Coastal Noise Complaint Survey Form
Please complete this survey to help us better understand and address noise issues along the coast. Your feedback is valuable in improving the coastal environment.
Location of the noise disturbance (please provide as much detail as possible, e.g., beach name, nearby landmark, or address)
*
Date and time when the noise occurred
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
How often do you notice this noise?
*
Once
Occasionally
Frequently
Constantly
What type of noise did you experience? (Select all that apply)
*
Loud music
Boats or watercraft
Construction
Crowds or events
Animals
Other
How would you rate the severity of the noise?
*
1
2
3
4
5
How did the noise affect you or your activities?
*
Rows
Not at all
Slightly
Moderately
Severely
Sleep
1
2
3
4
Relaxation
5
6
7
8
Conversation
9
10
11
12
Enjoyment of nature
13
14
15
16
Other
17
18
19
20
When did the noise occur?
*
Morning (6am–12pm)
Afternoon (12pm–6pm)
Evening (6pm–10pm)
Night (10pm–6am)
How far away from the noise source were you?
*
Please Select
Less than 50 meters
50–200 meters
200–500 meters
More than 500 meters
Not sure
Have you reported this noise before?
*
Yes
No
Additional comments or suggestions
Submit Survey
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