Crew Health Survey

Please answer as many relevant questions as you can. Questions with a (*) are required.

Are you: (*)

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Name of airline: (*)

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Age: (*)

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Gender: (*)

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Country of residence: (*)

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Do you smoke: (*)

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If Yes how many do you smoke a day:

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How many years have you flown with your present airline: (*)

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How many years have you flown with other airlines:

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In the last 12 months which contract were you on: (*)

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Which fleet are you on: (*)







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In the last 12 months which rank did you operate in most: (*)






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How many years approx have you worked on:

747

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777

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767

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757

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737

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Airbus

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BAE 146

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Other

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(please specify a/c type)

How many times have you reported sick in the last 12 months: (*)

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How long have you been off sick in total in the last 12 months: (*)







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Eye irritation

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Blurred or altered vision

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Nose bleeds or nose irritation

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Sore throat

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Hoarseness or voice loss

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Shortness of breath

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Chest pain

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Heart racing or palpitations

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Nausea

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Vomiting

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Diarrhoea

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Dizziness

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Fainting

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Loss of balance or coordination

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Shaking or tremors

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Numbness or pins and needles in face, hands, feet

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Severe headache

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Confusion, difficulty finding words, counting, thinking

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Dyslexia with no previous history

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Difficulty concentrating

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Memory loss

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Seizures, loss of consciousness

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Unusual tiredness or fatigue

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Anxiety or stress

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Depressed mood

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Apathy

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Irritability or mood swings

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Sleep disturbances, inability to stay awake or go to sleep

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Restlessness

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Feeling of being remote

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Alteration in taste or smell

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Chemical sensitivity eg alcohol, caffeine, food additives

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Pains in legs, feet, back

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Pains in shoulder, arms, hands

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Joint pains

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Generalised muscle aches

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Muscle weakness

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Skin rashes

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Have you been diagnosed with any of the following since you started flying? Please mark which ones:





























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please specify type of Cancer

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please specify Allergies

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please specify other illnesses

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Any additional information you think may be relevant:

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Would you like to receive further information on Aerotoxic Syndrome?
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Crew Health Survey

If you are a pilot or cabin crew please take part in our survey:

Online form

UPDATED - Download the results from the first year of the survey:
Survey results

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Latest News

BA safety chief reveals cabin fumes have ability to 'incapacitate' flyers - November 2016

A BRITISH Airways boss has admitted passengers and crew can be hurt by toxic fumes on flights. And the airline has been criticised for failing to offer protection to travellers.

Read the story at the Sun's website