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F-35 Fall-Winter 2020-2021 Report & Complaint Form
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Your location when exposed
Where were you during this F-35 exposure?
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Date of F 35 flight
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Time of F 35 flight
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My location when I was exposed to the F-35 (address or street & cross street)
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Town
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If you have a noise measurement device, what was your measurement of peak F 35 noise level in decibels? Note: your phone is a noise measurement device if equipped with a free downloadable app. (optional)
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Overall experience
Your overall experience with F-35 noise
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Further describe your experience in your own words if desired
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Effects on Your Ears and Hearing
Effect of your exposure to F-35 noise to your hearing
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Further describe ear pain or worry about hearing loss in your own words if desired
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Effects on your hearing
Hearing loss
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Further describe effect on your hearing in your own words if desired
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Effects on Your body
Did the F-35 cause pain or internal vibration?
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Further describe effect on your body in your own words if desired
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Speech & learning
In the Environmental Impact Statement the Air Force states that high aircraft noise levels can impair learning. Please describe your experience of F-35 while learning at home or at school.
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Describe effect of F-35 noise in your learning at home or in a classroom at school in own words if desired
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Protective measures
What did you do to protect yourself from the F-35 noise?
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Your action to protect yourself from F-35 noise in your own words if desired
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Does F-35 Keep You Indoors?
Do the daily F-35 flights keep you confined indoors for a period of time?
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In your own words if desired: Are you kept inside by F-35 flights?
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How long are you confined indoors?
Does the varying F-35 takeoff time keep you confined indoors longer than the actual flight time?
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Are you kept inside a longer time than the actual F-35 flights? How long does the F-35 noise keep in you inside, in your own words if desired
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Status--Renter, home owner, worker . . .
Reasons I was in the area affected by F-35 noise
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Status--Child, student, teacher
Check all that apply to further describe your reasons for being in the F-35 noise area
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Disproportionate impact
In its Environmental Impact Statement, the Air Force states that the F-35 flights in Burlington will have "disproportionate impact" on low income and minority populations. Please indicate your status.
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My Home, Yard, and Family
F-35 effects on home, yard, & family. Check all that apply.
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F-35 impact on your home and family in your own words if desired
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Night Flights of the F-35
Check all that apply to night flights of the F-35
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F-35 night flight impact on your home and family in your own words if desired
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Physical Impact on My Home
F-35 shaking of my home. Check all that apply.
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F-35 physical impact on your home in your own words if desired
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Impacts on my businesses
My business. Check all that apply.
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F-35 impact on your business in your own words if desired
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Impact on pets
My dog or cat. Check all that apply
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Impact of F-35 on your dog, cat, or other pet in your own words if desired
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Contact information
My name
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My business's name (if applicable)
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My home or business street address
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Town
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My telephone number (optional)
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