Workplace and Gender Relations Survey- Abbreviated

Workplace and Gender Relations Survey of Military Members-Abbreviated

OMB CONTROL NUMBER: 0704-0615

OMB EXPIRATION DATE: XX/XX/XXXX

AGENCY DISCLOSURE NOTICE

The public reporting burden for this collection of information, 0704-0615, 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 whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. 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.

BACKGROUND INFORMATION

Thank you for agreeing to participate in this important study.

Please answer each question thoughtfully and truthfully. This will allow us to provide an accurate picture of the different experiences of today's military members. If you prefer not to answer a specific question for any reason, just leave it blank.

Some of the questions in this survey will be personal. For your privacy, you may want to take this survey where other people won't see your screen.

SRMILSTAT

1. Are you currently serving in the military? Mark one.

1		Yes, on active duty (not a member of the National Guard/​Reserve)
2		Yes, as a member of the National Guard or Reserve in a full-time active duty program (AGR/​FTS/​AR)
3		Yes, as a traditional National Guard/​Reserve member (e.g., drilling unit, IMA)
4		No, retired or separated
5		No, other

WORKPLACE CULTURE AND CLIMATE

COCENVIRA COCENVIRB COCENVIRC COCENVIRD

2. In the past 12 months, to what extent have you witnessed people in your unit... Mark one answer for each item.

	1 Not at all
	2 Small extent
	3 Moderate extent
	4 Large extent
	5 Very large extent
	a. Promote a unit climate based on mutual respect and trust?
	b. Refrain from sexist comments and behaviors?
	c. Recognize and immediately correct incidents of sexual harassment?
	d. Encourage bystander intervention to assist others in situations at risk for sexual assault or other harmful behaviors?

WRKUNITA WRKUNITB WRKUNITC WRKUNITD WRKUNITE WRKUNITF WRKUNITG WRKUNITH WRKUNITI

3. How much do you agree or disagree with the following statements regarding your current military workplace? Mark one answer for each item.

	1 Strongly disagree
	2 Disagree
	3 Neither agree nor disagree
	4 Agree
	5 Strongly agree
	a. It would be risky for me to file a sexual harassment complaint.
	b. A sexual harassment complaint would not be taken seriously.
	c. A sexual harassment complaint would be thoroughly investigated.
	d. I would feel comfortable reporting a sexual harassment complaint.
	e. Sexual harassment is not tolerated.
	f. Individuals who sexually harass others get away with it.
	g. I would be afraid to file a sexual harassment complaint.
	h. Penalties against individuals who sexually harass others at work are strongly enforced.
	i. Actions are being taken to prevent sexual harassment.

EXPHARA EXPHARB EXPHARC EXPHARD

4. Do you believe you have experienced harassment (bothersome, upsetting, or offensive statements or behaviors that someone from your work might have said or done) in your military workplace... Mark “Yes” or “No” for each item.

	1 No
	2 Yes
	a. As a result of your race/​ethnicity?
	b. As a result of your gender?
	c. As a result of your sexual orientation?
	d. As a result of your religion?

HOW ARE WE DOING?

SHMIL SAMIL

5. In your opinion… Mark one answer for each item.

	60 Do not know
	3 More of a problem today
	2 About the same as 2 years ago
	1 Less of a problem today
	a. Has sexual harassment in the military become more or less of a problem over the last 2 years?
	b. Has sexual assault in the military become more or less of a problem over the last 2 years?

ADDITIONAL BACKGROUND INFORMATION

SEXORIENT

6. Do you consider yourself to be...? Mark one.

1		Heterosexual or straight
2		Gay or lesbian
3		Bisexual
4		Something else
5		Prefer not to answer

GENDERID

7. Do you currently describe yourself as male, female, or transgender? Mark one.

1		Male
2		Female
3		Transgender
4		None of these

SRHISPA

8. Are you Spanish/​Hispanic/​Latino?

1		No, not Spanish/​Hispanic/​Latino
2		Yes, Mexican, Mexican-American, Chicano, Puerto Rican, Cuban, or other Spanish/​Hispanic/​Latino

SRRACEC SRRACED SRRACEB SRRACEE SRRACEA

9. What is your race? Mark one or more races to indicate what you consider yourself to be.

		American Indian or Alaska Native
		Asian (for example, Asian Indian, Chinese, Filipino, Japanese, Korean, or Vietnamese)
		Black or African American
		Native Hawaiian or other Pacific Islander (for example, Samoan, Guamanian, or Chamorro)
		White

CELLPHONE

10. Please share your mobile phone number below if you'd like to participate in future opportunities to weigh in on critical issues that impact military members.

OPA 1