DOD Survivor Symposium User Feedback Survey

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

DODSurvivorSymposiumFeedbackForm-Protocol-Updated-11June2024

DOD Survivor Symposium User Feedback Survey

OMB: 0704-0553

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DOD Survivor Symposium Feedback Form



Purpose

Military Community and Family Policy would like to request feedback from those who attended the Defense Department’s first Survivor Symposium. 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 2024 DOD Survivor Symposium

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 Symposium

  • Frequency of future DOD Survivor Symposiums

  • Topics covered in future DOD Survivor Symposiums

Feedback Form Questions

Form preview link: https://preview-survey.foresee.com/f/f59E0HkjgZ

OMB CONTROL NUMBER: 0704-0553

OMB EXPIRATION DATE: 05/31/2025

DOD Survivor Symposium Feedback Form

The Defense Department thanks you for attending the 2024 DOD Survivor Symposium. We value your feedback, which will directly impact future events. Your responses to this survey are voluntary and completely anonymous.

View Privacy Policy and Agency Disclosure Notice

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

[Star selection]



If you attended the session about benefit changes when you remarry, rate the relevance of the information covered.  

[ ] Completely irrelevant 

[ ] Irrelevant 

[ ] Relevant 

[ ] Very relevant

[ ] Did not attend session 

 

If you attended the session about applying for the death gratuity as a parent or guardian, rate the relevance of the information covered. 

[ ] Completely irrelevant 

[ ] Irrelevant 

[ ] Relevant 

[ ] Very relevant 

[ ] Did not attend session 



If you attended the session about keeping your account up to date with the Defense Finance Accounting Service and the Department of Veterans Affairs, 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 often would you attend a DOD Survivor Symposiums?  

[ ] Once a year 

[ ] Twice a year 

[ ] Three times a year 

 

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

[ ] Military OneSource eNewsletter or email 

[ ] Military OneSource website 

[ ] Facebook 

[ ] X/Twitter 

[ ] 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, or PII, 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, or PII, 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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