Airline Survey
Passenger Information
Name
Mr.
Mrs.
Prefix
First Name
Last Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Age Group
Please Select
Less than 20
21-30
31-40
41-50
51-60
60+
Employment Status
Please Select
Student
Employed
Self employed
Part-time employed
Seasonal employed
Retired
Unemployed
Travel Information
From
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
To
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
On
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Flight Number
Ticket Price ($)
Airlines & Travel Satisfaction
How often do you fly?
Once a week or more
2-3 times a month
Once a month
A few times a year
Once a year or less
Never
Please indicate how important the followings are for choosing our airline.
Rows
Very Important
Important
Neutral
Unimportant
Not at all Important
Departure and/or arrival times
1
2
3
4
5
Flight had fewer stops or better connections
6
7
8
9
10
Air fare was better
11
12
13
14
15
Frequent flyer program
16
17
18
19
20
Inflight services
21
22
23
24
25
Ground services
26
27
28
29
30
Recommendation
31
32
33
34
35
Aircraft preference
36
37
38
39
40
Please indicate how long you waited.
Rows
N/A
No Wait
0-5 Min.
6-10 Min.
11-20 Min.
20+ Min.
Aircraft boarding
41
42
43
44
45
46
Boarding gate counter
47
48
49
50
51
52
Security check point
53
54
55
56
57
58
Express baggage/seat check-in counter
59
60
61
62
63
64
Ticket counter
65
66
67
68
69
70
For baggage at my destination
71
72
73
74
75
76
Please rate the price of the ticket for your trip.
Cheap
Fare
Expensive
Very Expensive
Please rate the in-flight services.
Rows
Excellent
Good
Poor
Bad
N/A
Availability of flight attendants
77
78
79
80
81
Courtesy of flight crews
82
83
84
85
86
Appearance of flight crews
87
88
89
90
91
Pilot's communication with passengers
92
93
94
95
96
Quality of food and drinks
97
98
99
100
101
Overall service level
102
103
104
105
106
Please rate the aircraft.
Rows
Excellent
Good
Poor
Bad
N/A
Space for luggages
107
108
109
110
111
Comfort of seating
112
113
114
115
116
Seating arrangement of aircraft
117
118
119
120
121
Cleanliness of aircraft
122
123
124
125
126
Noise level of aircraft
127
128
129
130
131
Overall satisfaction with our airlines.
1
2
3
4
5
Any comments, suggestions of feedback.
Please verify that you are human
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