1) What are your plans for flying after you get your license?
___Stay in Club ___Leave
Club ___Have License
2) After obtaining your license, or if you already
have it, would you need: (Check all that apply)
___An aircraft capable of carrying 4 adults regularly
with luggage?
___An aircraft that is IFR Rated?
___A complex aircraft?
___A Multi-engine aircraft?
3) Do you plan to get your instrument rating in the next:
___1-12 Months ___1-2 Years
___Have no Plans for it
4) How many hours do you plan to fly each month on average
for the next 12 months?
___ 1-2 Hours ___2-5 Hours
___5-10 Hours ___ 10+ Hours
5) What would be a good time for you to fly?
___ 8-5 Weekdays ___ After
5 Weekdays ___Weekends
6) How many day-long trips do you plan to take this year?
___ 1-5 ___6-10
___ 11+ ___ None
7) How many overnight trips do you plan to take this year?
___ 1-5 ___ 6-10
___11+ ___ None
8) How many week-long trips do you plan to take this year?
___ 1-5 ___ 6-10
___11+ ___ None
9) What is your current status
___Student Non-Solo ___Student
Solo ___Private ___Associate
10) Primary reason you are in the club? (Check all
that apply)
___ Training ___ Cost
___ Aircraft Availability
___ Other__________________________________________________
NAME___________________________ Date__________________
Name is optional, but it would allow us to follow up on some of your answers if needed.