Pilot Demographics Form

Please complete the following background questionnaire. Your identity will be kept completely confidential and will not be included in any of the reports or documents that will be produced as a result of this study.

* Please enter your identification:

* 1. Current Airline:

2. Past Airline(s):

* 3. Age:

Years

* 4. Gender:

Male

Female

* 5. Estimated total flight hours:

* 6. Estimated hours in the past 90 days:

* 7. Estimated hours of FAR 121 glass cockpit experience:

In which aircraft types?

* 8. FAA Pilot Certificate Held (select all that apply):

* 9. Ratings held: (select all that apply)

* 10. Aircraft Type Ratings:

* 11. Current aircraft qualification:

* 12. Current aircraft qualification position:

Captain

First Officer

Flight Engineer

Other, specify:

* 13. Have you ever operated at Atlanta Hartsfield International Airport (ATL)?

Yes

No

If yes, approximately how many times:

* 14. Do you frequently fly internationally?

Yes

No

If yes, where?

* 15. Do you have any experiences with concepts where aircraft are using cockpit tools to space from another aircraft (e.g., Interval Management (IM), Merging and Spacing)?

Yes

No

If yes, please describe:

* 16. Have you ever participated in other MITRE flight-deck based simulations?

Yes

No

If yes, which one(s)?

17. If there is anything else you think the experimenter should be aware of, please describe:

* 18. Do you mind if we follow up with you after the simulation if we have any questions on the data you provided?

Yes

No