Leadership Survey_Final

Leader Survey Please list your installation or ship name: ________________________ Instructions The purpose of this survey is to assess the leader expertise needed to protect Service members’ health and wellbeing and prevent Service members from dying by suicide; misusing alcohol; assaulting, harassing, or bullying others; and engaging in interpersonal violence. No one person is expected to have expertise in all areas; however, understanding your expertise can help determine how you can best support the installation’s overall approach to promoting Service members’ health and wellbeing. For each item in the survey, you will be asked to rate how knowledgeable you are and how relevant it is to your job or position. There are no right or wrong answers, please just answer based on your experience. Section 1: Healthy & Protective Environment The first items are about the environment of the installation. Rate how knowledgeable you are about each item from 1 (No knowledge) to 5 (Extensive knowledge/expertise) and how relevant each item is to your job or position from 1 (Not relevant) to 5 (Central to my job or position).
Understand the environment’s role in causing or maintaining harmful behaviors such as harassment, sexual assault, alcohol misuse, suicide, etc.
	None	1	2	3	4	5	Extensive
Knowledge		〇	〇	〇	〇	〇
Relevance		〇	〇	〇	〇	〇
Understand what actions and communications create an environment that is respectful for all members of the unit.
	None	1	2	3	4	5	Extensive
Knowledge		〇	〇	〇	〇	〇
Relevance		〇	〇	〇	〇	〇
Understand how to help those who report to you create an environment that is respectful for all members of the unit.
	None	1	2	3	4	5	Extensive
Knowledge		〇	〇	〇	〇	〇
Relevance		〇	〇	〇	〇	〇
Understand how to ensure that a viable mechanism is in place for Service members to make complaints of harassment and sexual assault
	None	1	2	3	4	5	Extensive
Knowledge		〇	〇	〇	〇	〇
Relevance		〇	〇	〇	〇	〇
Understand how to ensure that a viable mechanism is in place for Service members to report incidents of substance abuse
	None	1	2	3	4	5	Extensive
Knowledge		〇	〇	〇	〇	〇
Relevance		〇	〇	〇	〇	〇
Understand how to ensure that a viable mechanism is in place for Service members to report concerns about suicide
	None	1	2	3	4	5	Extensive
Knowledge		〇	〇	〇	〇	〇
Relevance		〇	〇	〇	〇	〇
Understand how to establish regular (e.g., weekly) connection and communication with Service members who report to you (e.g., holding office hours, walking around for meet and greets)
	None	1	2	3	4	5	Extensive
Knowledge		〇	〇	〇	〇	〇
Relevance		〇	〇	〇	〇	〇
Understand how to mentor and support the professional development of Service members who report to you
	None	1	2	3	4	5	Extensive
Knowledge		〇	〇	〇	〇	〇
Relevance		〇	〇	〇	〇	〇
Understand how to distribute resources (e.g., mental health care, childcare) to the Service members that report to you in order to reduce stress and make their life better
	None	1	2	3	4	5	Extensive
Knowledge		〇	〇	〇	〇	〇
Relevance		〇	〇	〇	〇	〇
Understand how to evaluate the effectiveness of efforts to promote the health and wellbeing of Service members and prevent suicide, alcohol misuse, sexual assault, harassment, and other harmful behaviors
	None	1	2	3	4	5	Extensive
Knowledge		〇	〇	〇	〇	〇
Relevance		〇	〇	〇	〇	〇
Understand how to apply these evaluation results to the performance evaluation of relevant Service members who report to you
	None	1	2	3	4	5	Extensive
Knowledge		〇	〇	〇	〇	〇
Relevance		〇	〇	〇	〇	〇

Section 2: Integrated Prevention The next section is about your knowledge of efforts to prevent Service members from dying by suicide; misusing alcohol; assaulting, harassing, or bullying others; and engaging in interpersonal violence. Rate how knowledgeable you are about each item from 1 (No knowledge) to 5 (Extensive knowledge/ expertise) and how relevant each item is to your job or position from 1 (Not relevant) to 5 (Central to my job or position).
Understand the policies on prevention topics, including integrated primary prevention, harassment, sexual assault, substance abuse, suicide, self-harm, etc.
	None	1	2	3	4	5	Extensive
Knowledge		〇	〇	〇	〇	〇
Relevance		〇	〇	〇	〇	〇
Understand the difference between prevention and response
	None	1	2	3	4	5	Extensive
Knowledge		〇	〇	〇	〇	〇
Relevance		〇	〇	〇	〇	〇
Describe the influence of risk factors for suicide and harmful behaviors like alcohol misuse, domestic violence, sexual assault, and harassment (e.g., general tolerance of harmful behaviors)
	None	1	2	3	4	5	Extensive
Knowledge		〇	〇	〇	〇	〇
Relevance		〇	〇	〇	〇	〇
Describe the influence of protective factors for suicide and harmful behaviors like alcohol misuse, domestic violence, sexual assault, and harassment (e.g., emotional health, supportive leadership)
	None	1	2	3	4	5	Extensive
Knowledge		〇	〇	〇	〇	〇
Relevance		〇	〇	〇	〇	〇
Understand the multiple key ingredients of effective evidence-based prevention (e.g., varied teaching methods)
	None	1	2	3	4	5	Extensive
Knowledge		〇	〇	〇	〇	〇
Relevance		〇	〇	〇	〇	〇
Know how to model standards and norms consistent with a professional organizational climate
	None	1	2	3	4	5	Extensive
Knowledge		〇	〇	〇	〇	〇
Relevance		〇	〇	〇	〇	〇
Can recognize and account for risk and protective factors in special populations
	None	1	2	3	4	5	Extensive
Knowledge		〇	〇	〇	〇	〇
Relevance		〇	〇	〇	〇	〇
Understand how to use evaluation data to improve prevention efforts
	None	1	2	3	4	5	Extensive
Knowledge		〇	〇	〇	〇	〇
Relevance		〇	〇	〇	〇	〇
Section 3: Service Member Engagement The next section is about how Service members are involved in efforts to prevent Service members from dying by suicide; misusing alcohol; assaulting, harassing, or bullying others; and engaging in interpersonal violence. Rate how knowledgeable you are about each item from 1 (No knowledge) to 5 (Extensive knowledge/expertise) and how relevant each item is to your job or position from 1 (Not relevant) to 5 (Central to my job or position).
Share information about ongoing prevention efforts with other Service members in a transparent and consistent manner
	None	1	2	3	4	5	Extensive
Knowledge		〇	〇	〇	〇	〇
Relevance		〇	〇	〇	〇	〇
Convey what prevention efforts on your installation are trying to promote (e.g., safe and respectful environments) in addition to what these efforts are trying to prevent (e.g., sexual assault)
	None	1	2	3	4	5	Extensive
Knowledge		〇	〇	〇	〇	〇
Relevance		〇	〇	〇	〇	〇

Foster mutually respectful interactions between Service members and leadership at your installation
	None	1	2	3	4	5	Extensive
Knowledge		〇	〇	〇	〇	〇
Relevance		〇	〇	〇	〇	〇
Work with Service members in such a way that they have meaningful input into decisions about prevention activities
	None	1	2	3	4	5	Extensive
Knowledge		〇	〇	〇	〇	〇
Relevance		〇	〇	〇	〇	〇

Section 4: Housing

For you, or the Service members under your leadership, what, if any, concerns are present regarding housing? (to include but not limited to accompanied and unaccompanied accommodations, the Military Housing Office, costs associated with housing or the safety and security of housing) ___________________________________________________________________________________________________________________________________________________________________________________________________________________________

Section 5: Demographics Below are a few questions about your background. This information is used to help characterize the group of individuals responding to this survey and will not impact your anonymity.

Age

Gender

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Male

Female

Service

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〇

〇

〇

〇

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Air Force

Army

Navy

Marine Corps

Space Force

N/A

Component

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〇

〇

〇

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Active

Natl Guard

Reserve

DoD Civilian

N/A

Paygrade (select one)

Education

E1-E4

〇

Some HS

〇

E5-E6

〇

HS Diploma/GED

〇

E7-E9

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Some college/no degree

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O1-O3

〇

2 yr. college

〇

O4-O6 or above

〇

4 yr. college

〇

W1-W3

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> 4 yr. college

〇

W4-W5

〇

Prefer not to respond

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Prefer not to respond

〇

GS, fill in number:

Race / Ethnicity
What is your race and/or ethnicity? Select all that apply and enter additional details in the spaces below.
American Indian or Alaska Native:
Enter, for example, Navajo Nation, Blackfeet Tribe of the Blackfeet Indian Reservation of Montana, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, Aztec, Maya, etc.________ ______________________________________________________________________________________ _______________________________________________________________________________________
Asian:
	〇	〇	〇	〇	〇	〇
	Chinese	Asian Indian	Filipino	Vietnamese	Korean	Japanese
Enter, for example, Pakistani, Hmong, Afghan, etc._______________________________________________ ________________________________________________________________________________________
Black or African American:
	〇	〇	〇	〇	〇	〇
	African American	Jamaican	Haitian	Nigerian	Ethiopian	Somali
Enter, for example, Trinidadian and Tobagonian, Ghanaian, Congolese, etc.__________________________ ________________________________________________________________________________________
Hispanic or Latino:
	〇	〇	〇	〇	〇	〇
	Mexican	Puerto Rican	Salvadoran	Cuban	Dominican	Guatemalan
Enter, for example, Colombian, Honduran, Spaniard, etc._________________________________________ _______________________________________________________________________________________
Middle Eastern or North African:
	〇	〇	〇	〇	〇	〇
	Lebanese	Iranian	Egyptian	Syrian	Iraqi	Israeli
Enter, for example, Moroccan, Yemeni, Kurdish, etc._____________________________________________ _______________________________________________________________________________________
Native Hawaiian or Pacific Islander:
	〇	〇	〇	〇	〇	〇
	Native Hawaiian	Samoan	Chamorro	Tongan	Fijian	Marshallese
Enter, for example, Chuukese, Palauan, Tahitian, etc.____________________________________________ _______________________________________________________________________________________
White:
	〇	〇	〇	〇	〇	〇
	English	German	Irish	Italian	Polish	Scottish
Enter, for example, French, Swedish, Norwegian, etc._____________________________________________ ________________________________________________________________________________________

Thank you!

Version: 3/5/25

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