Appendix_B_2016_Mini-Survey.pdf

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Attached to
DACOWITS Support Services Federal contract opportunity
Solicitation number
H9821017R0002
Issued by
Defense Human Resources Activity

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Appendix B-Mini Survey

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Appendix_A_2016_Protocols.pdf PDF
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H98210-17-R-0002.doc DOC document

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DACOWITS 2016

FOCUS GROUP MINI-SURVEY

1. What is your branch of Service?

Army Navy Marine Corps Air Force Coast Guard

2. Are you a member of a Reserve or National

Guard unit?

Yes No

3. How long, in total, have you served in the military? Please round to the nearest year.

_____ Years

4. What is your age?

18-20 21-24 25-29 30-34 35-39 40 or older

5. What is your gender?

Female Male

6. What is your paygrade?

E1-E3 E4-E6 E7-E9 W01-W05 O1-O3 O4 or higher

7. Are you Spanish/Hispanic/Latino?

No, not Spanish/Hispanic/Latino Yes, Spanish/Hispanic/Latino

8. What is your race? Please mark all that apply.

White Black or African American American Indian or Alaska Native Asian (e.g., Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese) Native Hawaiian or other Pacific Islander (e.g., Samoan, Guamanian, Chamorro) Other race

9. Is your unit gender-integrated (open to men and women) or currently in the process of integration?

My unit has been open to men and women for two or more years

My unit has integrated women within the past two years

My unit is currently undergoing the process of integrating women

My unit is not gender-integrated at this time (i.e., is open to men only)

10. Have you sought services, whether religious or otherwise, from a military chaplain at some point during your military career?

11. Do you currently have, or have you ever had, a Service member mentor you? Please consider both formal and informal mentorship relationships.

I currently have a Service member as a mentor I do not currently have a Service member as a mentor, but I have had one in the past I have never had a Service member as a mentor

12. Have you ever participated in a mentorship program sponsored by your Service or unit?

13. Do you have a personal account on at least one social media outlet (e.g., Facebook, Twitter, Linked In, Instagram, etc.) that you access at least once per week?

_____ Years

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