JB Charleston EFMP-Family Support Survey

JB Charleston EFMP-Family Support Survey

OMB CONTROL NUMBER: 0704-0553
OMB EXPIRATION DATE: 05/31/2025
AGENCY DISCLOSURE NOTICE
The public reporting burden for this collection of information, OMB Control Number:
0704-0553 is estimated to average 1 min 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.
To protect user privacy, please do not include any personally identifiable information (PII). PII
includes, but is not limited to, information such as email addresses, personal mobile numbers,
and social security numbers.
Purpose of the Survey: To identify service gaps and gauge interest in support groups, events,
and educational opportunities for members enrolled in the Exceptional Family Member Program.

JB Charleston EFMP-Family Support Survey
1. How many family members are stationed here with you at JB Charleston? _______
2. Please check where you would like to see future M&FRC events/workshops held.
Air Base
Weapons Station
Other:
If you selected "Other" preferred location, please list exactly where? ____________________
3. Please check how often would you like to see events/workshops offered?
Weekly
Bi-Weekly
Monthly
Bi-Monthly
Quarterly
Bi-Annually
Annually
4. Please check which time frame is best for you or your family to attend
events/workshops.
0600-0800

0800-1000

1000-1200

1200-1400

1400-1600

1600-1800

5. Please check which day(s) are best for you or your family to attend events/workshops?
Please select all that apply.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

JB Charleston EFMP-Family Support Survey

6. What would hinder you or your family from attending events/workshops?
Example: Lack of enclosed, or non-inclusive, play area(s) available.

7. How should the EFMP Family Support Program promote future events/workshops?
Please check all that apply.
Flyer
Facebook
Instagram
JBCMFR Website
Word-of-Mouth
Other
If you selected "Other", please list how you would like to be informed of upcoming
events/workshops.

Thank you for your time completing this survey!