PART A, ATTACH A PART A, ATTACH A_CMP Questionnaires_05.28.24

Census Military Panel Topicals 2 and 3

PART A, ATTACH A_CMP Questionnaires_05.28.24 (1)

OMB: 0607-1027

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INTRODUCTION/PRIVACY LANGUAGE FOR TOPICALS 2 AND 3


INTRO Thank you for participating in the Census Military Panel. This survey will focus on a variety of topics and will take approximately 20 minutes to complete.


PRIVACY ACT STATEMENT


The authority for the collection of this information for the Census Military Panel (0607-1027) is provided under 10 U.S.C. Section 1782 and 13 U.S.C. Section 8(b).

The Census Military Panel is a national survey panel by the U.S. Census Bureau (Census) and the U.S. Department of Defense (DoD). Data collected from active-duty service members and their spouses on a variety of topics through the Panel will be used to improve military life and policies affecting active-service members and their families.

Personally identifiable information collected includes Name, Address, Telephone/Cell phone Number, DOB or Age, Email address, and Race or Ethnicity.

Data are shared with staff with a need to know and the survey sponsor.; information is stored on FedRAMP-approved computer systems that are in compliance with the Federal Information Security Management Act. Unsecured telecommunications to transmit individually identifiable information is prohibited.

The Census Bureau, on behalf of the Department of Defense, is conducting this voluntary study under the authority of 10 U.S.C. Section 1782. Your information is protected by the Privacy Act of 1974 (5 U.S.C. Section 552a). Routine uses of these data are limited to those identified in the Privacy Act System of Record Notice titled, COMMERCE/Census-7 Demographic Survey Collection (non-Census Bureau Sampling Frame). Furnishing this information is Voluntary. Failure to do so will produce no consequences. The Census Bureau can use your responses only to produce statistics and is not permitted to publicly release your responses in a way that could identify you.

This collection has been approved by the Office of Management and Budget (OMB). This eight-digit OMB approval number, 0607-1027, confirms this approval and expires on 08/31/2026. Send comments regarding this time estimate or any other aspect of this survey to [email protected].

The public reporting burden for this collection of information is estimated to average 20 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. 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.



TOPICAL 2 SURVEY QUESTIONS

ELIGIBILITY


Q1 Our records have your name as [NAME]. Is this correct?

  • Yes (1)

  • Yes but needs to be updated (2)

  • No (3)



Q2 What is your name?

  • FIRST NAME (1) __________________________________________________

  • LAST NAME (2) __________________________________________________


Q2a Are you or your spouse currently serving in the U.S. Armed Forces (Active Duty, Reserve, or National Guard)? Reserve and Guard members/spouses who are full-time active duty (AGR/FTS/AR) or currently “activated” should select the “Reserve or National Guard” response(s). Select all that apply.

  • No (1)

  • Yes, I’m serving on active duty (2)

  • Yes, I'm serving in the Reserve or National Guard (3)

  • Yes, my spouse is serving on active duty (4)

  • Yes, my spouse is serving in the Reserve or National Guard (5)



CONFIRM To confirm, neither you nor your spouse are currently serving in the military. If that is correct, please select 'Confirm' below. Otherwise, please update your response above.

  • Confirm (1)



GRADE What is your current grade?

  • E1 (1)

  • E2 (2)

  • E3 (3)

  • E4 (4)

  • Other, please specify: (5) ___________________________



GRADE_SP What is your spouse's current grade?

  • E1 (1)

  • E2 (2)

  • E3 (3)

  • E4 (4)

  • Other, please specify: (5) ___________________________

  • Don't know (6)



Confirm2 To confirm, neither you nor your spouse are currently serving in grades E1, E2, E3, or E4. If that is correct, please select 'Confirm' below. Otherwise, please update your response on the previous page.

  • Confirm (1)


MILITARY LIFESTYLE


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

  • Very satisfied

  • Satisfied

  • Neither satisfied nor dissatisfied

  • Dissatisfied

  • Very dissatisfied



  1. [IF SPOUSE] Do you think your spouse should stay on or leave active duty?

  • I strongly favor staying

  • I somewhat favor staying

  • I have no opinion one way or the other

  • I somewhat favor leaving

  • I strongly favor leaving


  1. [IF MEMBER] Suppose that you have to decide whether to stay on active duty. Assuming you could stay, how likely is it that you would choose to do so?

  • Very likely

  • Likely

  • Neither likely nor unlikely

  • Unlikely

  • Very unlikely



HOUSING (MILITARY PERSONNEL POLICY, COMPENSATION)


  1. [IF MEMBER] For your current housing situation, do you live in:

  • Government or privatized housing – Service member only

  • Government or privatized housing – Service member and family

  • Housing you rent or bought (on the local economy),– Service member only

  • Housing you rent or bought (on the local economy) – Service member and family


  1. [IF SPOUSE] For your current housing situation, do you live in:

  • Government or privatized housing

  • Housing you rent or bought (on the local economy),


  1. What type of housing are you currently living in?

  • 1 bedroom apartment

  • 2 bedroom apartment

  • 2 bedroom townhouse

  • 3 bedroom townhouse

  • 3 bedroom single family detached house

  • 4 bedroom single family detached house

  • Other, specify


  1. What type of housing do you expect for your next permanent change of duty station?

  • 1 bedroom apartment

  • 2 bedroom apartment

  • 2 bedroom townhouse

  • 3 bedroom townhouse

  • 3 bedroom single family detached house

  • 4 bedroom single family detached house

  • Other, specify




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PCS MOVES (FAMILY READINESS)


  1. Have you ever made a Permanent Change of Station (PCS) move?

  • Yes

  • No


  1. Most military installations or bases have a Military and Family Support Center which offers many helpful resources, including relocation assistance for Service members and families who are preparing for a PCS move. Are you aware that the Military and Family Support Center offers help with PCS moves?

  • Yes

  • No


  1. Military OneSource is a Department of Defense website offering support for military members and families, including information to help you plan and prepare for a PCS move. Are you aware that Military OneSource offers resources to help with PCS moves?

  • Yes

  • No


  1. [IF MEMBER AND Q9=YES] Which of the following resources did you use to find information about your new duty station or local community when you moved? Please select all that apply.

  • Military and Family Support Center

  • Military OneSource

  • MilitaryINSTALLATIONS website

  • Recommendations or help from friends or family members

  • Social media or networking site (e.g., Facebook, NextDoor, Reddit)

  • Unit sponsor

  • Other, specify

  • None of the above



  1. [IF SPOUSE AND Q9=YES] Which of the following resources did you use to find information about your new duty station or local community when you moved? Please select all that apply.

  • Military and Family Support Center

  • Military OneSource

  • MilitaryINSTALLATIONS website

  • Recommendations or help from friends or family members

  • Social media or networking site (e.g., Facebook, NextDoor, Reddit)

  • Other, specify

  • None of the above


  1. [IF MEMBER AND Q9=YES] Thinking about your most recent PCS move, which of the following caused the most problems or stress? Please select all that apply.

  • Logistics of moving (e.g., planning, scheduling, packing/unpacking)

  • Costs associated with moving

  • Finding a new network of friends

  • Finding housing

  • Finding schools or other educational opportunities for myself and/or my spouse

  • Employment for my spouse

  • Finding childcare

  • Other, specify

  • None of the above


  1. [IF SPOUSE AND Q9=YES] Thinking about your most recent PCS move, which of the following caused the most problems or stress? Please select all that apply.

  • Logistics of moving (e.g., planning, scheduling, packing/unpacking)

  • Costs associated with moving

  • Finding a new network of friends

  • Finding housing

  • Finding schools or other educational opportunities for myself and/or my spouse

  • Employment for myself

  • Finding childcare

  • Other, specify

  • None of the above


VOTING (FEDERAL VOTING ASSISTANCE PROGRAM)


  1. Do you plan to vote in the upcoming 2024 Presidential Election?

  • Yes

  • No

  • Don’t know




  1. Are you aware that you have the right to vote absentee when stationed away from your legal residence?

  • Yes

  • No


  1. What type of assistance would you find useful in order to vote in the 2024 Presidential Election? Please select all that apply.

  • Help with registering to vote

  • Knowing how (e.g., in-person, by mail) or when to vote

  • Help with voting absentee

  • Other, specify

  • None, I do not need any assistance or do not plan to vote


HARASSMENT & DISCRIMINATION (OPA)

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In this section, you will be asked about upsetting or offensive things that someone from your work might have said or done. These things may have been related to your or another's personal characteristics, such as race/ethnicity, gender identity, sex, sexual orientation, or religion. The questions ask about things that happened in the last 12 months.


When a question says “someone from work,” please include any person you have contact with as part of your job. “Someone from work” could be a supervisor, a peer, or someone who reports to you.



  1. [IF MEMBER] Thinking about the past year, how often did someone from work make you uncomfortable, angry, or upset by…


Never

Rarely

Some-times

Often

  1. Mistreating, insulting, ignoring, or excluding you?

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  1. Expressing degrading stereotypes, telling inappropriate jokes, or using terms/slurs that you find offensive?

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  1. Making unfair assumptions about your abilities/skills or how you should act?

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  1. Displaying, showing, or sending offensive or explicit pictures or videos?

Shape14

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  1. Physically or verbally threatening you?

Shape18

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  1. Pressuring you to conform to stereotypical roles or expectations?

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  1. [ASK IF MEMBER AND ANY Q19A-Q19F = “Rarely” OR “Sometimes” OR “Often”] You mentioned that you experienced bothersome, upsetting, or offensive statements and actions related to your or another’s personal characteristics that someone from work might have said or done. Personal characteristics may include:



Race/Ethnicity classifications include American Indian/Alaska Native, Asian, Black/African American, Hispanic, Native Hawaiian/Pacific Islander, and White.

Gender identity classifications include transgender, gender fluid, non-binary, man, woman, or other identities.

Sex refers to the biological distinction between males and females.

Sexual orientation classifications include heterosexual, gay, lesbian, bisexual, queer, asexual, or other sexual orientations.

Religion refers to a personal set or institutionalized system of attitudes, moral or ethical beliefs, and practices.

Do you feel that this/these experienced behaviors were based on your…? Please select all that apply.

  • Race/Ethnicity

  • Gender identity

  • Sex

  • Sexual orientation

  • Religion

  • Other



If you are a victim of harassment, or a person who wishes to prevent or respond to it, you may want to contact your Service's local equal opportunity office. To reach a hotline for your Service call:

  • Army: 1-877-995-5247

  • Navy: 1-800-253-0931

  • Marine Corps: 1-703-784-9371

  • Air Force: 1-888-231-4058

  • Space Force: 1-888-231-4058

  • Coast Guard: 1-888-992-7387



To reach Military OneSource 24/7:

  • Stateside: 1-800-342-9647

  • Overseas: 00-800-342-9647 or call collect 1-484-530-5908

  • Worldwide: http://www.militaryonesource.com/



If you are a victim of sexual assault, or a person who wishes to prevent or respond to this crime, you may want to contact a Sexual Assault Response Coordinator (SARC) or a Victim Advocate (VA).

To reach the DoD Safe Helpline 24/7 for restricted/unrestricted reporting and established DoD Sexual Assault Services, call a hotline number:

  • Toll-Free: 1-877-995-5247

  • DSN: 877-995-5247

  • Other: 202-540-5962

  • Worldwide: https://www.safehelpline.org/ or www.sapr.mil/







TOPICAL 3 SURVEY QUESTIONS

ELIGIBILITY


Q1 Our records have your name as [NAME]. Is this correct?

  • Yes (1)

  • Yes but needs to be updated (2)

  • No (3)



Q2 What is your name?

  • FIRST NAME (1) __________________________________________________

  • LAST NAME (2) __________________________________________________


Q2a Are you or your spouse currently serving in the U.S. Armed Forces (Active Duty, Reserve, or National Guard)? Reserve and Guard members/spouses who are full-time active duty (AGR/FTS/AR) or currently “activated” should select the “Reserve or National Guard” response(s). Select all that apply.

  • No (1)

  • Yes, I’m serving on active duty (2)

  • Yes, I'm serving in the Reserve or National Guard (3)

  • Yes, my spouse is serving on active duty (4)

  • Yes, my spouse is serving in the Reserve or National Guard (5)



CONFIRM To confirm, neither you nor your spouse are currently serving in the military. If that is correct, please select 'Confirm' below. Otherwise, please update your response above.

  • Confirm (1)





GRADE What is your current grade?

  • E1 (1)

  • E2 (2)

  • E3 (3)

  • E4 (4)

  • Other, please specify: (5) ___________________________



GRADE_SP What is your spouse's current grade?

  • E1 (1)

  • E2 (2)

  • E3 (3)

  • E4 (4)

  • Other, please specify: (5) ___________________________

  • Don't know (6)



Confirm2 To confirm, neither you nor your spouse are currently serving in grades E1, E2, E3, or E4. If that is correct, please select 'Confirm' below. Otherwise, please update your response on the previous page.

  • Confirm (1)


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

  • Very satisfied

  • Satisfied

  • Neither satisfied nor dissatisfied

  • Dissatisfied

  • Very dissatisfied





FINANCES (FINANCIAL READINESS)


The next few questions are about your finances. If you are married, think about both your spouse and yourself.


  1. Which of the following best describes your financial condition?

  • Very comfortable and secure

  • Able to make ends meet without much difficulty

  • Occasionally have some difficulty making ends meet

  • Tough to make ends meet but keeping your head above water

  • In over your head


  1. How much do you agree or disagree with the following statement? I am confident about achieving my longer-term financial goals.

  • Strongly agree

  • Agree

  • Neither Agree nor Disagree

  • Disagree

  • Strongly disagree

  • Don’t know


  1. In the past month, would you say that your total spending was:

  • More than your income

  • The same as your income

  • Less than your income


  1. Which best describes how you paid your bills over the last 3 months?

  • Paid all of my/our bills on time

  • Paid most of my/our bills on time

  • Paid some of my/our bills on time

  • Paid very few of my/our bills on time


  1. As of today, which of the following statements best describes your debt (e.g., credit card debt, student loans, or mortgage)?

  • Have a manageable amount of debt

  • Have a bit more debt than is manageable

  • Have more debt than is manageable

  • Have no debt

  • Don’t know


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TRANSITION ASSISTANCE (MILITARY-CIVILIAN TRANSITION OFFICE)


  1. [IF MEMBER] Are you planning on leaving the military in one year or less?

  • Yes

  • No


  1. [IF SPOUSE] Is your spouse planning on leaving the military in one year or less?

  • Yes

  • No


  1. [IF MEMBER] Do you think it’s important to begin thinking about your post-military civilian life early in your military career?

  • Yes

  • No


  1. Are you aware that the Transition Assistance Program (TAP) offers services, resources, and programs to all members leaving the military and their spouses?

  • Yes, and I have used TAP

  • Yes, but I have not used TAP

  • No


  1. [IF MEMBER] What is/are your main concern(s) about post-military civilian life? Please select all that apply.

  • Finding a job

  • Starting a business

  • Using my education benefits for myself

  • Using my education benefits for my family members

  • Getting healthcare

  • Finding a place to live

  • Leaving my military identity

  • Having enough money to live as a civilian family

  • I’m not concerned about my post-military civilian life at this time

  • Other, specify


  1. [IF SPOUSE] What is/are your main concern(s) about life after your spouse transitions out of the military? Please select all that apply.

  • My spouse finding a job

  • Finding a job for myself or keeping my job

  • Using my spouse’s education benefits for him/herself

  • Using my spouse’s education benefits for myself or other family members

  • Getting healthcare

  • Finding a place to live

  • Having enough money to live as a civilian family

  • I’m not concerned about my post-military civilian life at this time

  • Other, specify




COMBATTING TRAFFICKING IN PERSONS (DEFENSE SUPPORT SERVICES CENTER)

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Under the Uniform Code of Military Justice (UCMJ), sex trafficking and patronizing a prostitute are illegal, even if prostitution is legal in the region to which you are assigned.



  1. [IF MEMBER] Suppose a Service member reported an incident of another Service member engaging in sex trafficking or patronizing a prostitute to their own chain of command. How likely is it that their chain of command would take the report seriously?

  • Very likely

  • Likely

  • Neither likely nor unlikely

  • Unlikely

  • Very unlikely

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Off-limits” establishments: Places that the command has determined its personnel should not patronize. Some examples include commercial establishments that have indicators of trafficking in persons (TIP), such as bars, brothels, dance clubs, strip clubs, massage parlors, spas, escort services, and private parties.


  1. [IF MEMBER] Are you aware of your command's current list of “off limits” establishments?

  • Yes

  • No


POINT OF CONTACT VERIFICATION FOR TOPICALS 2 AND 3

POC_display Please review the contact information we have for you and indicate whether the information is correct or needs to be updated.

Q3 Our records have your phone number as [PHONE NUMBER].  Is this correct?

  • Yes (1)

  • No (2)


Q6 What is a good phone number to reach you?

________________________________________________________________

Q7 Is this number a cell phone or land line?

  • Cell phone (1)

  • Land line (2)

  • Neither (3)



Q8 We send reminders and survey invitations via text message. Message and data rates may apply, depending on your mobile phone service plan. You can opt out of these messages at any time by replying STOP. 

Would you like us to contact you by text message?

  • Yes (1)

  • No (2)



Q9 Our records have your email address as [EMAIL].  Is this correct?

  • Yes (1)

  • No (2)



Q10 What is your email address?

________________________________________________________________


Q11 Our records have the following address as your home address where we will mail incentives for taking surveys. Is this correct? 

[ADDRESS]

  • Yes (1)

  • No (2)




Q12 Please enter your home address.

  • Address 1 (2) __________________________________________________

  • Address 2 (3) __________________________________________________

  • City (4) __________________________________________________

  • State (5) __________________________________________________

  • ZIP Code (6) __________________________________________________



SURVEY SUBMISSION FOR TOPICALS 2 AND 3



SUBMIT Thank you for your response. Please use the "Submit" button below to record your response. 


If you have any questions about the Census Military Panel, please contact us at [email protected] or call 1-866-593-6155.




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