Heart Of Recovery

Heart of Recovery

Screenshots_Heart of Recovery Survey_5.21.2021

Heart Of Recovery

OMB: 0702-0143

Document [pdf]
Download: pdf | pdf
Heart of Recovery
Online Survey Screenshots

OMB Control Number 0702-0143

Public Health Assessment Division
Health Promotion and Wellness Directorate

UNCLASSIFIED – DoD and DoD contractors only

Page 1

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

2

Page 1, Part 2

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

3

Page 2 (if you click next)

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

4

Page 3 (if you are over 18)

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

5

Page 3 (if you are over 18), Part 2

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

6

Page 3 (if you are under 18)

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

7

Page 4 (if they select “No” that they do not provide care to a
wounded ill, or injured service member)

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

8

Page 4

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

9

Page 5

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

10

Page 5, Part 2

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

11

Page 6 (if they choose Q5 “other” installation)

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

12

Page 6

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

13

Page 7 (if they choose unit member and are not Army)

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

14

Page 7

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

15

Page 7, Part 2

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

16

Page 7, Part 3

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

17

Page 8

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

18

Page 8, Part 2

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

19

Page 9

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

20

Page 9, Part 2

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

21

Page 10

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

22

Page 10, Part 2

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

23

Page 10, Part 3

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

24

Page 10, Part 4

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

25

Page 11

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

26

Page 11, Part 2

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

27

Page 11, Part 3

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

28

Page 12

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

29

Page 13 (if yes to interested in training)

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

30

Page 13 (if yes to interested in training), Part 2

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

31

Page 13 (if not interested in training
Page 14 (if interested in training)

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

32

Page 13, Part 2 (if not interested in training
Page 14, Part 2 (if interested in training)

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

33

Page 13, Part 3 (if not interested in training
Page 14, Part 3 (if interested in training)

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

34

Page 13, Part 4 (if not interested in training
Page 14, Part 4 (if interested in training)

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

35

When Submitted

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

36

Disclaimer

Disclosure: The evaluation presented within this presentation was
supported in part by appointments to the Postgraduate Research
Participation Program at the U.S. Army Public Health Center
administered by the Oak Ridge Institute for Science and Education
through an interagency agreement between the U.S. Department of
Energy and APHC.

Disclaimer: The views, opinions, and/or findings contained in this
presentation are those of the authors and should not be construed as
an official Department of the Army position, policy, or decision unless
so designated by official documentation.

Army Public Health Center, MCHB-PH-PHA

UNCLASSIFIED – DoD & DoD contractors only

37


File Typeapplication/pdf
File Modified2021-05-25
File Created2018-04-30

© 2024 OMB.report | Privacy Policy