o^u^pa^r^tⁱ^ci^pa^tⁱⁿ^gⁱ^n t^h^e^W^I^N^G^S^Pⁱ^l^o^t^P^r^o^fⁱ^ci^enc^y^P^r^o^gr^a^m^? o Yes ^o^N^o^(skip^t^o^…⁾
^D¹⁶	In the last 2 years, have you completed at least one WINGS phase? o Yes ^o^N^o^(skip^t^o^…⁾
^D¹⁷	^Wha^t^w^ou^l^d^y^o^u^gⁱ^v^e t^h^e^W^I^N^G^S^w^eb^sⁱ^te^h^ig^h^r^a^tⁱⁿ^g^s^on^?^[^m^ark^all^t^h^at^a^pp^l^y^] Ease of use/navigation ^Sⁱ^m^p^licit^y^/^no^t^cl^u^t^t^e^r^e^d Active links Reliable search Relevant/current information Completeness of information Useable, clearly written content Downloadable information Secure Accessible 24/7 User support (embedded help, tech support) None of the above Other (write in):____________
^D¹⁸	^Wha^t^w^ou^l^d^y^o^u^gⁱ^v^e t^h^e^W^I^N^G^S^w^eb^sⁱ^te^l^o^w^r^a^tⁱⁿ^g^s^on^?^[^m^ark^all^t^h^at^a^pp^l^y^] Ease of use/navigation ^Sⁱ^m^p^licit^y^/^no^t^cl^u^t^t^e^r^e^d Active links Reliable search Relevant/current information Completeness of information Useable, clearly written content Downloadable information Secure Accessible 24/7 User support (embedded help, tech support) None of the above Other (write in):____________
^D¹⁹	In the past 12 months, have you completed courses on faasafety.gov? o Yes ^o^N^o^(skip^t^o^…⁾
^D²⁰	Overall, how satisfied were you with the quality of the courses on faasafety.gov? o Very dissatisfied ^o^D^issatisfⁱ^e^d ^o^N^e^it^h^e^r^d^issatⁱ^sfiedⁿ^o^r satⁱ^sfied ^o^S^atisfied ^o^V^e^ry^s^a^tisfied
D21	How did your experience completing the courses on faasafety.gov compare to your expectations? o Far below expectations ^o^Bel^o^w^e^x^p^ect^a^ti^oⁿ^s ^o^M^et^ex^p^e^ctatⁱ^oⁿ^s ^o^Exc^e^e^d^ed^e^x^p^ect^a^ti^oⁿ^s ^o^Well^b^e^yoⁿ^d^ex^p^e^c^tatⁱ^oⁿ^s
^D²²	^H^o^w^w^ou^l^d^y^o^u^r^a^te^t^h^e^o^v^e^r^al^l^qua^li^t^y^o^f t^h^e^c^ou^rs^e^s^o^n f^aa^s^a^f^e^t^y^.^g^ov^? o Very poor ^o^P^o^o^r ^o^A^ve^ra^g^e ^o^G^oo^d ^o^Excelleⁿ^t
^D²³	^T^o^w^ha^t^ex^t^en^t^dⁱ^d t^h^e^c^ou^rs^e^s^o^n f^aa^s^a^f^e^t^y^.g^o^vⁱⁿ^c^r^ea^s^e^y^ou^r^a^w^a^r^ene^ss^,^a^ss^e^ss^m^en^t^,^o^r management of safety risk management? o Not at all ^o^Lⁱ^mⁱ^t^ed^e^xteⁿ^t ^o^Mo^d^e^rate^e^x^teⁿ^t ^o^C^oⁿ^si^d^e^ra^b^le^e^x^t^eⁿ^t
^D²⁴	^Wh^ic^h^ne^w^t^r^aⁱⁿⁱⁿ^g^t^opⁱ^c^s^s^hou^l^d^b^e^o^ff^e^r^e^d^a^s^aⁿ^on^liⁿ^e^c^ou^rs^e^o^n f^aa^s^a^f^e^t^y^.g^o^v^? [mark all that apply] None of the below Advanced preflight Loss of control Loss of power Weather awareness Safety Management System (SMS) Other (write-in): ______________
^D²⁵	How much would you pay for vendor-provided training if offered on faasafety.gov? $ ._
^D²⁶	^H^o^wⁱ^m^po^r^t^an^t^a^r^e t^h^e^c^o^u^rs^e^s^o^n f^aa^s^a^f^e^t^y^.g^o^v^to^t^h^e^s^a^f^e^ty^o^f t^h^e^N^a^tⁱ^ona^l^A^irs^p^a^c^e^? o Not at all important ^o^S^o^m^e^w^h^atⁱ^m^p^o^r^t^aⁿ^t ^o^Q^u^iteⁱ^m^p^o^r^taⁿ^t ^o^Extr^e^m^e^l^yⁱ^m^p^o^r^t^aⁿ^t
^D²⁷	Indicate your top 3 recommendations on how to improve the courses on faasafety.gov. [write in below] #1 ___________________________ #2 ___________________________ #3 ___________________________
^D²⁸	Any additional feedback regarding the courses on faasafety.gov? [mark all that apply] Compliments (write in): ______________ Complaints (write in): ______________ Comments (write in): ______________

	SECTION E: Inspection/Surveillance
E1	In the past 12 months, did you receive a ramp check/inspection by the FAA? o Yes ^o^N^o^(skip^to t^h^eⁿ^ext^se^c^ti^oⁿ⁾
^E2	^H^o^w^s^a^t^is^fⁱ^e^d^o^v^e^r^al^l^w^e^r^e^y^o^u^wⁱ^th^y^ou^r^r^e^c^en^t^r^a^m^p^c^he^c^k^/iⁿ^s^p^e^c^tⁱ^oⁿ^expe^r^ien^c^e^? o Very dissatisfied ^o^D^issatisfⁱ^e^d ^o^N^e^it^h^e^r^d^issatⁱ^sfiedⁿ^o^r satⁱ^sfied ^o^S^atisfied ^o^V^e^ry^s^a^tisfied
^E3	^H^o^w^dⁱ^d^y^ou^r^r^e^c^en^t^r^a^mp^c^he^c^k^/iⁿ^s^p^e^c^tⁱ^oⁿ^expe^ri^eⁿ^c^e^c^o^m^pa^r^e to^y^ou^r^expe^c^t^a^tⁱ^on^s^? o Far below expectations ^o^Bel^o^w^e^x^p^ect^a^ti^oⁿ^s ^o^M^et^ex^p^e^ctatⁱ^oⁿ^s ^o^Exc^e^e^d^ed^e^x^p^ect^a^ti^oⁿ^s ^o^Well^b^e^yoⁿ^d^ex^p^e^c^tatⁱ^oⁿ^s
E4	^H^o^w^w^ou^l^d^y^o^u^r^a^te^t^h^e^o^v^e^r^al^l^qua^li^t^y^o^f^y^ou^r^r^e^c^eⁿ^t^r^a^mp^c^he^c^k^/iⁿ^s^p^e^c^tⁱ^oⁿ^expe^ri^en^c^e^? ^o^V^e^ry^p^oo^r ^o^P^o^o^r ^o^A^ve^ra^g^e ^o^G^oo^d ^o^Excelleⁿ^t
^E5	What would you give the inspector high ratings on? [mark all that apply] Knowledgeable/Credible ^P^r^o^f^e^ssⁱ^oⁿ^al Courteous and respectful Fair Thorough Informative Responsive Attentive None of the above Other (write in): ______________
^E6	What would you give the inspector low ratings on? [mark all that apply] Knowledgeable/Credible ^P^r^o^f^e^ssⁱ^oⁿ^al Courteous and respectful Fair Thorough Informative Responsive Attentive None of the above Other (write in): ______________
E7	How important is general aviation pilot inspection/surveillance to the safety of the National Airspace? o Not at all important ^o^S^o^m^e^w^h^atⁱ^m^p^o^r^t^aⁿ^t ^o^Q^u^iteⁱ^m^p^o^r^taⁿ^t ^o^Extr^e^m^e^l^yⁱ^m^p^o^r^taⁿ^t
^E8	^I^nd^ic^a^te^y^ou^r^t^o^p³^r^e^c^o^m^m^enda^tⁱ^on^s^oⁿ^ho^w^toⁱ^m^p^r^o^v^e t^h^e^F^A^Aⁱⁿ^s^pe^c^tⁱ^on/^s^u^rv^eⁱ^l^l^an^c^e process. [write in below] #1 ___________________________ #2 ___________________________ #3 ___________________________
E9	What was the outcome of the ramp check/inspection? No findings (skip to…) Counseling (skip to…) Letter of Investigation
^E¹⁰	^Wha^t^w^a^s^t^h^e^r^e^s^u^l^t^o^f t^h^eⁱⁿ^v^e^s^tⁱ^g^a^tⁱ^on? o Closed, no action taken ^o^R^e^m^e^d^ial traiⁿⁱⁿ^g ^o^Le^t^t^e^r^o^f^Warⁿⁱⁿ^g ^o^Le^t^t^e^r^o^f^C^o^rr^e^cti^oⁿ ^o^C^e^r^t^ifica^t^e^a^c^ti^oⁿ^:^s^u^s^p^eⁿ^sⁱ^oⁿ ^o^C^e^r^t^ifica^t^e^a^c^ti^oⁿ^:^r^e^v^o^catⁱ^oⁿ ^o^Ad^mⁱⁿ^istra^tⁱ^v^e^h^e^ariⁿ^g
^E¹¹	^Wa^s^t^h^eⁱⁿ^v^e^s^tⁱ^g^a^tⁱ^oⁿ^j^u^s^tⁱ^fⁱ^ed? o Yes ^o^M^a^y^b^e ^o^N^o
^E¹²	^H^o^w^s^a^t^is^fⁱ^e^d^w^e^r^e^y^o^u^wⁱ^th t^h^e^ou^t^c^o^me^o^f t^h^eⁱⁿ^v^e^s^tⁱ^g^a^tⁱ^on? o Very dissatisfied ^o^D^issatisfⁱ^e^d ^o^N^e^it^h^e^r^d^issatⁱ^sfiedⁿ^o^r satⁱ^sfied ^o^S^atisfied ^o^V^e^ry^s^a^tisfied
^E¹³	^H^o^w^dⁱ^d t^h^e^ou^t^c^o^me^o^f^t^h^eⁱⁿ^v^e^s^t^ig^a^tⁱ^oⁿ^c^o^m^pa^r^e^t^o^y^ou^r^expe^c^t^a^tⁱ^on^s^? o Far below expectations ^o^Bel^o^w^e^x^p^ect^a^ti^oⁿ^s ^o^M^et^ex^p^e^ctatⁱ^oⁿ^s ^o^Exc^e^e^d^ed^e^x^p^ect^a^ti^oⁿ^s ^o^Well^b^e^yoⁿ^d^ex^p^e^c^tatⁱ^oⁿ^s
^E¹⁴	^H^o^w^w^e^r^e^y^o^u t^r^ea^t^e^d^b^y^t^h^e^F^A^A^t^h^r^o^u^g^hou^t^t^h^eⁱ^nve^s^tⁱ^g^a^tⁱ^on? o Unfairly ^o^S^o^m^e^w^h^at^un^fairly ^o^N^e^u^tral ^o^S^o^m^e^w^h^at^fairly ^o^F^airly
E15	Indicate your top 3 recommendations on how to improve the FAA investigation process. [write in below] #1 ___________________________ #2 ___________________________ #3 ___________________________
^E¹⁶	^Aⁿ^y^addⁱ^tⁱ^ona^l^f^eedba^c^k^r^e^g^a^r^dⁱⁿ^g^F^A^Aⁱⁿ^s^p^e^c^tⁱ^oⁿ^/s^u^rv^ei^ll^aⁿ^c^e^o^f^g^ene^r^a^l^a^vi^a^t^ioⁿ^p^il^o^t^s^? [mark all that apply] Compliments (write in): ______________ Complaints (write in): ______________ Comments (write in): ______________

	SECTION F: Safety Management System (SMS)
F1	How familiar are you with the purpose of a safety management system (SMS)? o Not at all familiar (skip to the next section) ^o^Som^e^what^fa^m^iliar ^o^Q^ui^t^e^fa^m^iliar ^o^Ex^t^re^m^e^ly^f^a^m^iliar
^F²	^Do^y^o^u^o^r^doe^s^y^ou^r^c^o^m^pan^y^ha^v^e a^s^a^f^e^t^y^m^ana^g^e^m^en^t^s^ys^t^e^m⁽^SMS⁾^? o Yes ^o^N^o^(skip^to t^h^eⁿ^ext^se^c^ti^oⁿ⁾
^F³	^T^h^e^s^a^f^e^ty^m^ana^g^e^m^en^t^s^y^s^t^e^m⁽^SMS⁾^ha^sⁱⁿ^cr^ea^s^e^d^a^w^a^r^ene^s^s^o^f^a^vi^a^tⁱ^oⁿ^s^a^f^e^ty^r^is^k^. o Strongly disagree ^o^D^isa^g^r^e^e ^o^N^e^it^h^e^r^d^isa^g^r^e^e^o^r a^g^r^e^e ^o^Ag^r^e^e ^o^S^tr^o^ng^ly^a^g^r^e^e
F4	^T^h^e^s^a^f^e^ty^m^ana^g^e^m^en^t^s^y^s^t^e^m⁽^SMS⁾^ha^sⁱ^m^p^r^o^v^e^d^a^ss^e^s^s^m^en^t^o^f^s^a^f^e^t^y^r^is^k^. ^o^S^tr^o^ng^ly^d^isa^g^r^e^e ^o^D^isa^g^r^e^e ^o^N^e^it^h^e^r^d^isa^g^r^e^e^o^r a^g^r^e^e ^o^Ag^r^e^e ^o^S^tr^o^ng^ly^a^g^r^e^e
^F⁵	^T^h^e^s^a^f^e^ty^m^ana^g^e^m^en^t^s^y^s^t^e^m⁽^SMS⁾^ha^sⁱ^m^p^r^o^v^e^d^m^ana^g^e^m^en^t^o^f^s^a^f^e^ty^r^is^k^. o Strongly disagree ^o^D^isa^g^r^e^e ^o^N^e^it^h^e^r^d^isa^g^r^e^e^o^r a^g^r^e^e ^o^Ag^r^e^e ^o^S^tr^o^ng^ly^a^g^r^e^e
^F⁶	^T^h^e^s^a^f^e^ty^m^ana^g^e^m^en^t^s^y^s^t^e^m⁽^SMS⁾^ha^s^po^si^tⁱ^v^el^yⁱ^m^pa^c^t^e^d^p^r^odu^c^tⁱ^vⁱ^t^y^. o Strongly disagree ^o^D^isa^g^r^e^e ^o^N^e^it^h^e^r^d^isa^g^r^e^e^o^r a^g^r^e^e ^o^Ag^ree ^o^S^tr^o^ng^ly^a^g^r^e^e
F7	The safety management system (SMS) has improved overall safety. o Strongly disagree ^o^D^isa^g^r^e^e ^o^N^e^it^h^e^r^d^isa^g^r^e^e^o^r a^g^r^e^e ^o^Ag^ree ^o^S^tr^o^ng^ly^a^g^r^e^e
^F⁸	How important is a safety management system (SMS) to the safety of the National Airspace? o Not at all important ^o^S^o^m^e^w^h^atⁱ^m^p^o^r^t^aⁿ^t ^o^Q^u^iteⁱ^m^p^o^r^taⁿ^t ^o^Extr^e^m^e^l^yⁱ^m^p^o^r^taⁿ^t

SECTION G: Filing a Complaint with the FAA

In the past 12 months, did you file a complaint with any of the FAA offices below?

FSDO
Airmen Certification
Airman Records
Office of Aerospace Medicine
Air Traffic

^G²

Overall, how satisfied were you with the manner in which the FAA handled your complaint?

o Very dissatisfied

^o^D^issatisfⁱ^e^d

^o^N^e^it^h^e^r^d^issatⁱ^sfiedⁿ^o^r
satⁱ^sfied

^o^S^atisfied

^o^V^e^ry^s^a^tisfied

^G³

How did the FAA’s resolution of the complaint compare to your expectations?

^o^F^ar^b^el^o^w^e^x^p^ect^a^ti^oⁿ^s

^o^Bel^o^w^e^x^p^ect^a^ti^oⁿ^s

^o^M^et^ex^p^e^ctatⁱ^oⁿ^s

^o^Exc^e^e^d^ed^e^x^p^ect^a^ti^oⁿ^s

^o^Well^b^e^yoⁿ^d^ex^p^e^c^tatⁱ^oⁿ^s

^G⁴

How did the FAA handle your complaint?

	Yes	No	N/A
Routed you to the appropriate staff member			
Responded in a professional manner			
^P^r^o^vⁱ^d^e^d^u^s^e^f^u^l assis^t^aⁿ^ce^with t^h^e^c^om^p^laiⁿ^t^p^r^o^c^e^ss			
Responded in a timely manner			
Clearly explained the complaint process			
Treated you with courtesy and respect			
Clearly explained the resolution			

What would you give the FAA staff who handled your complaint high ratings on?

[mark all that apply]

Knowledgeable/Credible Professional

Courteous and respectful
Fair
Thorough
Informative
Responsive
Attentive
None of the above
Other (write in): _______________

What would you give the FAA staff who handled your complaint low ratings on?

[mark all that apply]

Knowledgeable/Credible Professional

Courteous and respectful
Fair
Thorough
Informative
Responsive
Attentive
None of the above
Other (write in): _______________

^G7

^I^nd^ic^a^te^y^ou^r^t^o^p³^r^e^c^o^m^m^enda^tⁱ^on^s^oⁿ^ho^w^toⁱ^m^p^r^o^v^e^{the F}^A^{A
complaint process}.

[use 1, 2, and 3 to order your choices, with 1 being your top choice]

__ Clearly explain the complaint process

__ Assign complaint to appropriate staff member

__ Provide assistance with the complaint process

__ Respond in a timely manner

__ Be courteous and respectful

__ Provide feedback on complaint status

__ Clearly explain the resolution

__ Other (write in): ____________

^G8

Any additional feedback regarding the FAA complaint process? [mark all that apply]

Compliments (write in): ______________
Complaints (write in): ______________
Comments (write in): ______________

File Type	application/msword
Author	AVS Enterprise
Last Modified By	Dahl, Taylor CTR (FAA)
File Modified	2014-06-23
File Created	2014-06-23