1. What is the zip code of your residence?:

2. Are you employed as a Pilot?

Full Time Part Time No

3. What are your current FAA certificates and ratings? (Check all that apply):

Student Single-engine CFI
Private Pilot Multi-engine CFII
Commercial Pilot Instrument MEI
Air Transport Pilot Glider Other
    Rotorcraft Other

4. Which of the following aviation groups are you a member? (Check all that apply):

CAP Arizona Pilots Association Other
AOPA Confederate Air Force Other
EAA Local airport advisory board    

5. Do you or does your company own or lease a general aviation aircraft?

Yes No (Skip to question 14)

6. What model(s) of general aviation aircraft do you or your company own or lease, and where are they based?

 
Make Model
Own
Lease
Based Airport
Primary
Other
Other
Other


Please answer the following questions considering only
your primary aircraft and the airport where it is based.

7. Is your aircraft equipped with a GPS?

Yes No

If yes, is it capable of being utilized for IFR approaches?

Yes No

8. How long has the owned\leased aircraft been based at the airport?

Years

9. How is the aircraft stored?

Hangar Shade Hangar Tie Down

10. If your aircraft is not stored in a hangar and one becomes available at your airport at current rates, would you use one?  

Yes No

11. Please rate the following facilities for the airport where your aircraft is based.

 
Good
Fair
Poor
Length of runway(s)
Taxiways
Ramp area
Pavement condition
Airport service
Fuel services
FBO services
Hangars
Airport communications
Navaids

12. How far is your airport from your home and your work?

Miles
Home
Work
0-5
5-10
10-15
15-20
20-30
30-40
40-50
50+

13. What effect have fuel prices had on the number of hour you flew over the last year? (Check one):

No effect 10-25% Less 25-50% Less 50-100% Less

All pilots please answer the following questions
whether or not you own\lease an aircraft.

14. How frequently did you fly an aircraft as a pilot in the last 12 months?

More than 50 flights
10-50 flights
Less than 10 flights
Did not fly an aircraft in the last 12 months (Skip to question 21)

15. Select your primary purpose for flying during the past 12 months. (Check one):

Personal (Non-business)
Business 
Instructional  (As student or instructor)
Commercial  (FAR Part 121)
Air Taxi/Charter  (FAR Part 135)
Military
Medical Transport
Search and Rescue
Other

16. How often as a pilot did you use Arizona airports in the last 12 months? Please list them and estimate your usage.

Airport
Estimated # of Take-offs

Answer the next two questions considering the
airport you identified in question 16.

17. From the list below check the top three reasons why you used this airport rather than another in the area.

Proximity to home
Proximity to work
Place of employment
Services available
Cost of services
Quality of services
Flight instruction
Instrument approach
Control tower
No control tower
Other

Other

18. Which of the following improvements do you believe would best increase your airport's utility to you and your community? (Check all that apply):

Runway\taxiway
Hangars
Airports services
FBO services
Terminal area
Instrument approach
Runway approach lighting
Ground transportation
Other

19. What aviation services do you require at the airports you use? (Check all that apply):

Fuel (100LL)
Fuel (Jet A)
Oxygen
Maintenance-engine
Maintenance-airframe
Maintenance-avionics
Instrument approach
Oxygen
Control tower
Hangars
Tiedown
Flight planning
Rental car
Courtesy car
Lodging
Other

20. Please identify specific improvements you feel are needed at any of Arizona’s public-use airports, including instrument approaches, runway\taxiway improvements, FBO services, NAVAIDS, airport services, etc.

Airport Name Needed Improvement

21. Please feel free to make any additional comments, and again, thank you for you assistance.