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F-35 Summer 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 in your own words if desired
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Effects on your hearing & body
Effect of your exposure to F-35 noise to your hearing and internal organs (Hover over the bar to see the two missing vertical axis legends)
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Further describe effect on your hearing or body in your own words if desired
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Speech & learning in classroom
In the Environmental Impact Statement the Air Force states that high aircraft noise levels can impair learning. Please describe your experience of F-35 at your school or your child's school.
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Describe effect of F-35 noise in your school or classroom 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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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 basing in Burlington will have "disproportionate impact" on low income and minority populations. Please indicate your status.
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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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My home and yard
My home. Check all that apply.
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F-35 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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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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