Wind Turbine Complaint Form Wind Turbine Complaint Form "*" indicates required fields Date* MM slash DD slash YYYY Time Hours : Minutes AM PM AM/PM First Name* First Last Name* Last Address* Street Address PhoneEmail* Event Date* MM slash DD slash YYYY Time of the Event* Hours : Minutes AM PM AM/PM Event Duration*Location of Event* Residence Commercial Site/Building School Public Area Address of EventNature of Event* Sound-Whooshing Sound-thumping Sound-jet engine Light flicker Pressure change Visual Other If other please explainDescribe intensity of above on a scale of 1 to 10 with 1 being no change, 5 being voices must be raised in normal conversation, 10 being unable to perform normal activities at the location.12345678910Impact of observed effects on you: Sleep Disturbance Loss of appetite Headaches Anxiety Nausea Ability to concentrate Additional Comments Δ
