0704-0627_WIT AirmenGuardian_FeedbackForm

OMB CONTROL NUMBER: 0704-0627

OMB EXPIRATION DATE: XX/XX/XXXX

AGENCY DISCLOSURE NOTICE

The public reporting burden for this collection of information, 0704-0627, is estimated to average 5 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.

WIT Program Session Feedback Form for Airmen/Guardians

Your participation in this anonymous session feedback form is completely voluntary, your data will be held securely and only used for research purposes.

Please provide your feedback on the WIT session you have just completed. Your feedback is greatly appreciated and will allow the U.S. Department of the Air Force (DAF) to provide the best training experience to service members.

1. Please identify the MAJCOM or component you are based out of.

• Air Combat Command (ACC)

• Air Education and Training Command (AETC)

• Air Force District of Washington (AFDW)

• Air Force Global Strike Command (AFGSC)

• Air Force Materiel Command (AFMC)

• Air Force Reserve Command (AFRC)

• Air Force Special Operations Command (AFSOC)

• Air Mobility Command (AMC)

• Pacific Air Force Command (PACAF)

• United States Air Forces in Europe-Air Forces Africa (USAFE-AFAFRICA)

• United States Space Force (USSF)

2. Please indicate the installation you are based out of.

• [Open-ended question] Please do not include personally identifiable information (PII) in your response.  Needs hard check

3. Please indicate your position in the U.S. Department of Air Force (DAF).

• Officer

• Enlisted

• Civilian

• Other _________ (Please do not include personally identifiable information (PII) in your response.)

Please indicate how useful each of the topics of the WIT training was, or indicate “not covered” if you did not receive any of the activities specified below.

	(1) Not at all Useful	(2)	(3)	(4)	(5) Very Useful	(6) Not Covered
Introduction of sexual assault risk factors and prevalence in the U.S. and U.S. Department of the Air Force.
Introduction of red dots (e.g., single cases of harmful actions that can add up to hurt someone else), and the spread of red dots on your installation map.
Introduction of proactive/reactive green dots and identification of barriers (e.g., personal, relationship, social, organizational) to acting as green dots.
Introduction of the 3Ds (Direct, Delegate, and Distract) as a method to address the barriers that arise when violence occurs.
“The ask” – that Airmen/Guardians will make the commitment to do their part in reducing sexual assault within the U.S. Department of the Air Force.

Please indicate to what extent you disagree or agree with the following statements below.

	(1) Strongly Disagree	(2)	(3)	(4)	(5) Strongly Agree
The implementer encouraged you to participate in discussions and activities during the training.
Enough time was provided for questions and discussion during the training.
The implementer inspired you to contribute to creating a positive climate in the U.S. Department of the Air Force.
The training accurately portrayed realistic situations an Airman/Guardian may face in the U.S. Department of the Air Force.
The training helped you understand how to apply the steps of the 3Ds (Direct, Delegate, and Distract) to intervene as a bystander.
The training will help you identify sexual harassment or sexual assault behaviors in the U.S. Department of the Air Force in the future.
The training will help reduce and prevent sexual harassment and sexual assault within the U.S. Department of the Air Force.

16. Please provide any other comments or suggestions to improve future WIT trainings. (Please do not include personally identifiable information (PII) in your response.)

____________________________________________________________________________________________________________________________________________________________