User feedback from the DOD Survivor Symposium

DOD Survivor Symposium Feedback Form

Purpose

Military Community and Family Policy would like to request feedback from those who attended the Defense Department’s Survivor Symposium, occurring on [Month Day, Year]. The feedback form will determine if the symposium and the information presented further the department’s commitment to supporting survivors of active-duty deaths, including by helping survivors understand all benefits and forms of assistance.

We request completion of an online feedback form with the following audience segment:

• Attendees of the DOD Survivor Symposium, occurring on [Month Day, Year]

The objectives of the feedback form are to determine:

• Attendee satisfaction with the DOD Survivor Symposium

• Relevance of the information covered in the DOD Survivor SymposiumTopics covered in future DOD Survivor Symposiums

Feedback Form Questions

OMB CONTROL NUMBER: 0704-0553

OMB EXPIRATION DATE: 05/31/2025

AGENCY DISCLOSURE NOTICE

The public reporting burden for this collection of information, 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.

DOD Survivor Symposium Feedback Form

The Defense Department thanks you for attending the DOD Survivor Symposium. We value your feedback, which will directly impact future events. Your responses to this survey are voluntary and completely anonymous.

Rate your experience with the DOD Survivor Symposium: (5 stars = very good)

[Star selection]

If you attended the session about the online survivor benefits reports, rate the relevance of the information covered.

[ ] Completely irrelevant 

[ ] Irrelevant 

[ ] Relevant 

[ ] Very relevant

[ ] Did not attend session 

 

If you attended the session about the Defense Finance Accounting Service and Department of Veterans Affairs updates, rate the relevance of the information covered.

[ ] Completely irrelevant 

[ ] Irrelevant 

[ ] Relevant 

[ ] Very relevant 

[ ] Did not attend session 

If you attended the session about financial counseling and how it can benefit survivors, rate the relevance of the information covered. 

[ ] Completely irrelevant 

[ ] Irrelevant 

[ ] Relevant 

[ ] Very relevant 

[ ] Did not attend session 

If you attended the session about tax implications for deceased military personnel and property tax abatements for surviving spouses, rate the relevance of the information covered. 

[ ] Completely irrelevant 

[ ] Irrelevant 

[ ] Relevant 

[ ] Very relevant 

[ ] Did not attend session 

How likely are you to recommend the DOD Survivor Symposium to someone else?  

[ ] Very unlikely 

[ ] Unlikely 

[ ] Likely 

[ ] Very likely 

 

How likely are you to attend another DOD Survivor Symposium?  

[ ] Very unlikely 

[ ] Unlikely 

[ ] Likely 

[ ] Very likely 

How did you hear about the DOD Survivor Symposium? (Select all that apply)  

[ ] Military OneSource eNewsletter or email 

[ ] Military OneSource website 

[ ] Facebook 

[ ] Friend/family member 

[ ] Service provider 

[ ] Other (Specify, do not include any personally identifiable information) 

 

Did you experience any of the following issues during the DOD Survivor Symposium? (Select all that apply) 

[ ] Symposium did not meet my needs 

[ ] Symposium topics were not presented in a concise format 

[ ] No issues occurred 

[ ] Other (Specify, do not include any personally identifiable information) 

 

What topics would you like to see covered in a future DOD Survivor Symposium? (Do not include any personally identifiable information in your response, such as full name, email address, home address or other contact information.) 

[Open ended, short response] 

What is one thing you would change about the DOD Survivor Symposium? (Do not include any personally identifiable information in your response, such as full name, email address, home address or other contact information.)  

[Open ended, short response] 

 

What is one thing you gained from attending the DOD Survivor Symposium? (Do not include any personally identifiable information in your response, such as full name, email address, home address or other contact information.)

[Open ended, short response]

What is your connection to the event? 

[ ] Surviving family member 

[ ] Service provider 

[ ] Other (Specify, do not include any personally identifiable information) 

[SUBMIT] 

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