Prefix
First Name
MI
Last Name
Jr., Sr., etc.
* Address 
* City 
* State 
* Zip 
* Email 
Home Phone 
 
Which zip code in Santa Cruz County do you live in? 









 
Do you live in: 



 
Have you noticed a recent increase in aircraft noise in your neighborhood? 


 
How frequently do you notice aircraft noise above your neighborhood? 






 
What times of day do you notice aircraft noise?
(check all that apply)






 
Have you or anyone in your household been awakened at night due to aircraft noise? 


 
When you notice a plane flying over, how long do you hear the aircraft noise as the plane passes over? 



 
Do you notice aircraft noise when you are inside your house? 


 
On a scale of 1 - 5, how noticeable is aircraft noise compared to the ambient noise in your neighborhood? 1 meaning hardly noticeable (minimal disturbance) to 5 meaning very noticeable (loud enough to interrupt a conversation). 





 
On a scale of 1 - 5, have the changes in flight paths impacted your quality of life? 1 meaning it has not impacted your quality of life at all and 5 meaning it has greatly impacted your quality of life. 





 
Please leave any additional comments you may have.