In-flight upset - 154 km west of Learmonth, WA, 7 October 2008,

APPENDIX I: PASSENGER QUESTIONNAIREQuestionnaire designGiven the nature of the occurrence and the large number of injuries, theinvestigation wanted to obtain information from as many of the passengers aspossible. The most effective way of obtaining the information was the use of aquestionnaire.A draft questionnaire was developed by Australian Transport Safety Bureau(ATSB) investigators based on previous ATSB passenger questionnaires andinformation about the occurrence that was obtained from sources such as interviewswith the flight crew and cabin crew. The draft was distributed for feedback withinthe ATSB and external parties on 23 October 2008. Minor changes were madebased on the comments received.The final 15-page questionnaire contained a mixture of questions requiring theselection of a response from a list and questions requiring a free-text response. Thequestions were provided in the following sections:• general information: including the passenger’s name, gender, age range, seatnumber, and number of previous flights• safety information: including the amount of attention the passenger gave to thepre-flight safety demonstration and the safety information card• in-flight upset events: including, for both upset events, the passenger’s postureand location, what the passenger was doing at the time, what they saw, heardand felt during the upset, and what they did following the upset• seat belt use: including the passenger’s understanding of when seat belts shouldbe worn, previous use of seat belts during different phases of flight, seat belt useduring both upset events, reasons for not wearing a seat belt (if not worn), anyproblems with the seat belt, recollection of any crew reminders prior to theupsets for passengers to use seat belts, and the location of other passengersobserved to be not wearing their seat belts• injuries: whether the passenger was injured (and if so a description of the injury,how the injury happened, and the nature of any medical treatment)• children: if the passenger was travelling with children, the name and age of thechild, the posture and location of the child during the first upset, the adequacy ofthe child’s seat and restraint, and whether the child was injured (and if so, adescription of the injury, how the injury happened, and the nature of anymedical treatment)• other passengers: including the passenger’s recollection of other passengers’injuries and whether the passenger provided any assistance to other passengers• use of electronic equipment: whether the passenger was operating personalelectronic equipment at the time of the upsets (and if so a description of theequipment, its operating mode and whether there were any problems with theequipment) and whether other passengers nearby were operating personalelectronic equipment- 267 -