OMB CONTROL NUMBER: 0704-XXXX
OMB EXPIRATION DATE: XX/XX/XXXX
AGENCY DISCLOSURE NOTICE
The public reporting burden for this collection of information, 0704-XXXX, is estimated to average 10 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. Send comments regarding the burden estimate or burden reduction suggestions to the Department of Defense, Washington Headquarters Services, at [email protected]. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
Department of Defense and American Red Cross Pilot Program Survey Questions — DRAFT
Informed Consent
You are being invited to participate in a research study. Your participation in this study is completely voluntary. We will keep all information provided to us confidential and will not share any identifying information with anyone outside of the Department of Defense (DOD) and the American Red Cross (ARC). The DOD and ARC are jointly conducting a three-year Network of Support Pilot Program to determine how to help extended family members and friends of service members better understand military life.
This study will help the DOD and ARC understand the reach of the American Red Cross Hero care network and the effectiveness of the information disseminated through the DOD Military OneSource Friends & Family Connection eNewsletter to provide a greater understanding of military life, military career progression and resources available to service members and their families at various stages of military life.”
How would you describe your relationship to your service member? I am their:
Parent
Fiancé/Partner
Other family member (grandparent, brother/sister, aunt, uncle, cousin, etc.)
Friend
Other
Please indicate your level of satisfaction with the Friends & Family Connection eNewsletter (Please check one)
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
N/A
How did the information you received in the Friends & Family Connection eNewsletter compare to your expectations? (Please check one)
Exceeded expectations
Met expectations
Somewhat met expectations
Did not meet expectations
N/A
Do you feel the Friends & Family Connection eNewsletter has helped you to better understand military life? (Please check one)
Not at all
A little bit
Somewhat
Very much
N/A
Have you shared any information or resources from the Friends & Family Connection eNewsletter with your service member? (Please check one)
Yes
No
N/A
If yes, what types of information did you share? (Fill in the blank)
(Please do not include any personally identifiable information (PII))
As a result of reading the Friends & Family Connection eNewsletter, I: (Please check all that apply)
Better understand military life
Better understand my service member’s military career progression
Learned about resources and support services available
Shared information with someone I know
Utilized a new resource
N/A
What do you want to see more of in future editions of the Friends & Family Connection eNewsletter? (Please check all that apply)
Deployment
Aspects of daily life and routine
Military career milestones and progression
Financial resources
Mental health resources
Resources for potential challenges and stressors for service members
Resources for potential challenges and stressors for family and friends of service members
Other: _____________(Please do not include any personally identifiable information)
How did you learn about this eNewsletter? (Please check all that apply)
American Red Cross Hero Care Network call center
American Red Cross Hero Care Network email
My service member
A friend or other family member
MilitaryOneSource.mil website
Military OneSource call center
Military OneSource social media
Other: _____________(Please do not include any personally identifiable information)
The Friends & Family Connection eNewsletter is created by Military OneSource, a Department of Defense program that serves as a 24/7 gateway to information, resources, and confidential help for military members and their families through online resources, tools, and non-medical counseling. Based on what you know about Military OneSource, how likely are you to recommend Military OneSource as a resource to your service member? (Please check one)
Very likely
Likely
Unlikely
Very unlikely
N/A; I’m not familiar with Military OneSource
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Kelly C. Heritage |
| File Modified | 0000-00-00 |
| File Created | 2023-09-03 |