Active Duty Spouse Survey

ADSS2101_SurveyInstrument_20210302.DOCX

Active Duty Spouse Survey

OMB: 0704-0604

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0704-0604 can be found here:

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2021 Survey of Active Duty Spouses

BACKGROUND INFORMATION

1. What is your marital status?

1		Married
2		Separated
3		Divorced
4		Widowed

2. Is your spouse currently serving on active duty (not a member of the National Guard or Reserve)?

2		Yes
1		No

3. How many years have you been married? To indicate less than 1 year, enter “0”.

Years

4. In the last 12 months, how many nights has your spouse been away from home because of military duties (e.g., deployments, TDYs, training, time at sea, field exercises/alerts)? Add up all nights away from home.

Nights

5. Which of the following best describes where you live? Mark one.

1		Military housing, on base
2		Military housing, off base
3		Civilian housing

6. [Ask if Q5 = "Military housing, off base" or Q5 = "Civilian housing"] How close do you live to a military base/installation? Mark one.

1		Less than 30 minutes
2		30 minutes to less than 1 hour
3		1 to 2 hours
4		More than 2 hours

7. Are you Spanish/Hispanic/Latino?

1		No, not Spanish/Hispanic/Latino
2		Yes, Mexican, Mexican-American, Chicano, Puerto Rican, Cuban, or other Spanish/Hispanic/Latino

8. What is your race? Mark one or more races to indicate what you consider yourself to be.

		White
		Black or African American
		American Indian or Alaska Native
		Asian (e.g., Asian Indian, Chinese, Filipino, Japanese, Korean, or Vietnamese)
		Native Hawaiian or other Pacific Islander (e.g., Samoan, Guamanian, or Chamorro)

9. How old are you?

Years old

10. Are you...

1		Male?
2		Female?

EDUCATION AND EMPLOYMENT

11. What is the highest degree or level of school that you have completed? Mark the one answer that describes the highest grade or degree that you have completed.

1		12 years or less of school (no diploma)
2		High school graduate—high school diploma or equivalent (e.g., GED)
3		Vocational or technical diploma
4		Some college credit, but less than 1 year
5		1 or more years of college, no degree
6		Associate's degree
7		Bachelor's degree
8		Master's degree
9		Doctoral or professional school degree

12. Did you use any of the following resources to fund an educational certificate, diploma, or degree? Mark “Yes” or “No” for each item.

	1 No
	2 Yes

	a. Employment or savings
	b. Post 9/11 GI Bill from your spouse
	c. Post 9/11 GI Bill from yourself
	d. Scholarships or financial aid
	e. Student loans
	f. Parents
	g. Military Spouse Career Advancement Accounts (MyCAA) Scholarship
	h. Other

13. What credential(s), if any, did you receive in the last 12 months? Mark all that apply.

		High school graduate—high school diploma or equivalent (e.g., GED)
		Vocational or technical diploma
		Associate's degree
		Bachelor's degree
		Master's, doctoral, or professional school degree
		Professional license
		Professional certificate

14. Have you used a Military Spouse Career Advancement Accounts (MyCAA) Scholarship? Mark one.

1		Yes, in the past 12 months
2		Yes, but not in the past 12 months
3		No, and I was not aware of this resource
4		No, but I am aware of this resource

15. [Ask if Q14 = "Yes, in the past 12 months" OR Q14 = "Yes, but not in the past 12 months"] Have you obtained a degree, license, or certificate using your MyCAA Scholarship? Mark one.

1		Yes
2		No, I am still working on obtaining a degree/license/certificate
3		No, and I am no longer pursuing a degree/license/certificate

16. [Ask if Q14 = "No, but I am aware of this resource"] What is the main reason you did not use a MyCAA Scholarship? Mark one.

1		I am not eligible because of my husband/wife's rank.
2		I need education, training, or testing not covered by MyCAA.
3		I have limited time for additional education/training because of family/personal obligations.
4		I am not interested in additional education/training.
5		I do not feel that additional education/training are important for my career.

17. Are you currently enrolled in school/training? Mark one.

1		Yes
3		No, I do not want or need to be
2		No, but I would like to be

19. [Ask if Q17 = "No, but I would like to be"] Do any of the following prevent you from attending school/training? Mark “Yes” or “No” for each item.

	1 No
	2 Yes

	a. Hours/locations are not convenient
	b. I move too often
	c. Transportation problems
	d. Family responsibilities
	e. Conflicts with my work schedule
	f. Costs of education
	g. My spouse's deployments make it difficult to attend school/training
	h. Expense of child care
	i. Availability of child care
	j. I am a caregiver to a family member
	k. Other

[Ask if Q17 = "No, but I would like to be" AND QRefError k = "Yes"] Please specify your other reason(s) for not being able to attend school/training. Do not provide any personally identifiable information.

20. Have you previously served in an active duty Service (e.g., Army, Navy, Marine Corps, Air Force, Coast Guard) or National Guard/Reserve? Mark one.

1		No
2		Yes, I served in an active duty Service or National Guard/Reserve, but did NOT retire
3		Yes, I served in an active duty Service or National Guard/Reserve and retired

21. Are you currently serving in the military? Mark one.

1		Yes, on active duty (not a member of the National Guard/Reserve)
2		Yes, as a member of the National Guard or Reserve in a full-time active duty program (AGR/FTS/AR)
3		Yes, as a traditional National Guard/Reserve member (e.g., drilling unit, IMA, IRR)
4		No

22. [Ask if Q19 = "No" or Q19 = "Yes, as a traditional National Guard/Reserve member (e.g., drilling unit, IMA, IRR)" or Q19 = .] Last week, did you do any work for pay or profit? Mark “Yes” even if you worked only one hour, or helped without pay in a family business or farm for 15 hours or more.

2		Yes
1		No

23. [Ask if (Q19 = "No" OR Q19 = "Yes, as a traditional National Guard/Reserve member (e.g., drilling unit, IMA, IRR)" OR Q19 = .) AND Q20 = "No"] Last week, were you temporarily absent from a job or business?

2		Yes, on vacation, temporary illness, labor dispute, etc.
1		No

24. [Ask if (Q19 = "No" OR Q19 = "Yes, as a traditional National Guard/Reserve member (e.g., drilling unit, IMA, IRR)" OR Q19 = .) AND Q20 = "No" AND Q21 = "No"] Have you been looking for work during the last four weeks?

2		Yes
1		No

25. [Ask if [Ask if (Q### = "No" OR Q### = "Yes, as a traditional National Guard/Reserve member (e.g., drilling unit, IMA, IRR)" OR Q### = Not answered) AND Q### = "No" AND Q### = "No"]] Last week, could you have started a job if one had been offered?

2		Yes
1		No

26. [Ask if (Q19 = "No" OR Q19 = "Yes, as a traditional National Guard/Reserve member (e.g., drilling unit, IMA, IRR)" OR Q19 = .) AND Q20 = "No" AND Q21 = "No" AND Q22 = "No"] Which of these would you consider to be the main reason you have not been looking for work? Mark the one answer you feel is the MAIN reason.

1		I do not want to work.
2		My spouse does not want me to work.
3		I cannot find any work that matches my skills.
4		I am preparing for/recovering from a PCS move.
5		I stay home to homeschool my children.
6		I want to be able to stay home to care for my children.
8		I lack the necessary work experience.
9		Child care is too costly.
10		I do not have child care available to me.
11		I am attending school or other training.
12		I am not physically prepared to work (e.g., pregnant, sick, disabled).
13		I am unable to work while my spouse is deployed.
14		There are no jobs in my career field where I currently live.
15		I do not have the required license or credential in my field.
16		Other

27. [Ask if (Q19 = "No" OR Q19 = "Yes, as a traditional National Guard/Reserve member (e.g., drilling unit, IMA, IRR)" OR Q19 = .) AND Q20 = "No" AND Q21 = "No" AND Q22 = "Yes"] How many weeks have you been looking for work? If you have been looking for work for less than one week, enter “0”. If you have been looking for work for more than one year, enter “52”.

Weeks

28. [Ask if (Q19 = "No" OR Q19 = "Yes, as a traditional National Guard/Reserve member (e.g., drilling unit, IMA, IRR)" OR Q19 = .) AND (Q20 = "Yes" OR (Q20 = "No" AND Q21 = "Yes, on vacation, temporary illness, labor dispute, etc."))] On average, how many hours a week do you spend working for pay (including hours worked for a family business or farm)?

Hours

29. [Ask if (Q19 = "No" OR Q19 = "Yes, as a traditional National Guard/Reserve member (e.g., drilling unit, IMA, IRR)" OR Q19 = .) AND (Q20 = "Yes" OR (Q20 = "No" AND Q21 = "Yes, on vacation, temporary illness, labor dispute, etc.")) AND (Q26 < 35 and Q26 >= 1)] What is your main reason for working part-time (i.e., fewer than 35 hours a week) instead of full-time? Mark one.

1		Could only find part-time work
2		Want to spend time with children
3		Availability of child care
4		Expense of child care
5		Other family/personal obligations
6		Health/medical limitations
7		I do not want to work full-time
8		I am self-employed
9		I am a caregiver to a family member
10		I am attending school or training
11		Other

30. [Ask if [Ask if (Q22 = "No" OR Q22 = "Yes, as a traditional National Guard/Reserve member (e.g., drilling unit, IMA, IRR)" OR Q22 = Not answered) AND (Q23 = "Yes" OR (Q23 = "No" AND Q24 = "Yes, on vacation, temporary illness, labor dispute, etc."))]] Does your employer offer the following... Mark “Yes” or “No” for each item.

	1 No
	2 Yes

	a. Flexible scheduling?
	b. Remote work?

31. [Ask if Employed] Please indicate the degree to which any of the following apply to you. Mark one answer for each item.

	1 Strongly disagree
	2 Disagree
	3 Neither agree nor disagree
	4 Agree
	5 Strongly agree

	a. I am paid less than those with similar credentials
	b. Given my credentials, I should have a higher position at work
	c. I need to find a job that allows me to work more hours
	d. I work in temporary positions, but I would prefer not to
	e. I had to take a job outside of my field
	f. My pay is not enough to live on

32. In what career field is your current or most recent employment? Mark one.

1		Not applicable, I have never been employed
2		Administrative services (e.g., Administrative assistant, secretary)
3		Education (e.g., Teacher, teacher's assistant)
4		Child care and child development (e.g. Attend to children at schools, businesses, private households, and childcare institutions)
5		Financial services (e.g., Claim adjuster, credit analyst, accountant, financial counselor, banker, insurance agent)
6		Healthcare practitioners and technical occupations (e.g., Nurse, dental hygienist, pharmacist, medical records specialist, dentist, doctor, paramedic, optician, veterinarian)
7		Healthcare support (e.g., Home health aide, nursing assistant, occupational or physical therapy aid)
8		Community and social services (e.g., Mental health counselor, social worker, probation officers and correctional treatment specialists, school bus monitor)
9		Communications and marketing (e.g., Writer/editor, call center, film/TV, social media, web development)
10		Retail and customer service (e.g., Cashier, sales person, customer service representative, manager)
111		Information technology (e.g., Network analyst, database administrator)
12		Recreation and hospitality (e.g., Restaurant, hotel business/management, personal trainer, ticket agent)
13		Legal (e.g., Lawyer, paralegal, legal assistant, mediator, magistrate)
14		Protective services (e.g., Correctional officer, firefighter, police officer, animal control worker, security guard)
15		Transportation and material moving occupations (e.g. Aircraft service attendant, Parking Attendants, bus, taxi or truck driver)
16		Skilled trades (e.g., Electrician, cosmetology, plumber, construction, welder)
17		Other occupations which require a state license
18		Other occupations which do NOT require a state license

33. [Ask if (Q19 = "No" OR Q19 = "Yes, as a traditional National Guard/Reserve member (e.g., drilling unit, IMA, IRR)" OR Q19 = .) AND (Q20 = "Yes" OR (Q20 = "No" AND Q21 = "Yes, on vacation, temporary illness, labor dispute, etc."))] Are you currently self-employed (e.g., a business owner or contractor who provides services to other businesses)?

2		Yes
1		No

34. [Ask if (Q19 = "No" OR Q19 = "Yes, as a traditional National Guard/Reserve member (e.g., drilling unit, IMA, IRR)" OR Q19 = .) AND (Q20 = "Yes" OR (Q20 = "No" AND Q21 = "Yes, on vacation, temporary illness, labor dispute, etc."))] Do you currently work as a civilian Federal government employee?

2		Yes
1		No

35. [Ask if ((Q19 = "No" OR Q19 = "Yes, as a traditional National Guard/Reserve member (e.g., drilling unit, IMA, IRR)" OR Q19 = .) AND (Q20 = "Yes" OR (Q20 = "No" AND Q21 = "Yes, on vacation, temporary illness, labor dispute, etc."))) OR (Q19 = "Yes, on active duty (not a member of the National Guard/Reserve") OR Q19 = "Yes, as a member of the National Guard or Reserve in a full-time active duty program (AGR/FTS/AR)")] How much does your income contribute toward your total household income? Mark one.

1		Less than 50%
2		50%
3		More than 50%

36. [Ask if ((Q19 = "No" OR Q19 = "Yes, as a traditional National Guard/Reserve member (e.g., drilling unit, IMA, IRR)" OR Q19 = .) AND (Q20 = "Yes" OR (Q20 = "No" AND Q21 = "Yes, on vacation, temporary illness, labor dispute, etc."))) OR (Q19 = "Yes, on active duty (not a member of the National Guard/Reserve") OR Q19 = "Yes, as a member of the National Guard or Reserve in a full-time active duty program (AGR/FTS/AR)")] Are you currently employed within the area of your education or training?

2		Yes
1		No

37. Regardless of your current employment status, how many weeks did you receive payment for work in the last 12 months? If you did not receive payment for work, enter “0”.

Weeks

38. Regardless of your current employment status, does your occupation or career field require... Mark “Yes” or “No” for each item.

	1 No
	2 Yes

	a. A certification provided by an organization that sets standards for your occupation?
	b. A state issued license?

39. [Ask if Q38 a = "YES" OR Q38 b = "Yes"] What kind of professional license/certification/credential does your career field require?

1		Teaching (Elementary and Secondary)
2		Medicine
3		Nursing
4		Occupational Therapy
5		Physical Therapy
6		Massage Therapy
7		Social Work
8		Counseling (e.g., Professional Counselor, Marriage and Family Therapist)
9		Dentistry/Dental Hygiene-
10		Law (e.g., Attorney)
11		Pharmacy/Pharmacy Technician
12		Architects
13		Professional Engineers
14		Skilled Trade (e.g., Master Electrician, Plumber, Heating, Air Conditioning, Ventilation and Refrigeration)
15		Accounting
16		Other

[Ask if Q39 = "Other"] Please specify what kind of professional license/certification/credential your career field requires.

40. [Ask if ask if Q38A="YES" or Q38B="Yes"] Regardless of your current employment status, do you have the required license to work in your profession in your current location? Mark “Yes” or “No”.

2		Yes
1		No

41. Regardless of your current employment status, do you... Mark “Yes” or “No” for each item.

	1 No
	2 Yes

	a. Want to work?
	b. Need to work?

PERMANENT CHANGE OF STATION (PCS) MOVES

42. During your spouse's active duty career, have you ever experienced a PCS move?

2		Yes
1		No

43. [Ask if Q38 = "Yes"] During your spouse's active duty career, how many times have you experienced a PCS move?

44. [Ask if Q38 = "Yes"] In what month and year was your last PCS move?

Month

Year

45. [Ask if Q38 = "Yes"] For your most recent PCS move, to what extent were the following a problem for you? Mark one answer for each item.

	60 Does not apply
	1 Not a problem
	2 Small extent
	3 Moderate extent
	4 Large extent
	5 Very large extent

	a. Loss or decrease of your income
	b. Finding employment
	c. Changing schools for your education
	d. Obtaining licenses/certifications necessary for employment
	e. Availability of special medical and/or educational services for yourself
	f. Coordinating move with moving company
	g. Timeliness of receiving household goods
	h. Waiting for permanent housing to become available
	i. Settling claims for damaged or missing household goods
	j. Un-reimbursable moving costs (e.g., housing deposits, costs of setting up new residency, temporary lodging costs, transportation costs)
	k. Access to relocation information information, services, or support

46. [Ask if Q38 = "Yes"] For your most recent PCS move, to what extent were the following a problem for your child(ren)? Mark one answer for each item.

	60 Does not apply
	1 Not a problem
	2 Small extent
	3 Moderate extent
	4 Large extent
	5 Very large extent

	a. My child(ren) changing schools
	b. Availability of child care
	c. Availability of special medical and/or educational services for my child
	d. Missed deadlines for participating in extracurricular activities/sports
	e. Missed deadlines for placement lotteries in magnet schools/charter schools/special programs

47. [Ask if Q38 = "Yes"] How long did it take you to find employment after your last PCS move? Mark one.

60		Does not apply
1		Less than 1 month
2		1 month to less than 4 months
3		4 months to less than 7 months
4		7 months to less than 10 months
5		10 months or more

48. [Ask if Q38 = "Yes"] After your last PCS move, did you have to acquire a new professional or occupational license or credential in order to work at the new duty location?

1		Yes
2		No
3		Does not apply

49. [Ask if Q38 = "Yes" and Q46 = "Yes"] How long did it take you to acquire a new professional or occupational license or credential in order to work at the new duty location? Mark one.

1		Less than 1 month
2		1 month to less than 4 months
3		4 months to less than 7 months
4		7 months to less than 10 months
5		10 months or more

YOUR FAMILY

50. Do you or your spouse have any children under the age of 18 living at home either part-time or full-time?

2		Yes
1		No

51. [Ask if Q48 = "Yes"] How many children under the age of 18 do you or your spouse have, living at home either part-time or full-time, in each age group? Please select the number of children you have in each age group. To indicate none, select “0”. To indicate more than nine, select “9”.

	Less than 1 year old . Please select 0 0 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9
	1 year to less than 2 years old . Please select 0 0 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9
	2 to 5 years old . Please select 0 0 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9
	6 to 13 years old . Please select 0 0 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9
	14 to less than 18 years old . Please select 0 0 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9

52. [Ask if Q48 = "Yes" AND (Q49 a > 0 OR Q49 b > 0 OR Q49 c > 0 OR Q49 d > 0)] Do you have child(ren) who routinely use child care arrangements so you and/or your spouse can work?

2		Yes
1		No

53. [Ask if Q48 = "Yes" AND (Q49 a > 0 OR Q49 b > 0 OR Q49 c > 0 OR Q49 d > 0) AND Q50 = "Yes"] How many of your child(ren), in each age group, routinely use child care arrangements? Mark one answer in each row. To indicate none, select “0”. To indicate more than nine, select “9”.

	Less than 1 year old . Please select 0 0 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9
	1 year to less than 2 years old . Please select 0 0 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9
	2 to 3 years old . Please select 0 0 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9
	4 to 5 years old . Please select 0 0 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9
	More than 5 years old . Please select 0 0 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9

54. [Ask if Q48 = "Yes" AND (Q49 a > 0 OR Q49 b > 0 OR Q49 c > 0 OR Q49 d > 0) AND Q50 = "Yes"] During the work day, do you routinely use the following sources of child care? Mark one answer for each item.

	1 No
	2 Yes

	a. Military child care center
	b. Military (or military-affiliated) family child care home
	c. Civilian child care - receiving military child care fee assistance
	d. Civilian child care- not receiving military child care fee assistance

55. [Ask if Q48 = "Yes" AND (Q49 a > 0 OR Q49 b > 0 OR Q49 c > 0 OR Q49 d > 0) AND Q50 = "Yes" AND Q52 a = "No"] Which of the following are reasons why you do not use military child care? Mark one answer for each item.

	1 No
	2 Yes

	a. Availability of child care
	b. Quality of child care
	c. Affordability of child care
	d. Inconvenient location
	e. Operating hours

56. [Ask if Q48 = "Yes" AND (Q49 a > 0 OR Q49 b > 0 OR Q49 c > 0 OR Q49 d > 0) AND Q50 = "Yes" AND Q52 a = "Yes"] How satisfied are you with each of the following aspects of military child care? Mark one answer for each item.

	1 Very dissatisfied
	2 Dissatisfied
	3 Neither satisfied nor dissatisfied
	4 Satisfied
	5 Very satisfied

	a. Availability of child care
	b. Quality of child care
	c. Affordability of child care
	d. Operating hours

57. [Ask if Q48 = "Yes" AND (Q49 a > 0 OR Q49 b > 0 OR Q49 c > 0 OR Q49 d > 0) AND Q50 = "Yes" AND (Q52 b = "Yes" OR Q52 c = "Yes")] How satisfied are you with each of the following aspects of civilian child care where you are receiving military child care fee assistance? Mark one answer for each item.

	1 Very dissatisfied
	2 Dissatisfied
	3 Neither satisfied nor dissatisfied
	4 Satisfied
	5 Very satisfied

	a. Availability of child care
	b. Quality of child care
	c. Affordability of child care
	d. Operating hours

58. [Ask if ask if Q54d = "YES"] How satisfied are you with each of the following aspects of civilian child care where you are not receiving military child care fee assistance? Mark one answer for each item.

	1 No
	2 Yes

	a. Availability of child care
	b. Quality of child care
	c. Affordability of child care
	d. Operating hours

59. [Ask if Q48 = "Yes" AND (Q49 a > 0 OR Q49 b > 0 OR Q49 c > 0 OR Q49 d > 0) AND Q50 = "No"] What is the main reason you do not use child care? Mark one.

1		No need for child care services
2		I have made other suitable child care arrangements (e.g., neighbors, grandparents)
3		Child care services are too expensive
4		I want to have my child(ren) closer to home
5		The hours of operation do not meet my needs
6		I have concerns about the quality of care
7		I have problems arranging for consistent transportation
8		The wait list is too long
9		Other

60. [Ask if Q48 = "Yes" AND (Q49 c > 0 OR Q49 d > 0 OR Q49 e > 0)] Did any child(ren) residing with you attend the following types of schools last year? Mark “Yes” or “No” for each item.

	1 No
	2 Yes

	a. Public traditional school
	b. Public charter school
	c. Department of Defense-run school (DoDEA Americas, DoDEA Europe or DoDEA Pacific)
	d. Home school
	e. Private school
	f. Other

Consider the child(ren) in your household. Think of the child (younger than 18 years of age) whose birth month is closest to your birth month. Please respond to the following questions for that one child.

61. [Ask if Q48 = "Yes"] What is the age of this child?

Years

62. [Ask if Q48 = "Yes" AND Q59 < 18 AND Q59 <>.] Is this child...

1		Male?
2		Female?

63. [Ask if Q48 = "Yes" AND Q59 < 18 AND Q59 <>.] Indicate how much you agree or disagree with the following statements about this child during the last four weeks. Mark one answer for each item.

	1 Strongly disagree
	2 Disagree
	3 Neither agree nor disagree
	4 Agree
	5 Strongly agree

	a. My child has been more willing to try new things.
	b. My child has been acting more “baby-like” than he/she is capable of.
	c. My child easily becomes irritated or angry with me.
	d. My child has been more clingy than usual.
	e. My child has been afraid of doing things he/she is usually ok with.
	f. My child is demanding and impatient with me. He/she fusses and persists unless I do what he/she wants right away.

64. [Ask if Q48 = "Yes" AND Q59 < 18 AND Q59 <>.] In the past 12 months, has this child experienced an increase in any of the following? Mark one answer for each item.

	3 Not applicable
	2 No
	1 Yes

	a. Academic problems
	b. Behavior problems at home
	c. Behavior problems at school
	d. Pride in having a military parent
	e. Anger about my spouse's military requirements
	f. Closeness to family members
	g. Acceptance of responsibility
	h. Disengagement with peers (e.g., not wanting to see friends, not playing when around children of own age, stopping participation in usual activities)
	i. Distant, disengaged at home (e.g., spending more time in their room, gaming/online, or generally apart from family when at home)
	j. Sleep issues
	k. Anxiousness
	l. Sadness

65. [Ask if Q48 = "Yes" AND Q59 < 18 AND Q59 <>.] During the past 12 months, about how many days did this child miss school because of illness or injury?

Days

66. What, if any, special medical and/or educational needs do you or your family members have? Mark one answer for each item.

	4 Both medical and educational
	3 Educational only
	2 Medical only
	1 None

	a. Self
	b. Spouse
	c. Child(ren)
	d. Other

67. [Ask if Q64 a = "Medical only" OR Q64 a = "Educational only" OR Q64 a = "Both medical and educational" OR Q64 c = "Medical only" OR Q64 c = "Educational only" OR Q64 c = "Both medical and educational" OR Q64 d = "Medical only" OR Q64 d = "Educational only" OR Q64 d = "Both medical and educational"] Is your family enrolled in the Exceptional Family Member Program (EFMP)? Mark one.

1		Yes
2		No, and I was not aware of this program
3		No, but I am aware of this program

68. Did you request assistance from your local Military Legal office related to special education concerns in the past two years? Mark “Yes” or “No”.

2		Yes
1		No

69. [Ask if Q66 <> "None"] In the last 12 months, has your sponsor and your family been reassigned to a new location due to the lack of available special medical and/or educational services?

2		Yes
1		No

70. [Ask if Q69 = "Yes"] How satisfied or dissatisfied were you with the reassignment process.

5		Very satisfied
4		Satisfied
3		Neither satisfied nor dissatisfied
2		Dissatisfied
1		Very dissatisfied

71. [Ask if Q42 = "Yes" AND Q66 <> "None"] For your last PCS move, did the EFMP Support Office connect you with the next installation's EFMP Family Support Office?

2		Yes
1		No
0		Not applicable

72. How satisfied or dissatisfied were you with the primary care services you and your family have recieved in the past 12 months?

5		Very satisfied
4		Satisfied
3		Neither satisfied nor dissatisfied
2		Dissatisfied
1		Very dissatisfied
0		Not applicable

73. [Ask if Ask if yes PCS and Q66 A or B or C or D or E does not equal= "None" Family member has special need of any type.] How satisfied or dissatisfied were you with the specialty medical services you and your family have recieved in the past 12 months?

5		Very satisfied
4		Satisfied
3		Neither satisfied nor dissatisfied
2		Dissatisfied
1		Very dissatisfied
0		Not applicable

HEALTH AND WELL-BEING

74. Overall, how would you rate the current level of stress in your personal life?

1		Much less than usual
2		Less than usual
3		About the same as usual
4		More than usual
5		Much more than usual

75. Over the last two weeks, how often have you been bothered by any of the following problems? Mark one answer for each item.

	4 Nearly every day
	3 More than half the days
	2 Several days
	1 Not at all

	a. Little interest or pleasure in doing things
	b. Feeling down, depressed, or hopeless
	c. Feeling nervous, anxious, or on edge
	d. Not being able to stop or control worrying

76. In the past month, how often have you... Mark one answer for each item.

	5 Very often
	4 Fairly often
	3 Sometimes
	2 Almost never
	1 Never

	a. Felt nervous and stressed?
	b. Felt that you were unable to control the important things in your life?
	c. Been upset because of something that happened unexpectedly?
	d. Been angered because of things that were outside of your control?
	e. Felt difficulties were piling up so high that you could not overcome them?
	f. Found that you could not cope with all of the things you had to do?

HEALTH RELATED QUALITY OF LIFE MEASURE (HRQOL)

77. Would you say that in general your health is... Mark one.

5		Excellent?
4		Very good?
3		Good?
2		Fair?
1		Poor?

78. Now thinking about your physical health, which includes physical illness and injury, how many days during the past 30 days was your health not good? To indicate none, enter “0”.

Days

79. Now thinking about your mental health, which includes stress, depression, and problems with emotions, how many days during the past 30 days was your mental health not good? To indicate none, enter “0”.

Days

80. During the past 30 days, approximately how many days did poor physical or mental health keep you from doing your usual activities, such as self-care, work, or recreation? To indicate none, enter “0”.

Days

HEALTH AND WELL-BEING

81. Answer in terms of whether the statement describes how you actually live your life.

	5 Very much like me
	4 Mostly like me
	3 Somewhat like me
	2 A little like me
	1 Not like me at all

	a. My life has meaning.
	b. I believe that in some way my life is closely connected to all humanity and all the world.
	c. The job my partner is doing in the military has enduring meaning.
	d. I have purpose in life.

82. Please respond to the following questions regarding your relationship with your spouse. Mark “Yes” or “No” for each item.

	1 No
	2 Yes

	a. Even people who get along quite well with their spouse sometimes wonder whether their marriage is working out. Have you ever thought your marriage might be in trouble?
	b. Have you or your spouse ever seriously suggested the idea of divorce within the past three years?
	c. Have you discussed divorce or separation with a close friend?
	d. Has the thought of getting a divorce or separation crossed your mind in the past three years?
	e. Did you talk about consulting an attorney about a divorce or separation?

83. Taking things altogether, how satisfied are you with your marriage right now?

5		Very satisfied
4		Satisfied
3		Neither satisfied nor dissatisfied
2		Dissatisfied
1		Very dissatisfied

84. Compared to 12 months ago, how often do you and your spouse have problems in your personal relationship?

5		Much more often
4		More often
3		About the same
2		Less often
1		Much less often

85. How much do you agree or disagree with the following statements about your relationship with your spouse? Mark one answer for each item.

	1 Strongly disagree
	2 Disagree
	3 Neither agree nor disagree
	4 Agree
	5 Strongly agree

	a. We have a good relationship
	b. My relationship with my partner is very stable
	c. My relationship with my partner is strong
	d. My relationship with my partner makes me happy
	e. I really feel like part of a team with my partner

86. Have you seen a counselor... Mark “Yes” or “No” for each item.

	1 No
	2 Yes

	a. During your spouse's active duty career?
	b. In the past six months?

87. [Ask if Q84 a = "Yes" or Q84 b = "Yes"] Thinking about your experiences with counseling overall, do you feel it was beneficial?

2		Yes
1		No

88. [Ask if Q84 a = "Yes" or Q84 b = "Yes"] Which of these would you consider to be the main issue you discussed with your counselor? Mark the one answer you feel is the MAIN issue.

1		Coping with stress
2		Financial issues
3		Family issues
4		Marital issues
5		Couple's communication issues
6		Parent/child issues
7		Deployment and reunion
8		Crisis situations
9		Grief and loss
10		Mental health concerns for self/family member (e.g., PTSD, depression, anxiety)
11		Medical issues for self/family member
12		Jealousy/concerns around infidelity
13		Dealing with the military way of life (e.g., managing separations, demands of the military)
14		Other concerns

89. [Ask if Q84 a = "Yes" or Q84 b = "Yes"] If you accessed counseling through the following sources, how useful was it? Mark one answer for each item.

	4 Did not access counseling from this source
	1 Not useful
	2 Somewhat useful
	3 Very useful

	a. Military OneSource
	b. Military Family Life Counselors (MFLC)
	c. TRICARE
	d. Your spouse's installation
	e. Military chaplain/civilian religious or spiritual leader
	f. Another military source
	g. Another non-military source

[Ask if (Q84 a = "Yes" or Q84 b = "Yes") and (Q87 f = "Very useful" or Q87 f = "Somewhat useful" or Q87 f = "Not Useful" OR Q87 g = "Very useful" or Q87 g = "Somewhat useful" or Q87 g = "Not Useful")] What other source(s) did you access counseling through? Do not provide any personally identifiable information.

90. Regardless of your past counseling experiences, do you feel comfortable using military-provided services for counseling?

2		Yes
1		No

LIFE IN THE MILITARY

91. Overall, how satisfied are you with the military way of life?

5		Very satisfied
4		Satisfied
3		Neither satisfied nor dissatisfied
2		Dissatisfied
1		Very dissatisfied

92. Do you think your spouse should stay on or leave active duty? Mark one.

5		I strongly favor staying
4		I somewhat favor staying
3		I have no opinion one way or the other
2		I somewhat favor leaving
1		I strongly favor leaving

93. Indicate how much you agree or disagree with each of the following statements about your community and family. Mark one answer for each item.

	1 Strongly disagree
	2 Disagree
	3 Neither agree nor disagree
	4 Agree
	5 Strongly agree

	a. Generally speaking, I would describe my family as a strong, happy family.
	b. If I had an emergency, even people I do not know in this community would be willing to help.
	c. I feel good about myself when I sacrifice and give time and energy to members of my family.
	d. The things I do for members of my family and they do for me make me feel part of this very important group.
	e. People here know they can get help from the community if they are in trouble.
	f. People can depend on each other in this community.
	g. Living in this community gives me a secure feeling.
	h. The members of my family make an effort to show they love and have affection for me.
	i. There is a feeling in this community that people should not get too friendly with each other.

94. If you accessed Military OneSource in the past six months, how useful were the following resources? Mark one answer for each item.

	4 Did not access this resource
	1 Not useful
	2 Somewhat useful
	3 Very useful

	a. Information (e.g., education, child care, stress management, relocation, special needs)
	b. Confidential non-medical counseling (in-person, telephonic, or web-based)
	c. Military spouse career coaching resources
	d. Relocation resources such as Plan My Move and MilitaryINSTALLATIONS
	e. Covid-19 Support/Covid Information Center
	f. Other

95. To what extent are the following benefits of military life important to you and your family? Mark one answer for each item.

	1 Not at all
	2 Small extent
	3 Moderate extent
	4 Large extent
	5 Very large extent

	a. Access to quality health care
	b. Secure employment for my spouse
	c. A good retirement plan
	d. Health care in retirement
	e. Opportunities for travel
	f. Ability to buy a home
	g. Opportunities for my career development
	h. Opportunities for my education
	i. Recreation, fitness, and entertainment activities
	j. Savings on groceries (commissaries)
	k. Savings on retail merchandise (exchanges)
	l. Access to child care

96. Was your spouse wounded during military service in the following way(s)? Mark “Yes” or “No” for each item.

	1 No
	2 Yes

	a. Physically
	b. Mentally

97. [Ask if Q94 a = "Yes" OR Q94 b = "Yes"] Was your spouse wounded in a way that has interfered with his/her participation in your family?

2		Yes
1		No

YOUR SPOUSE'S DEPLOYMENTS

98. During your spouse's active duty career, has he/she been deployed for more than 30 consecutive days? Mark one.

1		Yes, in the past 36 months
2		Yes, but not in the past 36 months
3		No

99. [Ask if Q96 = "Yes, in the past 36 months"] Within the past 12 months, has your spouse been on deployment for more than 30 consecutive days? This deployment may have started more than 12 months ago, but has continued within the past 12 months.

2		Yes
1		No

100. [Ask if Q96 = "Yes, in the past 36 months" AND Q97 = "Yes"] In the past 12 months, how many times has your spouse been deployed for more than 30 consecutive days?

Times

101. [Ask if Q96 = "Yes, in the past 36 months" AND Q97 = "Yes"] In the past 12 months, did you relocate while your spouse was deployed (e.g., PCS move, move to be closer to family/friends)?

2		Yes
1		No

102. [Ask if Q96 = "Yes, in the past 36 months" AND Q97 = "Yes" AND Q99 = "Yes"] What is the reason you relocated while your spouse was deployed? Do not provide any personally identifiable information.

103. [Ask if Q96 = "Yes, in the past 36 months" AND Q97 = "Yes"] Is your spouse currently deployed?

2		Yes
1		No

104. [Ask if Q96 = "Yes, in the past 36 months" AND Q97 = "Yes"] How often did you email, text, or talk with your spouse (via phone, Skype, etc.) during your spouse's most recent deployment?

7		Monthly, or less
6		Several times a month
5		Once a week
4		Several times a week
3		Almost daily
2		Once a day or more
1		Never

105. [Ask if Q96 = "Yes, in the past 36 months" OR Q96 = "Yes, but not in the past 36 months"] Was your spouse's most recent deployment to a combat zone (e.g., an area where he/she drew imminent danger pay or hostile fire pay)? Mark one.

Yes, deployed to Iraq/Afghanistan

Yes, deployed to a combat zone other than Iraq/Afghanistan

106. [Ask if Q96 = "Yes, in the past 36 months" OR Q96 = "Yes, but not in the past 36 months"] On what month, day, and year did your spouse leave for his/her most recent deployment? You may not know the day; enter 1, 15, or 28 to indicate if it was in the beginning, middle, or end of the month.

Month

Day

Year

107. [Ask if Q96 = "Yes, in the past 36 months" OR Q96 = "Yes, but not in the past 36 months"] During your spouse's most recent deployment, to what extent were each of the following a problem for you? Mark one answer for each item.

	5 Very large extent
	4 Large extent
	3 Moderate extent
	2 Small extent
	1 Not at all

	a. My job demands
	b. My education demands
	c. Managing expenses and bills
	d. Home/car repairs/maintenance or yard work
	e. Safety of my family in our community
	f. Health problems in the family
	g. Emotional problems in the family
	h. Technical difficulties communicating with my spouse
	i. Difficulty maintaining emotional connection with spouse
	j. Marital problems
	k. Loneliness
	l. Managing child's school/education
	m. Managing child care/child schedules
	n. Being a “single” parent
	o. Dealing with issues/decisions alone
	p. No time for recreation, fitness, or entertainment activities
	q. A lack of and/or problems with military offered support for myself/my family
	r. Other

[Ask if (Q96 = "Yes, in the past 36 months" OR Q96 = "Yes, but not in the past 36 months") AND (Q105 q = "Very large extent" OR Q105 q = "Large extent" OR Q105 q = "Moderate extent" OR Q105 q = "Small extent")] Please explain what other problems you experienced during your spouse's most recent deployment. Do not provide any personally identifiable information.

108. [Ask if Q96 = "Yes, in the past 36 months" OR Q96 = "Yes, but not in the past 36 months"] At what point during your spouse's most recent deployment did you (or your family) feel the greatest stress? Mark one.

1		When I first learned of my spouse's deployment
2		Upon my spouse's departure
3		At the beginning of the deployment
4		During the middle of the deployment
5		Towards the end of the deployment
6		During reunion/reintegration

109. [Ask if Q96 = "Yes, in the past 36 months" OR Q96 = "Yes, but not in the past 36 months"] How would you rate the overall support from the military that your family received during your spouse's most recent deployment?

5		Excellent
4		Very good
3		Good
2		Fair
1		Poor

110. [Ask if Q96 = "Yes, in the past 36 months" OR Q96 = "Yes, but not in the past 36 months"] During your spouse's most recent deployment cycle, how satisfied were you with the... Mark one answer for each item.

	6 Does not apply
	1 Very dissatisfied
	2 Dissatisfied
	3 Neither satisfied nor dissatisfied
	4 Satisfied
	5 Very satisfied

	a. Pre-deployment support you received?
	b. Support you received during the deployment?
	c. Post-deployment support you received?

EFFECT OF DEPLOYMENTS ON CHILDREN

Please respond to the following questions for the child in your household with the age of [Child Number Years].

111. [Ask if Q48 = "Yes" AND Q59 < 18 AND Q59 <>. and (Q96 = "Yes, in the past 36 months" OR Q96 = "Yes, but not in the past 36 months")] Was the child with the age of [Child Number Years] living at home either part-time or full-time during your spouse's most recent deployment?

2		Yes
1		No

Please respond to the following questions for the child in your household with the age of [Child Number Years].

112. [Ask if Q48 = "Yes" AND Q59 < 18 AND Q59 <>. and (Q96 = "Yes, in the past 36 months" OR Q96 = "Yes, but not in the past 36 months") AND Q109 = "Yes"] Did the child with the age of [Child Number Years] have the following during your spouse's most recent deployment? Mark one answer for each item.

	3 Does not apply
	2 No
	1 Yes

	a. Counseling through a military sponsored source
	b. Counseling through some other source
	c. Extracurricular activities (e.g., sports, scouts, music, arts)
	d. Summer and/or afterschool programs for children
	e. E-mail contact with your spouse
	f. Internet contact with your spouse (e.g., web cameras)
	g. Stable household routine (e.g., regular family meals, continued participation in extracurricular activities)
	h. Interaction with friends/classmates who had a parent deployed
	i. Geographic stability (e.g., no relocations, changes in schools)
	j. Caregiver and/or teacher support/understanding

113. [Ask if Q48 = "Yes" AND Q59 < 18 AND Q59 <>. and (Q96 = "Yes, in the past 36 months" OR Q96 = "Yes, but not in the past 36 months") AND Q109 = "Yes"] Did your need for child care change as a result of your spouse being deployed? Mark one.

60		Does not apply, I have not used child care
1		Increased my need for child care
2		Did not change my need for child care
3		Decreased my need for child care

114. [Ask if Q48 = "Yes" AND Q59 < 18 AND Q59 <>. and (Q96 = "Yes, in the past 36 months" OR Q96 = "Yes, but not in the past 36 months") AND Q109 = "Yes"] How well did child with the age of [Child Number Years]... Mark one answer for each item.

	1 Very poorly
	2 Poorly
	3 Neither well nor poorly
	4 Well
	5 Very well

	a. Cope with your spouse's deployment?
	b. Stay connected to your spouse given deployment separations?

REUNION AND REINTEGRATION

115. [Ask if Q96 = "Yes, in the past 36 months" OR Q96 = "Yes, but not in the past 36 months"] Has your spouse returned home from a deployment? Mark one.

1		Yes, but my spouse has since redeployed
2		Yes, and my spouse has not redeployed
3		No

116. [Ask if (Q96 = "Yes, in the past 36 months" OR Q96 = "Yes, but not in the past 36 months") AND (Q113 = "Yes, but my spouse has since redeployed" OR Q113 = "Yes, and my spouse has not redeployed")] On what month, day, and year did your spouse most recently return from a deployment? You may not know the day; enter 1, 15, or 28 to indicate if it was in the beginning, middle, or end of the month.

Month

Day

Year

117. [Ask if (Q96 = "Yes, in the past 36 months" OR Q96 = "Yes, but not in the past 36 months") AND (Q113 = "Yes, but my spouse has since redeployed" OR Q113 = "Yes, and my spouse has not redeployed")] When your spouse most recently returned home from a deployment, was he/she returning from a combat zone (e.g., an area where he/she drew imminent danger pay or hostile fire pay)? Mark one.

3		No
1		Yes, from Iraq/Afghanistan
2		Yes, from a combat zone other than Iraq/Afghanistan

118. [Ask if (Q96 = "Yes, in the past 36 months" OR Q96 = "Yes, but not in the past 36 months") AND (Q113 = "Yes, but my spouse has since redeployed" OR Q113 = "Yes, and my spouse has not redeployed")] After your spouse most recently returned home from a deployment, to what extent did your spouse seem to... Mark one answer for each item.

	5 Very large extent
	4 Large extent
	3 Moderate extent
	2 Small extent
	1 Not at all

	a. Be more emotionally distant (e.g., less talkative, less affectionate, less interested in social life)?
	b. Show negative personality changes (e.g., more critical, indifferent to family/life)?
	c. Show positive personality changes (e.g., more attentive, more agreeable)?
	d. Appreciate life more?
	e. Get angry faster?
	f. Appreciate family and friends more?
	g. Have mental health concerns (e.g., anxiety, being “on guard”)?
	h. Drink more alcohol?
	i. Have more confidence?
	j. Take more risks with his/her safety?
	k. Have difficulty adjusting (e.g., to family responsibilities, to civilian life)?
	l. Have trouble sleeping?
	m. Have difficulty with day-to-day activities (e.g., driving, eating, hygiene)?
	n. Be different in another way?

[Ask if (Q96 = "Yes, in the past 36 months" OR Q96 = "Yes, but not in the past 36 months") AND (Q113 = "Yes, but my spouse has since redeployed" OR Q113 = "Yes, and my spouse has not redeployed") AND (Q116 n = "Very large extent" or Q116 n = "Large extent" or Q116 n = "Moderate extent" or Q116 n = "Small extent")] In what other way(s) did your spouse change after returning home from his/her most recent deployment? Do not provide any personally identifiable information.

119. [Ask if (Q96 = "Yes, in the past 36 months" OR Q96 = "Yes, but not in the past 36 months") AND (Q113 = "Yes, but my spouse has since redeployed" OR Q113 = "Yes, and my spouse has not redeployed")] Which of the following describes your spouse's reconnection with your child(ren) after he/she most recently returned home from deployment?

60		Does not apply, we did not have children at the time
1		Very easy
2		Easy
3		Neither easy nor difficult
4		Difficult
5		Very difficult

120. [Ask if (Q96 = "Yes, in the past 36 months" OR Q96 = "Yes, but not in the past 36 months") AND (Q113 = "Yes, but my spouse has since redeployed" OR Q113 = "Yes, and my spouse has not redeployed")] Which of the following describes your readjustment to having your spouse home after he/she most recently returned from deployment?

1		Very easy
2		Easy
3		Neither easy nor difficult
4		Difficult
5		Very difficult

TEMPO

121. How satisfied or dissatisfied are you with the following aspects of your spouse's military job? Mark one answer for each item.

	60 Not applicable
	1 Very dissatisfied
	2 Dissatisfied
	3 Neither satisfied nor dissatisfied
	4 Satisfied
	5 Very satisfied

	a. Number of hours worked while in a deployment status
	b. Number of hours worked while in a non-deployment status
	c. Deployment schedule
	d. Training schedule
	e. Amount of time your spouse spends at home
	f. Your spouse's ability to balance his/her military job with family life

PROGRAMS AND SERVICES

122. In the past 12 months, did you use... Mark “Yes” or “No” for each item.

	1 No
	2 Yes

	a. Reunion planning information or classes?
	b. Information and support provided by your spouse's unit?
	c. Information via MilitaryOneSource.mil?
	d. Military-sponsored recreation and entertainment activities?
	e. Military family and support services?
	f. In-person or virtual counseling?
	g. Military Family Life Counselors (MFLC)?
	h. Telephonic/web-based counseling?
	i. Gym/fitness center?
	j. In-person services to help with managing money?
	k. Online services to help with managing money?
	l. Military spouse support group?
	m. Services/support from military chaplain/civilian religious leader?
	n. Commissaries and/or exchanges?
	o. Pre-deployment information or briefings?
	p. Other support?

[Ask if Q120 p = "Yes"] What other support did you use in the past 12 months? Do not provide any personally identifiable information.

123. Have you used the following military resources? Mark one answer for each item.

	4 No, but I am aware of this resource
	3 No, and I was not aware of this resource
	2 Yes, but not in the past 12 months
	1 Yes, in the past 12 months

	a. Family Advocacy Program (FAP)
	b. New Parent Support Program (NPSP)
	c. Military OneSource to obtain information (e.g., parenting, financial resources, career coaching)
	d. Military OneSource to obtain no cost confidential assistance (e.g., health and wellness coaching, non-medical counseling, financial and tax counseling)

124. [Ask if Q120 e = "Yes"] On average, how frequently do you contact military and family support services?

7		Monthly, or less
6		Several times a month
5		Once a week
4		Several times a week
3		Almost daily
2		Once a day or more
1		Never

125. [Ask if Q120 n = "Yes"] On average, how frequently do you visit the commissaries and/or exchange on the base closest to you?

7		Monthly, or less
6		Several times a month
5		Once a week
4		Several times a week
3		Almost daily
2		Once a day or more
1		Never

126. [Ask if Q120 i = "Yes"] On average, how frequently do you visit the gym/fitness center on the base closest to you?

7		Monthly, or less
6		Several times a month
5		Once a week
4		Several times a week
3		Almost daily
2		Once a day or more
1		Never

COMMUNICATIONS ABOUT PROGRAMS AND SERVICES

127. How likely are you to reach out to other military spouses for help or guidance?

5		Very likely
4		Likely
3		Neither likely nor unlikely
2		Unlikely
1		Very unlikely

128. [Ask if Q125 = "Unlikely" OR Q125 = "Very unlikely"] Do any of the following make you unlikely to reach out to other military spouses for help or guidance? Mark “Yes” or “No” for each item.

	1 No
	2 Yes

	a. I don't know any fellow military spouses
	b. Lack of opportunities to connect with other spouses
	c. I don't live near other military spouses

129. On average, how frequently do you use or visit the following online sources? Mark one answer for each item.

	1 Never
	2 Once a day or more
	3 Almost daily
	4 Several times a week
	5 Once a week
	6 Several times a month
	7 Monthly, or less

	a. Facebook
	b. Twitter
	c. Pinterest
	d. Instagram
	e. Military base website
	f. LinkedIn
	g. MySECO
	h. My Military OneSource App

TRANSITION ASSISTANCE NEEDS

130. Based on the current plan for your family, how much time remains until your spouse separates or retires from the military? Mark one.

1		Less than 90 days
2		3 to 11 months
3		12 to 23 months
4		Do not expect my spouse to separate or retire from the military in the next 2 years
60		Don't know

131. Thinking about yourself, do you anticipate needing any of the following when your spouse transitions to civilian life? Mark one answer for each item.

	3 No, but I am aware of this resource
	2 No, and I was not aware of this resource
	1 Yes

	a. Employment assistance
	b. Relocation assistance
	c. Personal financial management resources
	d. Wounded warrior resources
	e. Resources to cope with mental/physical changes in spouse

FINANCIAL WELL-BEING

132. Which of the following best describes your (and/or your spouse's) financial condition? Mark one.

1		Very comfortable and secure
2		Able to make ends meet without much difficulty
3		Occasionally have some difficulty making ends meet
4		Tough to make ends meet but keeping our heads above water
5		In over your head

133. Compared to 12 months ago, is your financial situation better, worse, or has it stayed the same?

5		Much better
4		Somewhat better
3		Stayed the same
2		Somewhat worse
1		Much worse

134. [Ask if Q131 = "Much better" OR Q131 = "Somewhat better"] Which of the following are reasons why your financial situation is better than it was 12 months ago? Mark “Yes” or “No” for each item.

	1 No
	2 Yes

	a. Change related to your employment (e.g., new job, promotion)
	b. Change related to your spouse's employment (e.g., new job, promotion)
	c. Change in your family situation (e.g., got married or divorced, fewer children living at home)
	d. Reduction in debt (e.g., paid off credit card debt, student loan debt, other loans)
	e. Better financial management (e.g., increased savings, followed budget)
	f. Impact of Covid-19

135. [Ask if Q131 = "Much worse" OR Q131 = "Somewhat worse"] Which of the following are reasons why your financial situation is worse than it was 12 months ago? Mark “Yes” or “No” for each item.

	1 No
	2 Yes

	a. Change related to your employment (e.g., lost job, between jobs, could not find job)
	b. Change related to your spouse's employment (e.g., lost job, between jobs, could not find job)
	c. Change in your family situation (e.g., got married or divorced, had a baby, provided financial support for family)
	d. Increased debt (e.g., unplanned expenses, student loan deferment ended)
	e. Financial management problems (e.g., used savings, no budget)
	f. Impact of Covid-19

136. In the past 12 months, did any of the following happen to you (and/or your spouse)? Mark “Yes” or “No” for each item.

	1 No
	2 Yes

	a. Bounced two or more checks
	b. Failed to make a monthly/minimum payment on your credit card, including the Military Star Card
	c. Failed to make a rent or mortgage payment
	d. Had one or more debts referred to a collection agency
	e. Had telephone, cable, or Internet shut off
	f. Had water, heat, or electricity shut off
	g. Failed to make a car payment
	h. Had a car repossessed
	i. Filed for personal bankruptcy
	j. Had to pay overdraft fees to your bank or credit union two or more times
	k. Borrowed money from family and/or friends to pay bills
	l. Took money out of a retirement fund or investment to pay living expenses
	m. Had personal relationship problems with your partner due to finances
	n. Had your (or your spouse's) security clearance affected due to your financial condition
	o. Used a local food pantry
	p. Had one or more debts referred to a collection agency
	q. Spouse had adverse personnel action due to financial condition
	r. Provided unplanned financial support to a family member who did not live with you

137. Which of the following statements comes closest to describing the saving or investment habits of you (and your spouse)? Mark one.

1		Don't save or invest–usually spend more than income
2		Don't save or invest–usually spend about as much as income
3		Save or invest whatever is left over at the end of the month–no regular plan
4		Save or invest regularly by putting money aside each month

138. Please indicate whether the following are financial goals for you (and your spouse). If a goal does not apply to you, please select “No, this is not a goal for me/us.” Mark one answer for each item.

	5 I/we met this goal
	4 No, this is not a goal for me/us
	3 No, this goal is unrealistic for me/us
	2 Yes, this is a goal I/we plan to pursue
	1 Yes, this is a goal I am/we are currently working on

	a. Saving for retirement
	b. Saving for my education
	c. Saving for child(ren)'s education
	d. Saving for a vacation
	e. Saving for safety net/emergency fund
	f. Paying off education-related loans (e.g., federal or private student loans)
	g. Being free of credit card debt (e.g., no carryover from month to month)
	h. Being free of debt, except for mortgage
	i. Buying a home
	j. Purchasing furniture/appliances
	k. Buying a vehicle

139. How much do you (and your spouse) have in an emergency savings fund, in terms of your average monthly expenses? Mark one.

1		Less than 1 month
2		Between 1 and 3 months
3		Between 3 and 6 months
4		More than 6 months
5		Don't have an emergency savings fund

140. What are your total household gross (before-tax) earnings in an average MONTH? Include all income for you and/or your spouse.

			You can enter an amount here:
	$			.00

Or, if you prefer, you can enter a range here. Our average MONTHLY household earnings are...
	at least:			but no more than:
$		.00	$		.00

141. What are your total gross (before-tax) earnings in an average MONTH? EXCLUDE your spouse's earnings.

			You can enter an amount here:
	$			.00

Or, if you prefer, you can enter a range here. Your average MONTHLY earnings are...
	at least:			but no more than:
$		.00	$		.00

142. During the past 12 months, did you (or your spouse) receive any income or financial support from the following sources which allowed you to meet your routine expenses? Mark “Yes” or “No” for each item.

	1 No
	2 Yes

	a. A second job
	b. Alimony and/or child support
	c. Supplemental Security Income or worker's compensation
	d. Unemployment compensation
	e. State-funded child care assistance
	f. Women, Infants, and Children (WIC)
	g. Temporary Assistance for Needy Families (TANF)
	h. Supplemental Nutrition Assistance Program (SNAP) (formerly known as the Food Stamp Program)
	i. Family Supplemental Subsistence Allowance (FSSA)
	j. Military emergency relief societies (e.g., Army Emergency Relief, Navy-Marine Corps Relief Society, Air Force Aid Society, or Coast Guard Mutual Assistance)
	k. Family or friends
	l. Food banks or charitable organizations
	m. Military-funded fee assistance for civilian child care
	n. Government stimulus check
	o. Other

143. Which of the following options best describes how you routinely pay credit card debt?

1		Pay credit card balance in full each month
2		Pay more than minimum payment but not full balance
3		Pay only minimum payment
4		I do not use credit cards

SERVICE MEMBER SUPPORT

144. How likely are you to use one of these support services if you needed to help your Service member?

	6 Not applicable, I have never heard of this service
	1 Very unlikely
	2 Unlikely
	3 Neither likely nor unlikely
	4 Likely
	5 Very likely

	a. Military OneSource
	b. Military and Family Counseling (MFLC) Program
	c. Military and Family Support Center
	d. Military Crisis Line
	e. Veterans Crisis Line
	f. National Suicide Prevention Lifeline

COVID-19

145. During the coronavirus pandemic, the military and family support services I used met my needs.

5		Strongly agree
4		Agree
3		Neither agree nor disagree
2		Disagree
1		Strongly disagree
6		Not applicable, did not use services

[Ask if Q145 = "Strongly disagree" OR "Disagree"] Please specify why, during the coronavirus pandemic, the military and family support services you used did not needs.

146. Have you, or has anyone in your household experienced a loss of employment income since March 1, 2020 2020 (the start of the COVID-19 pandemic)? Mark one.

2		Yes
1		No

147. Working from home is sometimes referred to as telework. Did any adults in this household substitute some or all of their typical in-person work for telework because of the coronavirus pandemic, including yourself? Mark one.

1		Yes, at least one adult substituted some or all of their typical in-person work for telework
2		No, no adults substituted their typical in-person work for telework
3		No, there has been no change in telework

148. Would you say any of the following have impacted your employment status in the past year (12 months)? Mark all that apply.

1		I did not want to be employed at this time
2		I am/was sick with coronavirus symptoms
3		I am/was caring for someone with coronavirus symptoms
4		I am//was caring for children not in school or daycare
5		I am/was caring for an elderly person
6		I was concerned about getting or spreading the coronavirus
7		I am/was sick (not coronavirus related) or disabled
8		I retired
9		My employer experienced a reduction in business (including furlough) due to coronavirus pandemic
10		I was laid off due to coronavirus pandemic
11		My employer closed temporarily due to the coronavirus pandemic
12		My employer went out of business due to the coronavirus pandemic

149. [Ask if Q50 = "Yes"] How has the coronavirus pandemic affected how the children in your household received education for the 2020-2021 school year? Mark all that apply.

		Not applicable
		Classes normally taught in person at the school were canceled
		Classes normally taught in person moved to a distance-learning format using online resources, either self-paced or in real time
		Classes normally taught in person moved to a distance-learning format using paper materials sent home to children
		Classes normally taught in person changed in some other way
		The coronavirus pandemic did not affect how children in this household receive education

[Ask if Q149 e = "Classes normally taught in person changed in some other way"] Please specify how classes normally taught in person changed in some other way

150. [Ask if Ask if Qhas children = "YES] How often is a computer or other digital device available to children for educational purposes? Mark one.

1		Always available
2		Usually available
3		Sometimes available
4		Rarely available
5		Never available

151. [Ask if Ask if Qhas children = "YES] How often is the Internet available to children for educational purposes? Mark one.

1		Always available
2		Usually available
3		Sometimes available
4		Rarely available
5		Never available

152. [Ask if Ask if Qhas children = "YES] About how much time did your child/children typically spend on all learning activities relative to a school day before the coronavirus pandemic? Mark one.

1		Much less than a school day before the coronavirus pandemic
2		A little bit less than a school day before the coronavirus pandemic
3		As much as a school day before the coronavirus pandemic
4		A little bit more than a school day before the coronavirus pandemic
5		Much more than a school day before the coronavirus pandemic

153. Did you change plans to take classes this past year due to… Mark all that apply.

		Having coronavirus or concerns about getting coronavirus
		Caring for someone with coronavirus
		Caring for others whose care arrangements are disrupted (e.g., loss of day care or adult care programs)
		Institution changed content or format of classes (e.g., from in-person to online)
		Changes to financial aid
		Changes to campus life
		Uncertainty about how classes/program might change
		Not able to pay for classes/educational expenses because of changes to income from the pandemic
		Some other reason related to the pandemic

[Ask if Q153 = "Some other reason related to the pandemic"] Please specify other reason(s) you changed plans to take classes this year.

For the next two questions, please think of a ladder representing where people stand in the United States. At the top of the ladder are the people who are the best off—those who have the most money, the most education, and the most respected jobs. At the bottom are the people who are the worst off- who have the least money, least education, and the least respected jobs or no job. The higher up you are on this ladder, the closer you are to the people at the very top. The lower you are, the closer you are to the people at the very bottom.

154. Considering where you were before March 1, 2020 (the start of the COVID-19 pandemic), where would you have placed yourself of this ladder from 1–10? 10 is the top and 1 is the bottom.

10		10
9		9
8		8
7		7
6		6
5		5
4		4
3		3
2		2
1		1
99		Don't know

155. Considering any changes that have taken place since March 1, 2020 (the start of the COVID-19 pandemic), where would you place yourself now? Mark one.

10		10
9		9
8		8
7		7
6		6
5		5
4		4
3		3
2		2
1		1
99		Don't know

TAKING THE SURVEY

309. Thank you for participating in the survey. There are no more questions on this survey. If you have comments or concerns that you were not able to express in answering this survey, please enter them in the space provided. Your comments will be viewed and considered as policy deliberations take place. Any comments you make on this questionnaire will be kept confidential. Do not include any personally identifiable information (PII) in your comments. However, if OPA or its data collection contractor perceives comments as a direct threat to yourself or others, out of concern for your welfare, OPA may contact an office in your area for appropriate action. Your feedback is useful and appreciated.

310. Based on your answer to the previous question, you are ineligible to take this survey. If you feel you have encountered this message in error, click the back arrow button and check your answer(s).To submit your answers click Submit. For further help, please call our Survey Processing Center toll-free at 1-800-881-5307 or e-mail [EMAIL]@mail.mil.

311. Based on your answer to the previous question, you are ineligible to take this survey. If you feel you have encountered this message in error, click the back arrow button and check your answer(s).If you have any additional comments or concerns, please enter them below.[Comment Box]To submit your answers click Submit. For further help, please call our Survey Processing Center toll-free at 1-800-881-5307 or e-mail [EMAIL]@mail.mil.

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OPA 1

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
File Title	Tab Order
Author	Myers, Robin L CIV OPA
File Modified	0000-00-00
File Created	2021-04-02