First Name:

Last Name:

Email:

1.

Personnel (enter number of staff in each category)

	Avionics Bench Technicians
	Installers, Line Maintenance Technicians
	Instrument Technicians
	Supervisors, Administration, Sales, Clerical, Owners
	Total = 0

2.

Avionics and Instruments Shop Rates
(Please enter rates for all that apply.)

Service	$ per hour
Install	$ per hour
Engineering	$ per hour
Instrument	$ per hour

3.

Do you plan to increase your shop rates within the next 12 months?

Yes No

4.

If yes, by what percentage?

1% 2% 3% 4% 5% 6% 7% 8% 9% 10% 11% 12% 13% 14% 15% 16% 17% 18% 19% 20%

5.

Type of Aircraft Maintained. Check each type of aircraft your business services/maintains.

	Pistons
	Turboprops
	Jets
	Rotorcraft

6.

Starting Pay (for a new hire with 0-2 years experience)

Bench Tech	$ per hour
Install/Line Maintenance Tech	$ per hour
Instrument Tech	$ per hour

7.

Top Pay (for your most experienced technicians)

Bench Tech	$ per hour
Install/Line Maintenance Tech	$ per hour
Instrument Tech	$ per hour

8.

Avionics or Instrument Shop Manager’s Salary: (Do not include owner’s salary unless owner also serves as accountable manager)

Select appropriate range
$26,000 - $35,000 $36,000 - $45,000 $46,000 - $55,000 $56,000 - $65,000 $66,000 - $75,000 $76,000 - $85,000 $86,000 - $95,000 $96,000 - $105,000 $106,000 - $115,000 $116,000 - $125,000 More than $125,000

9.

Life Insurance for employee

Yes No

10.

Health Insurance for employee

Yes No

11.

If yes, what percentage of health insurance is paid by company for employee?

10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

12.

Health Insurance for spouse and children

Yes No

13.

If yes, what percentage of health insurance is paid by company for spouse and children?

10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

14.

Dental Insurance for employee

Yes No

15.

Retirement Plan for employee

Yes No

16.

Incentive Pay (cash bonus, profit sharing)

Yes No

17.

Continued Education & Training

Yes No

18.

Employee Flight Training (50% or more reimbursement)

Yes No

20.

If yes, what is the expected or actual average annual percentage of the raise?

1% 2% 3% 4% 5% 6% 7% 8% 9% 10% 11% 12% 13% 14% 15% 16% 17% 18% 19% 20%

21.

Between January 1, 2011 and December 31, 2011, have employees received or will they receive incentive pay?

Yes No

22.

If yes what is the expected or actual average annual dollar value of the incentive?

$

23.

What is the average number of years your technicians have worked for your company?

years

24.

What is the average number of years of total job experience for your technicians?

years

25.

Within the next 12 months, do you expect your business to:

Increase Remain the same Decrease

26.

Please explain why you expect your business to increase, decrease or remain the same in the next 12 months.

27.

What medium(s) do you plan to utilize to advertise your business in the next year?
Check all that apply

	Magazine
	Direct mail
	Internet/Web
	Email
	Phone
	Social Media
	Open House

28.

The current economic conditions are negatively impacting my business.

Strongly Agree Agree Neutral Disagree Strongly Disagree Don't Know

29.

Within the next 12 months, does your repair station plan to pursue new means of generating additional revenue. If yes, please explain. If no, leave blank

30.

Finding qualified technicians for my business is:

Very Easy Easy Neutral Difficult Very Difficult Don't Know

31.

How many of the following are you in need of?

Bench Technicians
Installers and Line Maintenance Technicians
A&P Mechanics