Confidential Survey for StrongMobile Requirements Database

You can copy and paste this form into a text file, fill in as much as you care to, then 
e-mail it to RichStrong@aol.com, with Subject: Survey, 
or USPS to:  R. A. Strong, 7514 Belle Plain Drive, Dayton OH 45424-3229

Name:________________________________ E-Mail:___________________________

Address1: ________________________ Address2: _____________________________

ST: ____ ZIP: ______ Phone: ___________ Ext. ____  FAX #: ___________Ext. ____

Aero Rating(s): _____________________ PIC Time: _____ Gender: ____ Age: ____ 

Please describe activities that you would use your StrongMobile for:

Organizational:____________________________ Personal:____________________________

Title: ___________ Organization Name: ________________________ NAIC: _______

How many StrongMobiles would you use in your organizational or team fleet?: _____

How many miles you'll drive per year for: a. business: ____,000 and b. personal: ____,000

How many flight hours per year for: a. business; _______ and b. personal; _______

If you would co-own with others, then enter the total for all. How many?: _____

Would you join a Team?: Yes ___ No ___ Hours you would spend building: ________

The basic Dragon will have SRS, A/C, power steering and brakes, ABS, automatic
transaxle, fixed-pitch fan with clutch,  run-flat tires, & speed control.

How much would you pay for a 2-seat ______  or 4-seat _______  StrongMobile? 

a. kit: $_____,000 b. factory-built: $______,000 c. rent/lease/flt.hr: $_____

STOL version: $_____,000            4-place version: $_____ ,000

If you want more for the items listed, then enter how much more you want/need and
how much more you would pay for it. 

Over 10 years service life? Years; ____  Pay: $____,000   

Over 10,000 Flight hours; ____ ,000 Pay:$___,000     

Over 120,000 Road Miles; _____,000  Pay:$____,000    

Over 195 lb. Pilot & passenger(s) weight?: _____ lbs.  Pay:$____,000 

Over 66 lb. per occupant baggage/cargo weight?: ______ lbs.  Pay:$____,000 

Over 420 nm Range: ____nm  Pay:$___,000    Over 140KTAS Cruise: ____kts Pay:$__,000

Over 10,000 ft Cruise Ceiling: ____,000 ft       Pay:$____,000        Anti/De-icing System: $____k

Retractable wheels? Pay:$___,000           Autopilot: Pay:$__,000

Controllable-pitch fan: Pay:$___,000       Rotary engine: $___,000 

Turbocharger- Pay $___,000                      Cabin Pressurization -$___,000

Questions and comments: _______________________________________________
_____________________________________________________________________
_____________________________________________________________________