Noise levels were measured, for the first time, inside 115 randomly selected transit buses, operating on 12 sample representative routes in Metropolitan Kuwait. Simultaneously with the monitoring of noise levels, the attitudes of 679 riders concerning the annoyance and long-term health impacts of noise were also surveyed. The noise and passenger attitude data were collected over 10 months (March – December 2000). The percentile distribution, equivalent noise level, traffic noise index and noise pollution levels inside four types of transit buses are presented. Riders' perceived annoyance and awareness of the long-term health impacts of noise were also determined and are discussed. The level of service and performance deficiencies of the public transit system in Kuwait, as perceived by its passengers, are also identified. A number of recommendations end the paper.