InfoPoll Survey Sample: Airline

Airline Carrier Survey

XXX Airline

Thanks for taking time to fill out this form. Your feedback is very important to help us make improve our services.

By filling out this form, you could win a free trip around world.

Note: Marked with * are required.

Section 1

1.1

Was your flight operating on time today? *

Yes

1.2

Is the main purpose of your trip today? *

Business/Professional	Personal/Pleasure
Other

1.3

AIRPORT CUSTOMER STAFF

	Excellent	Good	Fair	Poor
Friendliness:
Professional appearance:

1.4

INFLIGHT SERVICE

	Excellent	Good	Fair	Poor
Availability of flight attendants to assist me:
Courtesy of flight crews:
Quality of food:
Comfort of seating:
Cleanliness of aircraft:

1.5

How often do you fly on commercial airlines?

Once a week or more	2 to 3 times a month
Once a month	7 to 10 times a year
3 to 6 times a year	A few times a year
Once a year or less	First commercial flight

Section 2

2.1

Your current age is? *

Under 21	21 to 24
25 to 34	35 to 44
45 to 54	55 to 64
65 or older

2.2

Your Gender is:

Male

Female

2.3

Your occupation is? *

Buyer/Sales Rep.	Chairman/President
Laborer/Construction	Middle Management
Military/Government	Office/Clerical
Owner/Partner	Professional
Retired	Student
Technical/Engineer	Unemployed
Other

2.4

Your approximate yearly HOUSEHOLD INCOME before taxes: *

Under $25,000	$25,000 to $49,999
$50,000 to $74,999	$75,000 to $100,000
Over $100,000

Section 3

3.1

Anything else would you like to say about our airline?

3.2

Would you like someone from our airline to contact you directly? If so, complete the following; (Fill in all if you like to win a free trip.)

Name:
Address:
City:
State:
Country:
Phone:

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