Survey

Your Opinions of LMV Pilot Performance

By default, your responses to the short 14-question survey below are anonymous and will only be shared with 3 individuals on the LMV pilot review committee. If you've forgotten details about the flight experience... no worries... simply skip the question or respond Not Applicable (N/A) and move on.

After you've responded to the questions, make sure to scroll all the way to the bottom and click Submit Survey.

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1. Select the pilot on whose performance you would like to provide feedback.

Select the pilot on whose performance you would like to provide feedback.

2. If your pilot's name is not listed, please enter his/her name here.

If your pilot's name is not listed, please enter his/her name here.

3. When was your most recent LMV trip with this pilot?

	MM		DD		YYYY
Departure Date	When was your most recent LMV trip with this pilot? Departure Date Month	/	Day	/	Year

4. I've made the following number of trips with this pilot:

I've made the following number of trips with this pilot:

5. To what degree did you feel the flights were conducted in a safe and professional manner?

To what degree did you feel the flights were conducted in a safe and professional manner? 1=Least Safe

5=Most Safe

N/A

6. How well did you feel you were informed on the events and occurences during all phases of flight operations?

How well did you feel you were informed on the events and occurences during all phases of flight operations? 1=Not Informed

5=Most Informed

N/A

7. Did the pilot provide adequate briefings on the use of aircraft equipment, including seatbelts, emergency exits, head set, and oxygen usage?

Did the pilot provide adequate briefings on the use of aircraft equipment, including seatbelts, emergency exits, head set, and oxygen usage? 1=Inadequately Briefed

5=Excellently Briefed

N/A

8. Did you feel that you were properly briefed prior to arrival at the airport on the flight agenda, restrictions, and requirements?

Did you feel that you were properly briefed prior to arrival at the airport on the flight agenda, restrictions, and requirements? 1=Inadequately Briefed

5=Excellently Briefed

N/A

9. Did you feel that your input and concerns were welcomed and addressed by the pilot?

Did you feel that your input and concerns were welcomed and addressed by the pilot? 1=Least Addressed

5=Best Addressed

N/A

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10. What is your Overall evaluation of your pilot's performance with regard to:

	Poor	Fair	Good	Very Good	Outstanding	N/A
Safety	*What is your Overall evaluation of your pilot's performance with regard to: Safety Poor	Safety Fair	Safety Good	Safety Very Good	Safety Outstanding	Safety N/A
Communication	Communication Poor	Communication Fair	Communication Good	Communication Very Good	Communication Outstanding	Communication N/A
Team Experience	Team Experience Poor	Team Experience Fair	Team Experience Good	Team Experience Very Good	Team Experience Outstanding	Team Experience N/A
Overall	Overall Poor	Overall Fair	Overall Good	Overall Very Good	Overall Outstanding	Overall N/A

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11. Would you recommend this pilot to a friend or family member making an LMV trip?

Would you recommend this pilot to a friend or family member making an LMV trip? No

Maybe

Yes

Absolutely

12. Please provide additional feedback by entering specific points about the above or any other critique of the flight operations. Please include comments about what you liked about the experience as well as what you think your pilot could do to make future experiences more enjoyable.

Please provide additional feedback by entering specific points about the above or any other critique of the flight operations. Please include comments about what you liked about the experience as well as what you think your pilot could do to make future experiences more enjoyable.

13. (totally optional - this survey may be submitted anonymously) If you'd like, you may provide your name and contact information below.

(totally optional - this survey may be submitted anonymously) If you'd like, you may provide your name and contact information below. Name:
Email:
Phone:

14. Do you feel a need to further discuss your experience, with:

	no	yes
The Pilot	*Do you feel a need to further discuss your experience, with: The Pilot no	The Pilot yes
A member of the LMV Pilot Review Committee	A member of the LMV Pilot Review Committee no	A member of the LMV Pilot Review Committee yes

Don't forget to click Submit Survey below. Thank you and come back often to provide your feedback on other LMV trips and pilots.