OMB Application NASA WSPRRR Low Boom Community Response Test

OMB Application NASA WSPRRR Low Boom Community Response Test

QSF18 5 Single Event Survey 2018-0611

OMB Application NASA WSPRRR Low Boom Community Response Test

OMB: 2700-0167

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Quiet Supersonic Flights 2018

Subjective Response


Single Event Response Form

Formatted for administration by web and Smart Phone

Ability to “go back” provided within survey



Reminder prompt, sent either via text message or email:


Did you just hear a sonic thump? Please click on the survey link, indicate your location, and answer yes or no. If your answer is yes, please complete the survey questions”.


E1 Is your location at the time of the sonic thump shown correctly on the map above?

1. Yes [go to E3]

2. No [go to E2]

E2 Please provide the nearest street address to your location at the time of the sonic thump if the automated location is not correct.

1. Home (or within a 5-minute walk of home)

2. Work (or within a 5-minute walk of work)

3. Somewhere else [Text box for open ended address response]


E3 Did you hear a sonic thump?

1. Yes [go to E4]

2. No [End]



Single Noise Event Time and Location


E4 Date of the sonic thump: [MM/DD/YY] [Enable selectable format on survey]


E5 Time of the sonic thump: Hour: Minute using 12 hour format

Note: 12:00 AM is midnight, 12:00 PM is noon.


Single Noise Event Response Ratings


E6 How much did the sonic thump bother, disturb, or annoy you?

  1. Not at all annoyed

  2. Slightly annoyed

  3. Moderately annoyed

  4. Very annoyed

  5. Extremely annoyed


E7 How loud was the sonic thump?

  1. Not at all loud

  2. Slightly loud

  3. Moderately loud

  4. Very loud

  5. Extremely loud


E8 How much did the sonic thump interfere with your activity?

  1. No interference

  2. Slightly interfering

  3. Moderately interfering

  4. Very interfering

  5. Extremely interfering


E9 How loud was the background noise at the time of the sonic thump?

  1. Not heard/Not at all loud

  2. Slightly loud

  3. Moderately loud

  4. Very loud

  5. Extremely loud



E10 Vibration is a motion. The motion may be seen, felt or heard. Rattle is a type of noise that can occur when objects move due to a vibration. Did you see, hear, or feel vibration or rattle?

  1. Yes

  2. No


E11 Did the sonic thump startle you?

  1. Yes

  2. No



Single Event Environment


E12 If you were indoors when you heard the sonic thump, were your windows open or closed?

1. Open

2. Closed

3. I was not indoors.


E13 Please enter any additional comments. [text box]

4


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorKathleen Hodgdon
File Modified0000-00-00
File Created2021-01-21

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