Form VA Form 40-10166 VA Form 40-10166 Questionnaire for Online / Telephone Survey of Non-Acade

NCA Legacy: Historic Resources Educational Program Research

VA Form 40-10166 Online Survey of Non-Academic Audiences_1

VA NCA Online and Telephone Survey Education Program Research

OMB: 2900-0841

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Estimated Burden: 15 min.
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Questionnaire for the Online/Telephone1 Survey of Non-Academic Audiences
INTRODUCTION FOR ONLINE RESPONDENTS
Welcome and thank you for responding to our survey. Your responses will help the National
Cemetery Administration (Department of Veterans Affairs) design an NCA Educational Program
that will make many of its historical resources available to organizations like yours and the
people you serve. This survey should take about 15 minutes to complete. Your responses are
private. They will be combined with those of other respondents and used for research purposes
only. Your name will never be connected with your responses. If you have any questions about
the survey, please contact (NAMES AND EMAILS OF DESIGNATED CONTACTS).
INTRODUCTION FOR TELEPHONE RESPONDENTS
(FOR RESPONDENTS WHO RECEIVE REMINDER PHONE CALLS AND WISH TO BE INTERVIEWED BY
TELEPHONE RATHER THAN TAKING THE SURVEY ONLINE. THEY WILL HAVE RECEIVED THE EMAIL
INVITATION, HAVE DISCUSSED THE SURVEY WITH THE INTERVIEWER, AND WILL BE FAMILIAR
WITH THE PURPOSE OF THE SURVEY.) Thank you for agreeing to participate in the survey. It
should take about 15 minutes to complete. Your responses are private. They will be combined
with those of other respondents and used for research purposes only. Your name will never be
connected with your responses. IF NECESSARY: If you have any questions about the survey,
please contact (NAMES AND EMAILS OF DESIGNATED CONTACTS).
THE PAPERWORK REDUCTION ACT OF 1995 requires us to notify you that this information
collected is in accordance with the clearance requirements of section 3507 of this Act. The
public reporting burden for this collection of information is estimated to average 15 minutes
per response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of
information. No person will be penalized for failing to furnish this information if it does not
display a currently valid OMB control number. This collection of information is intended to fulfill
the need identified by the Department of Veterans Affairs in their call for the development of
needed improvements to the current National Cemetery Administration program. Your
obligation to respond to this survey is voluntary and failure to furnish this information will have
no effect on any current benefits.

1

ADRG interviewers will call non-respondents to remind them to take the survey. In some cases, respondents will
say they would prefer to be interviewed by telephone. For some questions, wording is different for the online and
telephone versions. These differences are indicated throughout the questionnaire.

1

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SCREENING QUESTION

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Do you make or share in decisions about programs and other activities for your
organization?
SKIP TO Q1
Yes
ASK QB
No

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Not Sure

B

We would appreciate it very much if you would provide the name and contact
information of the person who is most involved in these types of decisions for your
organization. Please enter the name, email address and telephone number. SUBMIT.
Thank you for providing this important information and helping to make our study a
success.

A

ASK QB

PERCEPTIONS ABOUT NATIONAL CEMETERIES
1

When you think of National Cemeteries, which ones – if any – come to mind?
OPEN END

2

In what state are you located?
DROP DOWN MENU OR LISTS OF ALL STATES AND THE DISTRICT OF COLUMBIA

3
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To the best of your knowledge, is there a National Cemetery in your state?
Yes
No
Not sure

NATIONAL CEMETERIES AS A PLACE FOR LEARNING
4

Aside from funerals and burial services, what do you think are the main reasons people
might visit a National Cemetery? Please give up to five reasons.
OPEN ENDED QUESTION.

5

What do you think a person might learn by visiting a National Cemetery? Please give up
to five examples.
OPEN ENDED QUESTION.

6

Could you envision National Cemeteries as an educational tool with historic resources of
interest to…?

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RANDOMIZE ORDER.
Elementary school teachers and students
Middle school teachers and students
University students and professors
Genealogists and historical societies
Veterans groups
Scouts and volunteer groups
Veterans and their relatives and descendants
The general public

Yes

No

Not Sure

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PERSONAL EXPERIENCE VISITING NATIONAL CEMETERIES
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Have you ever visited a National Cemetery?
Yes
No
Not sure

SKIP TO Q11
SKIP TO Q11

8

What are the most memorable National Cemeteries you have visited? (ONLINE: Please
enter the names of up to 5 cemeteries.) (PHONE: PROBE FOR MULTIPLE RESPONSES.
ACCEPT UP TO 5. CHECK SPELLING IF NECESSARY.)
OPEN ENDED QUESTION.

9

About how many different National Cemeteries would you say you have visited? Please
estimate if you are not sure.
1
2-4
5-9
10-19
20 or more
Not sure

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10

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What were the reasons for your visit(s)? (ONLINE: Please select all that apply.) (PHONE:
Was it for…. READ?
RANDOMIZE ORDER.
A funeral or burial service
A walking tour of the grounds
Historical research
Genealogical research
Volunteer activities
An event commemorating the service of veterans, like Memorial or Veterans Day

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An event commemorating the service of women or an ethnic group
Educational purposes
To visit monuments
To visit the graves of notable or interesting Americans
To visit the grave of an ancestor or family member
To visit the grave of a friend
To enjoy the beauty of the grounds or monuments
Historical touring
To visit a National Cemetery
None of these reasons

10A

Please describe any other reasons for your visit(s) to National Cemeteries?
OPEN ENDED QUESTION.

REQUESTS FOR INFORMATION AND RESOURCES
11 How often do you get requests for historical information and resources related to veterans
or National Cemeteries from (INSERT FROM BELOW)? (PHONE, ADD: Is it very often, often,
sometimes, seldom or never?)
RANDOMIZE ORDER.
1
2
3
4

Elementary teachers or
students
Middle school teachers or
students
High school teachers or
students
University professors or
students

Very
Often

Often

Sometimes

Seldom

Never

Not
Sure

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11A

(ASK ONLY IF Q11.2 IS AT LEAST “SOMETIMES.”) What are the most common types of
requests that you receive from middle school teachers or students?
OPEN ENDED QUESTION.

11B

(ASK ONLY IF Q11.3 IS AT LEAST “SOMETIMES.”) What are the most common types of
requests that you receive from high school teachers or students?
OPEN ENDED QUESTION.

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(ASK ONLY IF Q11.4 IS AT LEAST “SOMETIMES.”) What are the most common types of
requests that you receive from university students or professors?
OPEN ENDED QUESTION.

12 How often do you get requests for historical information and resources related to veterans
or National Cemeteries from (INSERT FROM BELOW)? (PHONE, ADD: Is it very often, often,
sometimes, seldom or never?)
RANDOMIZE ORDER.
1
2
3
4
5

Veterans or their families
Genealogists or descendants of
veterans
Tourists
The general public
Scouts or volunteer groups

Very
Often

Often

Sometimes

Seldom

Never

Not
Sure

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12A

(ASK ONLY IF Q12.1 IS AT LEAST “SOMETIMES.”) What are the most common types of
requests that you receive from veterans or their families?
OPEN ENDED QUESTION.

12B

(ASK ONLY IF Q12.2 IS AT LEAST “SOMETIMES.”) What are the most common types of
requests that you receive from genealogists or descendants of veterans?
OPEN ENDED QUESTION.

12C

(ASK ONLY IF Q12.3 IS AT LEAST “SOMETIMES.”) What are the most common types of
requests that you receive from tourists?
OPEN ENDED QUESTION.

12D

(ASK ONLY IF Q12.4 IS AT LEAST “SOMETIMES.”) What are the most common types of
requests that you receive from the public?
OPEN ENDED QUESTION.

12E

(ASK ONLY IF Q12.5 IS AT LEAST “SOMETIMES.”) What are the most common types of
requests that you receive from Scouts or volunteer groups?
OPEN ENDED QUESTION.

13

How often do you get requests for historical information related to veterans or National
Cemeteries from community groups or organizations? (PHONE, ADD: Is it very often,
often, sometimes, seldom or never?)
Very often
Often

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Sometimes
Seldom
Never
Not Sure

13A

(ASK ONLY IF Q13 IS AT LEAST “SOMETIMES.”) What are the most common types of
requests that you receive from community groups or organizations?
OPEN ENDED QUESTION.

14

What types of organizations make these types of requests? Please select all that apply.

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RANDOMIZE ORDER
Veterans’ organizations
Major museums
Libraries
Military museums
Organizations or websites serving amateur genealogists
Historical associations
Boy Scouts or Girl Scouts
Amateur preservation societies
National Association of Interpreters (NAI)
Smaller local or county museums
YMCA-YWCA
Associations that study grave stones
The National Park Service
War museums or museums about prisoners of war
Tourist boards
Other volunteer groups
None of these

SKIP TO BOX BEFORE Q17
SKIP TO BOX BEFORE Q17

14A

From what other types of organizations – if any – do you receive requests for historical
information or resources?
OPEN ENDED QUESTION.

15

Generally speaking, how often are you or your organization able to provide the types of
resources that people and organizations request about veterans and National
Cemeteries? (PHONE, ADD: Is it very often, often, sometimes, seldom or never?)
Very often
Often
Sometimes
Seldom

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Never
Not Sure

16

What types of historical resources would you like to have that you don’t have now?
OPEN ENDED QUESTION.

WHAT TYPES OF INFORMATION AND RESOURCES WOULD THEY USE?
SHOW National Cemeteries were established during and soon after the Civil War. The
(READ) Department of Veterans Affairs operates most of them, but some, such as Gettysburg
and Arlington, are operated by other federal agencies. The Department of Veterans
Affairs operates 131 National Cemeteries in the United States, with at least one in
most states. An important part of their mission is to preserve historical resources that
memorialize veterans and shed light on our nation’s history. The goal of the NCA
Educational Program is to inform people and organizations about these resources and
make them more accessible to the public.
Interest in Types of Resources
17
(ONLINE: Listed below are some of the types of historical resources that have been
preserved at National Cemeteries operated by the Department of Veterans Affairs.
Please select all of those that you or others in your organization might be interested in
knowing more about.)
(PHONE: I’ll read a list of types of historical resources that have been preserved at
National Cemeteries operated by the Department of Veterans Affairs. As I read each one,
please tell me whether or not you or others in your organization would be interested in
knowing more about it.)
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RANDOMIZE ORDER.
Maps, architectural drawings or plans
Headstones and markers – styles, symbolism
Monuments, memorials, and sculpture
Interpretive plaques, markers or displays
Plaques with poetry or speeches
Lodges, walls or gates
Rostra, shelters, columbaria
Postcards, prints, drawings, stereoscopes or other images
Documents, including forms, policies, correspondence, deeds, journals, reports
Burial ledgers and records
Videos, tapes, CDs, recordings of notable events
Oral histories
Music or information about music used at events
Events at the cemetery – programs, flyers, articles
Volunteer efforts at the cemetery

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Individuals buried in the cemetery with interesting stories/connections to history
None of these

SHOW The NCA Educational Program will include programs designed for the public and
(READ) organizations that serve the public, including schools and universities. Some will be
designed mainly for people who visit National Cemeteries, while others will be
designed so that they can be used by people in any location.
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(ONLINE: The following programs could be designed mainly for visitors to National
Cemeteries. Please select all those that you or others in your organization are likely to
use.)
(PHONE: I’ll read a list of programs that could be designed mainly for visitors to National
Cemeteries. As I read each one, please tell me whether or not you or others in your
organization would be likely to use it. READ)
RANDOMIZE ORDER.
Templates for a presentation for public events like Veterans’ Day or Memorial Day
Templates for creating a visitors’ guide to a National Cemetery
Illustrated guides for analyzing veterans’ tombstones (style/shape, material, wording, and
symbols)
Guides for analyzing cemetery landscapes (layout, architecture, design)
Suggested projects using biographies from National Cemeteries
Ideas for volunteer projects in a National Cemetery
Ready-to-use 40-60 minute presentations that highlight the history of National Cemeteries using
stories of veterans buried there
Templates for wreath laying ceremonies or other events
Templates for speeches, PowerPoint presentations or tours of a National Cemetery
Resource Guides listing the highlights of each National Cemetery
Information on traditions and services for honoring deceased veterans
None of these

(ONLINE) People in any location could use the following programs. Please select all those
that you or others in your organization are likely to use.
(PHONE: Now, I’ll read a list of programs that could be designed mainly for visitors to
National Cemeteries. As I read each one, please tell me whether or not you or others in
your organization would be likely to use it. READ)
RANDOMIZE ORDER.
Virtual Cemetery Landscapes or Interactive maps of National Cemeteries
Template for creating digital guides or webpages about National Cemeteries
Illustrated guide to major monuments in National Cemeteries
Webpage offering information on National Cemetery resources
Virtual Tours (short videos on particular cemeteries & themes)
Guidelines for designing period appropriate digital monuments for important events and
individuals in American military history

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Background overview of the history of the National Cemeteries
Pinterest, Instagram, or Facebook pages with resources for individual cemeteries
Downloadable application for a guide to the National Cemeteries
Guide to creating oral histories through interviewing veterans
A group of speakers with expertise in cemetery history available to speak at events
Social media projects, e.g., Pinterest Boards, Facebook, Instagram, Genealogy Sites
Links to information about notable Americans (e.g., Medal of Honor recipients, Members of
Congress, spies, code breakers) buried in National Cemeteries
Biographies of veterans buried in National Cemeteries
None of these

(ONLINE: Teachers and students in middle schools and high schools or university
students and their professors could use the following programs. Please select all those
that you or others in your organization are likely to use.) (PHONE: Now, I’ll read a list of
programs that could be designed for teachers and students in middle schools and high
schools or for university students and their professors. As I read each one, please tell me
whether or not you or others in your organization would be likely to use it. READ)
RANDOMIZE ORDER.
Teachers’ guides and templates, including background information, lesson plans and other
resources for educating students about National Cemeteries and their history
Lesson plans designed for Memorial Day or Veterans’ Day
Web-based interactive projects for students, teachers or Scouts
Template or guide for creating student or teacher led tours of National Cemeteries
Ideas for class projects using historical resources in National Cemeteries
Webpage offering information on National Cemetery resources for students and teachers
Geographic information systems or virtual landscapes for use by universities
Virtual landscapes for use by universities
Archival research for undergraduate and graduate university students
Digital projects designed for use by universities
Materials for the continuing education of adults
Opportunities for extended periods of research in cemeteries for professors
Summer seminars for teachers
Activities for analyzing historic illustrations or documents, including worksheets with questions
for each source
None of these

PROGRAM PREFERENCES
21
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How important is it to you that the educational programs have a local or regional
connection? (PHONE: ADD: Is it …READ?)
Extremely important
Very important
Somewhat important

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Not very important
Not important at all
Not Sure

22

(ONLINE: Please select all of the formats that you believe would be effective for
educating middle school, high school or university students and, then, select the formats
that would be most effective for educating adults generally.)
(PHONE: Now I will ask your opinion about the effectiveness of different formats for
presenting educational information.
A. As I read each format, please tell me whether or not you believe it would be
effective for educating middle school, high school, or university students.
B. (READ IMMEDIATELY AFTER RESPONSE TO A) Would that be effective for
educating adults generally?)
RANDOMIZE ORDER
Students
Adults
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Websites
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Streaming video
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DVDs
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Educational or commemorative events
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Printed materials (pamphlets, booklets, books, etc.)
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PowerPoint presentations
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Webinars
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Pinterest, Instagram, or Facebook pages
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Streaming audio recordings
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Not Sure

OVERALL LEVEL OF INTEREST IN THE PROGRAM
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Considering everything, how interested are you in using programs developed for the NCA
Educational Program? (PHONE: ADD: Is it …READ?)
Extremely interested
Very interested
Somewhat interested
Not very interested
Not interested at all
Not Sure
Have you worked with any other federal, state or local government agencies on similar
educational efforts?
Yes
No
Not Sure

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DEMOGRAPHICS
We are almost finished. I have just a few more questions.
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27
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What is your current age?
18-24
25-34
45-54
55-64
65+
Decline to Answer
Are you of Hispanic, Latino or Spanish origin?
Yes
No
Decline to Answer
What is your primary racial heritage?
American Indian or Alaska Native
Asian, Pacific Islander or Native Hawaiian
Black or African American
White or Caucasian
Another race: please specify
Decline to Answer

28

(ONLINE: Please enter your job title). (PHONE: Please tell me your job title.)
ENTER TITLE

29

(ONLINE: What is your gender?). (PHONE: OBSERVE GENDER. ASK ONLY IF NECESSARY.)
Male
Female

30

Finally, may we re-contact you for follow-up research at a later date?
Yes
No
Not Sure

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Thank you very much for taking time to complete this survey. Your responses will help the
National Cemetery Administration design an Educational Program that will make many of its
historical resources available to organizations like yours and the people you serve.

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File Typeapplication/pdf
AuthorJerry Karson
File Modified2015-07-29
File Created2015-07-29

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