DHA J-5 Town Hall

Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

DHA J5 Survey 6.13.2023

DHA J-5 Town Hall

OMB: 0704-0553

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DHA J5 Town Hall Survey


We would like to understand your current satisfaction and level of engagement within J5. Please answer this brief survey so we can better support you.

If you experience any technical difficulties while completing this survey, please contact X. For questions about this survey effort, please contact Dr. Aiyelawo, Chief, DHA Patient Experience Measurement, Analytics & Evaluation Division, at [email protected].



OMB CONTROL NUMBER: 0704-0553

OMB EXPIRATION DATE: 5/31/2025


AGENCY DISCLOSURE NOTICE

The public reporting burden for this collection of information, OMB #0704-0553, 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.



Demographic Item: Please indicate your staff type.

    1. Government (includes military and civilian)

    2. Contractor



  1. Overall, I am satisfied with working in J5.

    1. Strongly agree

    2. Agree

    3. Neither agree nor disagree

    4. Disagree

    5. Strongly disagree

If Q1=D or E

  1. Please briefly describe why you are unsatisfied with working in J5. (open-ended)


  1. Overall, I am satisfied with my current level of engagement with J5 Directorate leadership.

    1. Strongly agree

    2. Agree

    3. Neither agree nor disagree

    4. Disagree

    5. Strongly disagree

IF Q3=D or E

  1. Please briefly describe what could be done to improve engagement with J5 Directorate leadership. Select all that apply.

  1. Continuing to hold J5 town halls

  2. Team building activities and events with Directorate leadership

  3. Q&A sessions with Directorate leadership

  4. Other (please specify)



  1. Overall, I am satisfied with my current level of engagement with J5 Division leadership.

    1. Strongly agree

    2. Agree

    3. Neither agree nor disagree

    4. Disagree

    5. Strongly disagree

IF Q5=D or E

  1. Please briefly describe what could be done to improve engagement with J5 Division leadership. Select all that apply.

  1. Continuing to hold J5 town halls

  2. Team building activities and events with Division leadership

  3. Q&A sessions with Division leadership

  4. Other (please specify)



  1. Overall, I am satisfied with my current level of engagement with my immediate team.

    1. Strongly agree

    2. Agree

    3. Neither agree nor disagree

    4. Disagree

    5. Strongly disagree

IF Q7=D or E

  1. Please briefly describe what could be done to improve engagement with your immediate team. (open-ended)



  1. Which of the following activities could make J5 a more cohesive team? Select all that apply.

  1. Continuing to hold J5 town halls

  2. More cross-communication between J5 divisions/teams

  3. Team building activities and events

  4. Q&A sessions with leadership

  5. I think J5 is already a cohesive team [exclusive]

  6. Other (please specify)



  1. What questions, if any, do you have for J5 leadership? (open-ended)

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorDegiorgi Winslow, Lauren
File Modified0000-00-00
File Created2025-05-29

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