Implementation Focus Groups

Demographics

Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

In this section of the questionnaire, you will create an identification code that is unique to you but
cannot be traced back to you. This ID code will be used instead of your name or other identifying
information. If you participate in follow-up questionnaires, we will give you these same instructions to
recreate this code so that we can link your questionnaires together without using your name or other
specific personal information. Please take care to answer each question accurately.
Please respond to the items below:
XX.1 Enter the 1st and 2nd letter of your mother's (or primary maternal figure's) first name.
(For example, if your mother's first name is Mary, you would enter MA.)
________________________________________________________________
XX.2 Enter the DAY OF THE MONTH that you were born.
(For example, if you were born on May 17, 1990, you would enter 17.)
________________________________________________________________
XX.3 Enter the 1st and 2nd letter of your father's (or primary paternal figure's) first name.
(For example, if your father's name is John, you would enter JO.)
_____________________________________________________________
XX.4 Enter the 1st and 2nd letter of the CITY WHERE YOU WERE BORN.
(For example, if you were born in Detroit, Michigan, you would enter DE.)
_________________________________________________________________
XX.5 Enter the first two letters of your middle name. If you do not have a middle name, enter XX.
______________________________________________________________
XX.6 Enter the 1st and 2nd letters of the high school you most recently attended. If you did not attend
high school, please enter XX.
(For example, if you attended Eagle High, you would enter EA.)
________________________________________________________________

XX. How long have you been stationed at your current command?

o Less than 6 months
o 6 months to 1 year
o 1 to 2 years
o 3 or more years
XX. Where do you currently live?

o
o
o
o
o
o
o
o

Temporary housing situation (such as a hotel while waiting for housing)
On the ship
Military housing – barracks
Military housing – on base
Military housing – off base
Civilian housing – rented apartment/condo/house
Civilian housing – owned apartment/condo/house
Other please specify: _______________

XX. Approximately how many nights per week are you sleeping on the ship/Floating
Accommodation Facility (FAF) (including your duty days)?

o
o
o
o
o
o
o
o

0
1
2
3
4
5
6
7

XX. What is your sex?

o
o

Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

Male
Female

XX. What is your race and/or ethnicity? Select all that apply.

□
□
□
□
□
□
□

American Indian or Alaska Native
(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
(For example, Chinese, Asian Indian, Filipino, Vietnamese, Korean, Japanese, etc.)
Black or African American
(For example, African American, Jamaican, Haitian, Nigerian, Ethiopian, Somali, etc.)
Hispanic or Latino
(For example, Mexican, Puerto Rican, Salvadoran, Cuban, Dominican, Guatemalan, etc.)
Middle Eastern or North African
(For example, Lebanese, Iranian, Egyptian, Syrian, Iraqi, Israeli, etc.)
Native Hawaiian or Pacific Islander
(For example, Native Hawaiian, Samoan, Chamorro, Tongan, Fijian, Marshallese, etc.)
White
(For example, English, German, Irish, Italian, Polish, Scottish, etc.)

XX. Current marital status:

o
o
o
o

XX. Highest level of completed
education:

o
o
o
o
o
o
o

Married/Cohabitating
Divorced
Widowed
Never Married

Less than high school
GED
High school diploma
Some college
Associate’s degree

XX. Age:

o
o
o
o
o

17-20
21-24
25-29
30-39
40+

Bachelor’s degree
More than a bachelor’s degree

Military Experience
XX. What is your component?

o
o
o
o

XX. Is your assignment to your current
command your first tour of duty?

o
o

Active Regular
Active Reserve

Yes
No

Selected Reserve
Other ________________

XX. In what department do you currently work:

o
o
o
o
o

Administration
Aviation Intermediate
Maintenance
Air
Air Wing
Combat Systems

o
o
o
o
o

Deck
Engineering
Intelligence
Legal
Media

o
o
o
o

Medical
Operations
Reactor
Religious
Ministries

o Safety

o
o
o
o
o

Security
Supply
Training
Weapons
Other:
____________

XX. Paygrade/Rank:

o
o
o
o
o
o

Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

E1-E4
E5-E6
E7-E9
W1-W5
O1-O3
O4 or higher

Display This Question: If Paygrade/Rank: = E1-E4; Or Paygrade/Rank: = E5-E6; Or Paygrade/Rank: = E7-E9
XX. What is your rate?

Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

o
o
o
o
o
o
o
o
o

Aviation Boatswain’s Mate - Equipment

ABE

Aviation Boatswain’s Mate – Fuels

ABF

Aviation Boatswain’s Mate - Handling

ABH

Air Traffic Controlman

AC

Aviation Machinist Mate

AD

Aviation Electrician’s Mate

AE

Advanced Electronics Computer Field

AECF

Aviation Aerographer’s Mate

AG

Aircrew Program

AIRC/AI
RR

o
o

Aviation Structural Mechanic

AM
AME

o

Aviation Structural Mechanic Equipment
Aviation Structural Mechanic –
Hydraulics

AMH

Aviation Structural Mechanic –
Structures

AMS

Undesignated Airman

AN

Aviation Ordanceman

AO

Aviation Support Equipment Technician

AS

Aviation Equipment Technician

AT

Avionics Technician

AV

Aviation Warfare Systems Operator

AW

Aviation Maintenance
Administrationman

AZ

o
o
o
o
o
o
o
o

o Boatswain’s Mate
o Builder
o Construction Electrician
o Construction Mechanic
o Culinary Specialist
o Cryptologic Technician
o Damage Controlman
o Fleet Diver Program
o Engineering Aid

BM
BU
CE
CM
CS
CT
DC
DIVER
EA

Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

o Electricians Mate
o Engineman
o Equipment Operator
o Explosive Ordnance Disposal
o Electronics Technician
o Fire Controlman (Advanced Electronics

EM

o Fireman (Engine/Mechanical Apprentice)
o Gunner’s Mate
o Gas Turbine Systems Technician o Hospital Corpsman
o Hull Technician
o Interior Communications Electrician
o Intelligence Specialist
o Information System Technician
o Legalman
o Logistics Specialist
o Master at Arms
o Mass Communications Specialist
o Machinist Mate
o Mineman
o Machinery Repairman
o Missile Technician (Advanced

FN

o Musician
o Navy Counselor
o Nuclear Field
o Navy Counselor
o Operations Specialist
o Personnelman
o Aircrew Survival Equipmentman
o Quartermaster
o Religious Program Specialist

MU

EN
EO
EOD
ET
FC

Computer

GM
GSE
HM
HT
IC
IS
IT
LN
LS
MA
MC
MM
MN
MR
MT

Electronics Field)

NC
NF
NC
OS
PN
PR
QM
RP

Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

o SEAL Challenge Program
o Submarine Electronics Computer Field
o Ship’s Serviceman
o Seaman
o Seaman Subfarer Program
o Sonar Technician
o Steelworker
o Special Warfare Combatant – Craft
o Torpedoman’s Mate
o Utilitiesman
o Yeoman
o Other (Please Specify) ______________

SEAL
SECF
SH
SN
SS
ST
SW
SWCC
TM
UT
YN

XX. How long have you served in the military?

o
o
o
o
o
o

Less than 1 year
1-2 years
3-4 years
5-7 years
8-10 years
More than 10 years

Some of the questions in this survey ask you about your experiences “underway.” We
define going underway as a time when you were working aboard your ship while at sea
(not in port).
XX. Approximately how many total times have you gone underway on a ship for at least
30 days at a time (since Sept 11, 2001)?

o
o
o
o
o

0
1
2
3
4 or more

Display This Question: If experience underway 30+ days is 1;2;3;4 or more
XX. When did you return from your most recent underway period?
Month: Select
Response Options: January, February, March, April, May, June, July, August, September,
October, November, December

Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

Year: Select
Response options: 2001, 2002, 2003..., 2023
Display This Question: If experience underway 30+ days is 1;2;3;4 or more
XX. How long was your most recent underway period?

o
o
o
o
o

Less than 1 week
1-2 weeks
3-4 weeks
1-6 months
6+ months