Prospective Studies of US Military Forces: The Millennium Cohort Study

Prospective Studies of US Military Forces: The Millennium Cohort Study

2014 Mil-Cohort Follow-up WEB ONLY QUESTIONS

Prospective Studies of US Military Forces: The Millennium Cohort Study

OMB: 0703-0064

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[2014 MilCo Follow-up WEB ONLY questions are in green)


#59 From the following list, indicate if you have used each health practice in the last 12 months?

"If you answered "Yes", to any item above, has your level of satisfaction with conventional medicine led you to seek alternative health practices?” No Yes


[ONLY if YES to (a.) Acupuncture, then the following questions will appear]


  1. For which reason / condition are you using acupuncture?

          1. CShape2 Shape1 hronic disease No Yes

          2. MShape4 Shape3 ental health No Yes

          3. PShape6 Shape5 ain No Yes

          4. GShape8 Shape7 eneral health / wellness No Yes


  1. What year did you begin using acupuncture?


  1. On average, how often did you use acupuncture during the last 12 months?

  • Daily

  • Several times a week

  • Several times a month

  • Once a month

  • Several times a year

[ONLY if YES to (o.) Meditation, then the following questions will appear]


  1. For which reason/condition are you practicing meditation?

          1. CShape10 Shape9 hronic disease No Yes

          2. MShape12 Shape11 ental health No Yes

          3. PShape14 Shape13 ain No Yes

          4. GShape16 Shape15 eneral health / wellness No Yes

          5. PShape18 Shape17 erformance enhancement No Yes


  1. What year did you begin practicing meditation?


  1. On average, how often did you meditate during the last 12 months?

  • Daily

  • Several times a week

  • Several times a month

  • Once a month

  • Several times a year

#85



[If YES to (f.) suffered forced sexual relations or sexual assault, then these additional questions appear]:


You indicated that you suffered a forced sexual relation or sexual assault. This section asks additional questions about these experiences. We are aware that many of these questions are quite personal, but we would appreciate your candid response. We'd like to remind you that all your answers are strictly confidential and will not be used to identify any persons.


  1. Please estimate how many event(s) in the past 3 years:


  1. Where did the event(s) occur?

  1. Shape20 Shape19 Deployed, at a military base No Yes

  2. Shape22 Shape21 Deployed, but outside the military base No Yes

  3. NShape24 Shape23 on-deployed, at your military duty station No Yes

  4. NShape26 Shape25 on-deployed, at a civilian location No Yes



  1. Was the person or people who did this…

  1. Shape28 Shape27 Military person(s) of higher rank/grade than you No Yes

  2. Shape30 Shape29 Military person(s) of same or lower rank/grade than you No Yes

  3. Shape32 Shape31 Your military supervisor(s) No Yes

  4. Shape34 Shape33 Government civilian(s)/contractor(s) No Yes

  5. Shape36 Shape35 Other civilian person(s) No Yes

  6. Shape38 Shape37 Unknown person(s) No Yes


  1. What was the gender(s) of the offender(s)/

  • Male only

  • Female only

  • Both male and female

  • Not sure

[If YES to (g.) experienced sexual harassment, then these additional questions appear]:


You indicated that you suffered sexual harassment. This section asks additional questions about these experiences. We are aware that many of these questions are quite personal, but we would appreciate your candid response. We'd like to remind you that all your answers are strictly confidential and will not be used to identify any persons.


  1. Please estimate how many event(s) in the past 3 years:


  1. Where did the event(s) occur?

  1. Shape40 Shape39 Deployed, at a military base No Yes

  2. Shape42 Shape41 Deployed, but outside the military base No Yes

  3. NShape44 Shape43 on-deployed, at your military duty station No Yes

  4. NShape46 Shape45 on-deployed, at a civilian location No Yes



  1. Was the person or people who did this…

  1. Shape48 Shape47 Military person(s) of higher rank/grade than you No Yes

  2. Shape50 Shape49 Military person(s) of same or lower rank/grade than you No Yes

  3. Shape52 Shape51 Your military supervisor(s) No Yes

  4. Shape54 Shape53 Government civilian(s)/contractor(s) No Yes

  5. Shape56 Shape55 Other civilian person(s) No Yes

  6. Shape58 Shape57 Unknown person(s) No Yes


  1. What was the gender(s) of the offender(s)/

  • Male only

  • Female only

  • Both male and female

  • Not sure










5 (F/U WEB ONLY items 9/27/12))

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorJennifer Walstrom
File Modified0000-00-00
File Created2021-01-24

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