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User Background Questionnaire

Please list the aircraft you currently work on and indicate the length of time you have worked on each:

 

 

Aircraft Name

 

Specialty Area (wiring, avionics, engines, ALL)

Less than 3 months

 

3 – 6 months

 

6 -12 months

 

1 - 3 years

More than 3 years

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Education Level:

Position Title:

 

 

o  High school graduate

___________________________________________

o  Some college

 

o  Bachelor’s degree

Years of experience in current position  _________

o  Graduate degree

 

o  Technical degree or training

 

o  Other (specify) _______________________________

 

 

 

FAA Certification

Sex

 

 

o  No

o  Male

o  Yes

o  Female

 

 

 

 


Human Factors at NIAR | Human Factors at FAA | Human Factors Psychology at WSU

Human Factors Laboratory, National Institute for Aviation Research at Wichita State University. Research funded by the Federal Aviation Administration.  All rights reserved.
Revised: 11/05/04