EVALUATION 1 |
EVALUATION 2 |
EVALUATION 3 |
EVALUATION 4 |
EVALUATION 5 |
EVALUATION 6 |
EVALUATION 7 |
EVALUATION 8 |
EVALUATION 9 |
SURVEY QUESTION # |
SURVEY QUESTION TEXT |
SUBITEM TEXT |
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Q1 |
In what sErvice were you on active duty on October XX, 2022? |
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Q2 |
Do you have any dependent(s) who are currently enrolled in the Exceptional Family Member Program (EFMP)? |
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Q3 |
What is your current paygrade? |
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Q4 |
How long have you srved on active duty? |
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Q5 |
How old are you? |
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Q6 |
What is your maritala status? |
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Q7 |
Do you have a signficant other? |
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Q11 |
Where do you live at your permanent duty station? |
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Q12 |
Please tell us about all of the military dependents in your family who are enrolled in EFMP. |
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Q13 |
How long has your dependent(s) been enrolled in the EFMP? |
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Q16 |
How often has your Leadership provided the needed supports to assist you with your family’s needs? |
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X |
X |
X |
X |
X |
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Q17 |
Since enrolling in the EFMP, to what extent have the needs of your family member(s) enrolled in the program been met? |
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X |
X |
X |
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Q18 |
Overall, how satisfied/dissatisfied are you with EFMP? |
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X |
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X |
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Q19 |
How long did it take for you (your family) to complete the enrollment process? |
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X |
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Q20A |
How satisfied are you (or your family) with the following aspects of the EFMP enrollment process? |
Directions received for the enrollment process |
X |
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X |
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Q20B |
How satisfied are you (or your family) with the following aspects of the EFMP enrollment process? |
Timeliness of the enrollment process |
X |
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X |
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Q20C |
How satisfied are you (or your family) with the following aspects of the EFMP enrollment process? |
Notification of the enrollment outcome |
X |
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X |
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Q20D |
How satisfied are you (or your family) with the following aspects of the EFMP enrollment process? |
Support from EFMP staff during the enrollment process |
X |
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X |
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Q20E |
How satisfied are you (or your family) with the following aspects of the EFMP enrollment process? |
Information received about the EFMP during the enrollment process |
X |
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X |
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Q26 |
Overall, how satisfied are you with the EFMP enrollment process? |
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X |
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X |
X |
X |
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Q27 |
In the past 12 months, have you (or your family) received assistance (e.g., information, referrals) from the local EFMP Family Support office? |
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X |
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X |
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X |
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Q28 |
In the past 12 months, how often did you (or your family) use the Exceptional Family Members Program Family Support services? |
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X |
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X |
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X |
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Q29A |
How satisfied have you (or your family) been with interactions with the EFMP Family Support providers in the past 12 months? |
Provider's familiarity with local resources; |
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X |
X |
X |
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Q29B |
How satisfied have you (or your family) been with interactions with the EFMP Family Support providers in the past 12 months? |
Accuracy of the information provided; |
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X |
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X |
X |
X |
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Q29C |
How satisfied have you (or your family) been with interactions with the EFMP Family Support providers in the past 12 months? |
Availability of the providers to provide assistance and support; |
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X |
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X |
X |
X |
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Q29D |
How satisfied have you (or your family) been with interactions with the EFMP Family Support providers in the past 12 months? |
Providers accurately acknowledged concerns; |
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X |
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X |
X |
X |
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Q29E |
How satisfied have you (or your family) been with interactions with the EFMP Family Support providers in the past 12 months? |
Professionalism of the staff; |
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X |
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X |
X |
X |
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Q29F |
How satisfied have you (or your family) been with interactions with the EFMP Family Support providers in the past 12 months? |
Responsiveness of staff; |
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X |
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X |
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X |
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Q29G |
How satisfied have you (or your family) been with interactions with the EFMP Family Support providers in the past 12 months? |
Providers tailored support to meet my needs; |
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X |
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X |
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X |
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Q31 |
Did the Family Support providers provide you with a link to the EFMP Family Support Feedback Tool during your most recent visit? |
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X |
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X |
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X |
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Q32A |
What are the reasons for not engaging with the EFMP Family Support? |
Location |
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X |
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Q32B |
What are the reasons for not engaging with the EFMP Family Support? |
Availability of child care |
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X |
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X |
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X |
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Q32C |
What are the reasons for not engaging with the EFMP Family Support? |
Expense of child care |
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X |
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X |
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X |
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Q32D |
What are the reasons for not engaging with the EFMP Family Support? |
Hours of operation |
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X |
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X |
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X |
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Q32E |
What are the reasons for not engaging with the EFMP Family Support? |
Conflict with work schedule |
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X |
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X |
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Q32F |
What are the reasons for not engaging with the EFMP Family Support? |
Transportation |
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X |
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X |
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Q32G |
What are the reasons for not engaging with the EFMP Family Support? |
Unaware of Family Support services |
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X |
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X |
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Q32H |
What are the reasons for not engaging with the EFMP Family Support? |
Unable to reach Family Support provider |
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X |
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X |
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Q32I |
What are the reasons for not engaging with the EFMP Family Support? |
Did not need support in the past 12 months |
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X |
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X |
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Q32J |
What are the reasons for not engaging with the EFMP Family Support? |
Other |
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X |
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Q33 |
Since enrolling in the Exceptional Family Members Program, how many times have you (or your family) relocated because of a PCS move? |
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X |
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X |
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Q35A |
How satisfied were you (or your family) with the following aspects of the assignment coordination process during your most recent PCS move? |
Availability of staff to provide assistance or answer questions |
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X |
X |
X |
X |
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Q35B |
How satisfied were you (or your family) with the following aspects of the assignment coordination process during your most recent PCS move? |
Usefulness of the information shared |
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X |
X |
X |
X |
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Q35C |
How satisfied were you (or your family) with the following aspects of the assignment coordination process during your most recent PCS move? |
Directions received on the assignment coordination process |
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X |
X |
X |
X |
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Q35D |
How satisfied were you (or your family) with the following aspects of the assignment coordination process during your most recent PCS move? |
Notification of the assignment recommendation |
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X |
X |
X |
X |
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Q35E |
How satisfied were you (or your family) with the following aspects of the assignment coordination process during your most recent PCS move? |
Timeliness of the process |
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X |
X |
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X |
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Q35F |
How satisfied were you (or your family) with the following aspects of the assignment coordination process during your most recent PCS move? |
Notification of the option to request a second review of the assignment decision |
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X |
X |
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X |
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Q35G |
How satisfied were you (or your family) with the following aspects of the assignment coordination process during your most recent PCS move? |
Overall assignment coordination process |
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X |
X |
X |
X |
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Q37A |
Based on your experience during your most recent PCS move, please indicate your level of agreement/disagreement with the following statements. |
My family and I were satisfied with the support received to make my PCS move smoother |
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X |
X |
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X |
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Q37B |
How much do you agree or disagree with the following statements about the EFMP family support provider at your previous location? The provider… |
Connected you to the EFMP family support office at the new location?
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X |
X |
X |
X |
X |
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Q37C |
How much do you agree or disagree with the following statements about the EFMP family support provider at your previous location? The provider… |
Initiated the transition to the new location in a timely manner?
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X |
X |
X |
X |
X |
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Q37D |
How much do you agree or disagree with the following statements about the EFMP family support provider at your previous location? The provider… |
Was responsive when handling the move |
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X |
X |
X |
X |
X |
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Q37E |
How much do you agree or disagree with the following statements about the EFMP family support provider at your previous location? The provider… |
Was helpful during the move? |
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X |
X |
X |
X |
X |
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Q37F |
How much do you agree or disagree with the following statements about the EFMP family support provider at your previous location? The provider… |
Reached out to you (or your new family support staff) to follow-up? |
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X |
X |
X |
X |
X |
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Q38 |
During your most recent PCS move, to what extent did Military Treatment Facility (MTF) staff assist with the coordination of medical services at the new location? |
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X |
X |
X |
X |
X |
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Q39 |
Overall, to what extent did the EFMP support make your PCS move smoother? |
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X |
X |
X |
X |
X |
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Q41A |
During your most recent PCS move, to what extent was the EFMP family support provider at your previous location |
Available to address concerns and during the move? |
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X |
X |
X |
X |
X |
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Q41B |
During your most recent PCS move, to what extent was the EFMP family support provider at your previous location |
Provide support during the move? |
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X |
X |
X |
X |
X |
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Q42A |
During your most recent PCS move, to what extent was the EFMP family support provider at your new location |
Available to address concerns and during the move? |
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X |
X |
X |
X |
X |
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Q42B |
During your most recent PCS move, to what extent was the EFMP family support provider at your new location |
Provide support during the move? |
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X |
X |
X |
X |
X |
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Q43A |
During your most recent PCS move, to what extent did the EFMP family support provider at your new location… |
Contact you, if requested, in a timely manner? |
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X |
X |
X |
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X |
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Q43B |
Be responsive when handling the move? |
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X |
X |
X |
X |
X |
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Q43C |
Help you access services at the new location with ease? |
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X |
X |
X |
X |
X |
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Q43D |
Be helpful during the transition? |
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X |
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X |
X |
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Q44A |
During your most recent PCS move, to what extent… |
Did the MTF staff assist with the coordination of medical services at the new location? |
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X |
x |
X |
X |
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Q44B |
During your most recent PCS move, to what extent… |
Were you able to access medical services during the move? |
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X |
X |
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Q44C |
During your most recent PCS move, to what extent… |
Did you receive medical care at the new location in a timely manner? |
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X |
X |
X |
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Q48 |
Did you receive primary care medical services in the past 12 months? |
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X |
X |
X |
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Q49 |
Overall, how satisfied were you with the primary care medical services you received in the past 12 months? |
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X |
X |
X |
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Q50 |
Did you receive specialty care medical services in the past 12 months? |
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X |
X |
X |
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Q51 |
Overall, how satisfied were you with the specialty care medical services you received in the past 12 months? |
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X |
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X |
X |
X |
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Q52 |
Have you used any respite care services offered through your Military Service Family Support Program in the past two years? |
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X |
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X |
X |
X |
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Q53 |
Overall, how satisfied were you with the respite care services you received through your Military Service Family Support Program in the past two years? |
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X |
X |
X |
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Q54 |
Have you used any respite care services offered through TRICARE ECHO in the past two years? |
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X |
X |
X |
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Q55 |
Overall, how satisfied were you with the respite care services you received through TRICARE ECHO in the past two years? |
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X |
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Q56 |
Were you provided educational services (i.e., EIS, DoDEA, public) in the past 12 months? |
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X |
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Q57A |
How easy or difficult was it to receive the following? |
Special Education Services |
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X |
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Q57B |
How easy or difficult was it to receive the following? |
Early intervention services |
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X |
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Q57C |
How easy or difficult was it to receive the following? |
Support to address your child's educational needs |
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X |
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Q58 |
Did you request assistance from your local Military Legal office related to special education concerns in the past 12 months? |
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X |
Q59 |
Overall, how satisfied were you with the legal assistance you received in the past 12 months? |
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X |
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Q60A |
To what extent do you agree or disagree with the following statements? Mark one answer for each item. |
Finding information on available resources was easy |
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X |
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X |
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Q60B |
To what extent do you agree or disagree with the following statements? Mark one answer for each item. |
Connecting with a EFMP Family Support Provider was easy |
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X |
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Q60C |
To what extent do you agree or disagree with the following statements? Mark one answer for each item. |
Accessing relevant services was easy |
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X |
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Q62 |
What resource do you use most often to access information about EFMP? |
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X |
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Q63A |
Did you or your family use any of the following additional services? |
Housing assistance; |
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X |
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Q63B |
Did you or your family use any of the following additional services? |
Child care services |
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X |
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Q63C |
Did you or your family use any of the following additional services? |
Non-medical counseling |
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X |
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Q63D |
Did you or your family use any of the following additional services? |
school liaison program; |
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X |
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Q63E |
Did you or your family use any of the following additional services? |
Military and Family Support Center |
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X |
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Q63F |
Did you or your family use any of the following additional services? |
Education Support Services |
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X |
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Q63G |
Did you or your family use any of the following additional services? |
Other federal, state, and local resources |
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X |
Q64A |
How helpful were the services in meeting your family's needs? |
Housing assistance; |
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X |
Q64B |
How helpful were the services in meeting your family's needs? |
Child care services |
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X |
Q64C |
How helpful were the services in meeting your family's needs? |
Non-medical counseling |
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X |
Q64D |
How helpful were the services in meeting your family's needs? |
school liaison program; |
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X |
Q64E |
How helpful were the services in meeting your family's needs? |
Military and Family Support Center |
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X |
Q64F |
How helpful were the services in meeting your family's needs? |
Education Support Services |
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X |
Q64G |
How helpful were the services in meeting your family's needs? |
Other federal, state, and local resources |
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X |
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Q65A |
How accessible were the following additional services? |
Housing assistance; |
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X |
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Q65B |
How accessible were the following additional services? |
Child care services |
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X |
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Q65C |
How accessible were the following additional services? |
Non-medical counseling |
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X |
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Q65D |
How accessible were the following additional services? |
school liaison program; |
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X |
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Q65E |
How accessible were the following additional services? |
Military and Family Support Center |
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X |
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Q65F |
How accessible were the following additional services? |
Education Support Services |
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X |
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Q65G |
How accessible were the following additional services? |
Other federal, state, and local resources |
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X |
X |
X |
X |
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Q66 |
In the past 12 months, how many days off work have you or your spouse/partner taken to address issues related to your family member's special needs? |
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X |
X |
X |
X |
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Q67A |
To what extent has being enrolled in the EFMP had a positive or negative impact on… |
Your job/career options in the military |
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X |
X |
X |
X |
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Q67B |
To what extent has being enrolled in the EFMP had a positive or negative impact on… |
Your military career progress so far |
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X |
X |
X |
X |
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Q67C |
To what extent has being enrolled in the EFMP had a positive or negative impact on… |
Your future military career progress |
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X |
X |
X |
X |
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Q67D |
To what extent has being enrolled in the EFMP had a positive or negative impact on… |
Your spouse/partner's ability to work a full-time job |
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X |
X |
X |
X |
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Q67E |
To what extent has being enrolled in the EFMP had a positive or negative impact on… |
Your spouse/partner’s career options |
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X |
X |
X |
X |
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Q68 |
Suppose you have to decide whether to stay on active duty. How likely will your EFMP enrollment positively impact your decision to stay? |
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X |
X |
X |
X |
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Q69 |
Based on the services received through EFMP, does your family favor you staying or leaving active duty? |
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EFMP CUES Eval Question 1 |
EFMP CUES Eval Question 2 |
EFMP CUES Eval Question 3 |
EFMP CUES Eval Question 4 |
EFMP CUES Eval Question 5 |
EFMP CUES Hypothesis 1 |
EFMP CUES Hypothesis 2 |
EFMP CUES Hypothesis 3 |
Filter / Sample Selection Variable |
Item # |
Question Text |
Sub question |
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Q1 |
In what Service were you on active duty on October XX, 2022? |
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Q10 |
What is your current spouse/partner’s current employment status? |
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x |
Q12 |
Please tell us about all of the military dependents in your family who are enrolled in EFMP. |
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Q13 |
How long has your dependent(s) been enrolled in the EFMP? |
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x |
x |
x |
x |
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Q14 |
What was your rank when your family was first enrolled in EFMP? |
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x |
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Q15 |
What circumstances led to your family's enrollment in the EFMP? |
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Q16 |
How often has your Leadership provided the needed supports to assist you with your family’s needs? |
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x |
x |
x |
x |
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Q17 |
Since enrolling in the EFMP, to what extent have the needs of your family member(s) enrolled in the program been met? |
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x |
x |
x |
x |
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Q18 |
Overall, how satisfied/dissatisfied are you with EFMP? |
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x |
x |
x |
x |
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Q20A |
How satisfied are you (or your family) with the following aspects of the EFMP enrollment process? |
Directions received for the enrollment process |
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x |
x |
x |
x |
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Q20B |
How satisfied are you (or your family) with the following aspects of the EFMP enrollment process? |
Timeliness of the enrollment process |
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x |
x |
x |
x |
|
Q20C |
How satisfied are you (or your family) with the following aspects of the EFMP enrollment process? |
Notification of the enrollment outcome |
|
|
|
|
|
x |
x |
x |
x |
|
Q20D |
How satisfied are you (or your family) with the following aspects of the EFMP enrollment process? |
Support from EFMP staff during the enrollment process |
|
|
|
|
|
x |
x |
x |
x |
|
Q20E |
How satisfied are you (or your family) with the following aspects of the EFMP enrollment process? |
Information received about the EFMP during the enrollment process |
|
|
|
|
x |
|
|
|
|
|
Q21A |
How did you (or your family) learn about the EFMP? |
Military medical/mental health professionals |
|
|
|
|
x |
|
|
|
|
|
Q21B |
How did you (or your family) learn about the EFMP? |
Civilian medical/mental health professionals |
|
|
|
|
x |
|
|
|
|
|
Q21C |
How did you (or your family) learn about the EFMP? |
Military educational professionals (e.g., DODEA school teacher, administrator, counselor) |
|
|
|
|
x |
|
|
|
|
|
Q21D |
How did you (or your family) learn about the EFMP? |
Civilian educational professionals (e.g., public/private school teacher, administrator, counselor) |
|
|
|
|
x |
|
|
|
|
|
Q21E |
How did you (or your family) learn about the EFMP? |
EFMP Family Support Staff |
|
|
|
|
x |
|
|
|
|
|
Q21F |
How did you (or your family) learn about the EFMP? |
Other EFMP personnel |
|
|
|
|
x |
|
|
|
|
|
Q21G |
How did you (or your family) learn about the EFMP? |
Chaplains |
|
|
|
|
x |
|
|
|
|
|
Q21H |
How did you (or your family) learn about the EFMP? |
Military leaders/command |
|
|
|
|
x |
|
|
|
|
|
Q21I |
How did you (or your family) learn about the EFMP? |
Other Soldiers, military friends, family, or neighbors |
|
|
|
|
x |
|
|
|
|
|
Q21J |
How did you (or your family) learn about the EFMP? |
EFMP & Me / Military OneSource |
|
|
|
|
x |
|
|
|
|
|
Q21K |
How did you (or your family) learn about the EFMP? |
Social media (e.g., Instagram, Twitter, Facebook) |
|
|
|
|
x |
|
|
|
|
|
Q21L |
How did you (or your family) learn about the EFMP? |
Other |
|
|
|
|
x |
|
|
|
|
|
Q22A |
How satisfied were you (or your family) with the information about the EFMP provided by the following sources? |
Military medical/mental health professionals |
|
|
|
|
x |
|
|
|
|
|
Q22B |
How satisfied were you (or your family) with the information about the EFMP provided by the following sources? |
Civilian medical/mental health professionals |
|
|
|
|
x |
|
|
|
|
|
Q22C |
How satisfied were you (or your family) with the information about the EFMP provided by the following sources? |
Military educational professionals (e.g., DODEA school teacher, administrator, counselor) |
|
|
|
|
x |
|
|
|
|
|
Q22D |
How satisfied were you (or your family) with the information about the EFMP provided by the following sources? |
Civilian educational professionals (e.g., public/private school teacher, administrator, counselor) |
|
|
|
|
x |
|
|
|
|
|
Q22E |
How satisfied were you (or your family) with the information about the EFMP provided by the following sources? |
EFMP Family Support Staff |
|
|
|
|
x |
|
|
|
|
|
Q22F |
How satisfied were you (or your family) with the information about the EFMP provided by the following sources? |
Other EFMP personnel |
|
|
|
|
x |
|
|
|
|
|
Q22G |
How satisfied were you (or your family) with the information about the EFMP provided by the following sources? |
Chaplains |
|
|
|
|
x |
|
|
|
|
|
Q22H |
How satisfied were you (or your family) with the information about the EFMP provided by the following sources? |
Military leaders/command |
|
|
|
|
x |
|
|
|
|
|
Q22I |
How satisfied were you (or your family) with the information about the EFMP provided by the following sources? |
Other Soldiers, military friends, family, or neighbors |
|
|
|
|
x |
|
|
|
|
|
Q22J |
How satisfied were you (or your family) with the information about the EFMP provided by the following sources? |
EFMP & Me / Military OneSource |
|
|
|
|
x |
|
|
|
|
|
Q22K |
How satisfied were you (or your family) with the information about the EFMP provided by the following sources? |
Social media (e.g., Instagram, Twitter, Facebook) |
|
|
|
|
x |
|
|
|
|
|
Q22L |
How satisfied were you (or your family) with the information about the EFMP provided by the following sources? |
Other |
|
x |
|
|
|
|
|
|
|
|
Q23A |
How easy or difficult were each of the following aspects of your EFMP enrollment experiences? |
Finding information on available resources, in general |
|
|
x |
|
|
|
|
|
|
|
Q23B |
How easy or difficult were each of the following aspects of your EFMP enrollment experiences? |
Finding information on the specific resources your family needed |
|
|
x |
|
|
|
|
|
|
|
Q23C |
How easy or difficult were each of the following aspects of your EFMP enrollment experiences? |
Connecting with EFMP Family Support Staff for the first time
|
|
|
x |
|
|
|
|
|
|
|
Q23D |
How easy or difficult were each of the following aspects of your EFMP enrollment experiences? |
Deciding which services to use or access |
|
|
x |
|
|
|
|
|
|
|
Q23E |
How easy or difficult were each of the following aspects of your EFMP enrollment experiences? |
Accessing relevant services for the first time
|
|
|
x |
|
|
|
|
|
|
|
Q24A |
How strongly would you agree or disagree with these statements about initiating your EFMP enrollment and services? |
A medical or educational professional reached out to your family early in the EFMP enrollment process |
|
|
x |
|
|
|
|
|
|
|
Q24B |
How strongly would you agree or disagree with these statements about initiating your EFMP enrollment and services? |
A Family Support Staff member reached out to your family early in the EFMP enrollment process |
|
|
x |
|
|
|
|
|
|
|
Q24C |
How strongly would you agree or disagree with these statements about initiating your EFMP enrollment and services? |
Our family had to advocate for our Exceptional Family Member (EFM) to get the services they need |
|
|
x |
|
|
|
|
|
|
|
Q25 |
|
How long after your most recent EFMP enrollment were you connected with a Family Support Staff member? |
|
|
|
|
|
|
|
|
|
X |
Q27 |
In the past 12 months, have you (or your family) received assistance (e.g., information, referrals) from the local EFMP Family Support office? |
|
|
|
|
|
|
|
|
|
|
x |
Q28 |
In the past 12 months, how often did you (or your family) use the Exceptional Family Members Program Family Support services? |
|
|
|
|
|
|
x |
x |
x |
x |
|
Q29A |
How satisfied have you (or your family) been with interactions with the EFMP Family Support providers in the past 12 months? |
Provider's familiarity with local resources; |
|
|
|
|
|
x |
x |
x |
x |
|
Q29B |
How satisfied have you (or your family) been with interactions with the EFMP Family Support providers in the past 12 months? |
Accuracy of the information provided; |
|
|
|
|
|
x |
x |
x |
x |
|
Q29C |
How satisfied have you (or your family) been with interactions with the EFMP Family Support providers in the past 12 months? |
Availability of the providers to provide assistance and support; |
|
|
|
|
|
x |
x |
x |
x |
|
Q29D |
How satisfied have you (or your family) been with interactions with the EFMP Family Support providers in the past 12 months? |
Providers accurately acknowledged concerns; |
|
|
|
|
|
x |
x |
x |
x |
|
Q29E |
How satisfied have you (or your family) been with interactions with the EFMP Family Support providers in the past 12 months? |
Professionalism of the staff; |
|
|
|
|
|
x |
x |
x |
x |
|
Q29F |
How satisfied have you (or your family) been with interactions with the EFMP Family Support providers in the past 12 months? |
Responsiveness of staff; |
|
|
|
|
|
x |
x |
x |
x |
|
Q29G |
How satisfied have you (or your family) been with interactions with the EFMP Family Support providers in the past 12 months? |
Providers tailored support to meet my needs; |
|
|
x |
|
|
|
|
|
|
|
Q30A |
How much do you agree or disagree with the following statements about your interactions with the EFMP Family Support Staff in the past 12 months? |
You frequently attempt to communicate with your EFMP Family Support Staff |
|
|
|
|
|
x |
x |
x |
x |
|
Q30B |
How much do you agree or disagree with the following statements about your interactions with the EFMP Family Support Staff in the past 12 months? |
Your EFMP Family Support Staff responds quickly when you reach out (e.g., answers the phone, replies to emails) |
|
|
|
|
|
x |
x |
x |
x |
|
Q30C |
How much do you agree or disagree with the following statements about your interactions with the EFMP Family Support Staff in the past 12 months? |
Your EFMP Family Support Staff helps enroll/sign up your Exceptional Family Member for the care/services they need |
|
|
|
|
|
x |
x |
x |
x |
|
Q30D |
How much do you agree or disagree with the following statements about your interactions with the EFMP Family Support Staff in the past 12 months? |
Your EFMP Family Support Staff helps ensure your Exceptional Family Member receives the care/services they need |
|
|
|
|
|
x |
x |
x |
x |
|
Q30E |
How much do you agree or disagree with the following statements about your interactions with the EFMP Family Support Staff in the past 12 months? |
Your EFMP Family Support Staff helps resolve problems as they arise |
|
|
|
|
|
|
|
|
|
|
Q31 |
Did the Family Support providers provide you with a link to the EFMP Family Support Feedback Tool during your most recent visit? |
|
|
|
|
|
|
|
|
|
|
|
Q32A |
What are the reasons for not engaging with the EFMP Family Support? |
Location |
|
|
|
|
|
|
|
|
|
|
Q32B |
What are the reasons for not engaging with the EFMP Family Support? |
Availability of child care |
|
|
|
|
|
|
|
|
|
|
Q32C |
What are the reasons for not engaging with the EFMP Family Support? |
Expense of child care |
|
|
|
|
|
|
|
|
|
|
Q32D |
What are the reasons for not engaging with the EFMP Family Support? |
Hours of operation |
|
|
|
|
|
|
|
|
|
|
Q32E |
What are the reasons for not engaging with the EFMP Family Support? |
Conflict with work schedule |
|
|
|
|
|
|
|
|
|
|
Q32F |
What are the reasons for not engaging with the EFMP Family Support? |
Transportation |
|
|
|
|
|
|
|
|
|
|
Q32G |
What are the reasons for not engaging with the EFMP Family Support? |
Unaware of Family Support services |
|
|
|
|
|
|
x |
x |
x |
|
Q32H |
What are the reasons for not engaging with the EFMP Family Support? |
Unable to reach Family Support provider |
|
|
|
|
|
|
|
|
|
x |
Q32I |
What are the reasons for not engaging with the EFMP Family Support? |
Did not need support in the past 12 months |
|
|
|
|
|
|
|
|
|
|
Q32J |
What are the reasons for not engaging with the EFMP Family Support? |
Other |
|
|
|
|
|
|
|
|
x |
|
Q33 |
Since enrolling in the Exceptional Family Members Program, how many times have you (or your family) relocated because of a PCS move? |
|
|
|
|
|
|
|
|
|
|
|
Q35A |
How satisfied were you (or your family) with the following aspects of the assignment coordination process during your most recent PCS move? |
Availability of staff to provide assistance or answer questions |
|
|
|
|
|
|
|
|
|
|
Q35B |
How satisfied were you (or your family) with the following aspects of the assignment coordination process during your most recent PCS move? |
Usefulness of the information shared |
|
|
|
|
|
|
|
|
|
|
Q35C |
How satisfied were you (or your family) with the following aspects of the assignment coordination process during your most recent PCS move? |
Directions received on the assignment coordination process |
|
|
|
|
|
|
|
|
|
|
Q35D |
How satisfied were you (or your family) with the following aspects of the assignment coordination process during your most recent PCS move? |
Notification of the assignment recommendation |
|
|
|
|
|
|
|
|
|
|
Q35E |
How satisfied were you (or your family) with the following aspects of the assignment coordination process during your most recent PCS move? |
Timeliness of the process |
|
|
|
|
|
|
|
|
|
|
Q35F |
How satisfied were you (or your family) with the following aspects of the assignment coordination process during your most recent PCS move? |
Notification of the option to request a second review of the assignment decision |
|
|
|
|
|
|
|
|
|
|
Q35G |
How satisfied were you (or your family) with the following aspects of the assignment coordination process during your most recent PCS move? |
Overall assignment coordination process |
|
|
|
x |
|
x |
|
|
|
|
Q36A |
During your most recent PCS move, how did the following aspects impact your experience during assignment coordination? |
Being enrolled in the EFMP |
|
|
|
x |
|
x |
|
|
|
|
Q36B |
To what extent did the following aspects impact your experience during assignment coordination? |
Identifying services at new location |
|
|
|
x |
|
x |
|
|
|
|
Q36C |
To what extent did the following aspects impact your experience during assignment coordination? |
Availability of necessary services at new location |
|
|
|
x |
|
|
|
|
x |
|
Q37A |
Based on your experience during your most recent PCS move, please indicate your level of agreement/disagreement with the following statements. |
My family and I were satisfied with the support received to make my PCS move smoother |
|
|
|
x |
|
|
|
|
x |
|
Q37B |
How much do you agree or disagree with the following statements about the EFMP family support provider at your previous location? The provider… |
Connected you to the EFMP family support office at the new location?
|
|
|
|
x |
|
|
|
|
x |
|
Q37C |
How much do you agree or disagree with the following statements about the EFMP family support provider at your previous location? The provider… |
Initiated the transition to the new location in a timely manner?
|
|
|
|
x |
|
|
|
|
x |
|
Q37D |
How much do you agree or disagree with the following statements about the EFMP family support provider at your previous location? The provider… |
Was responsive when handling the move |
|
|
|
X |
|
|
|
|
x |
|
Q37E |
How much do you agree or disagree with the following statements about the EFMP family support provider at your previous location? The provider… |
Was helpful during the move? |
|
|
|
|
|
|
|
|
|
|
Q37F |
How much do you agree or disagree with the following statements about the EFMP family support provider at your previous location? The provider… |
Reached out to you (or your new family support staff) to follow-up? |
|
|
|
|
|
|
|
|
|
|
Q38 |
During your most recent PCS move, to what extent did Military Treatment Facility (MTF) staff assist with the coordination of medical services at the new location? |
|
|
|
|
x |
|
|
|
|
x |
|
Q43A |
During your most recent PCS move, to what extent did the EFMP family support provider at your new location… |
Contact you, if requested, in a timely manner? |
|
|
|
x |
|
|
|
|
x |
|
Q43B |
Be responsive when handling the move? |
|
|
|
|
x |
|
|
|
|
x |
|
Q43C |
Help you access services at the new location with ease? |
|
|
|
|
x |
|
|
|
|
x |
|
Q43D |
Be helpful during the transition? |
|
|
|
|
|
|
|
|
|
|
|
Q44A |
During your most recent PCS move, to what extent… |
Did the MTF staff assist with the coordination of medical services at the new location? |
|
|
|
|
|
|
|
|
|
|
Q44B |
During your most recent PCS move, to what extent… |
Were you able to access medical services during the move? |
|
|
|
|
|
|
|
|
|
|
Q44C |
During your most recent PCS move, to what extent… |
Did you receive medical care at the new location in a timely manner? |
|
|
|
x |
|
|
|
|
x |
|
Q46 |
Did you or your family have a designated EFMP family support staff member…? |
|
|
|
|
x |
|
|
|
|
x |
|
Q47A |
Across the entire span of your most recent PCS move (e.g., during assignment coordination, packing and preparing, transport/moving, getting settled in your new location), how often… |
Were you upset because of something that happened unexpectedly? |
|
|
|
x |
|
|
|
|
x |
|
Q47B |
Across the entire span of your most recent PCS move (e.g., during assignment coordination, packing and preparing, transport/moving, getting settled in your new location), how often… |
Did you feel that you were unable to control the important things in your life? |
|
|
|
x |
|
|
|
|
x |
|
Q47C |
Across the entire span of your most recent PCS move (e.g., during assignment coordination, packing and preparing, transport/moving, getting settled in your new location), how often… |
Did you feel nervous and “stressed”? |
|
|
|
x |
|
|
|
|
x |
|
Q47D |
Across the entire span of your most recent PCS move (e.g., during assignment coordination, packing and preparing, transport/moving, getting settled in your new location), how often… |
Did you feel confident about your ability to handle your personal problems? |
|
|
|
x |
|
|
|
|
x |
|
Q47E |
Across the entire span of your most recent PCS move (e.g., during assignment coordination, packing and preparing, transport/moving, getting settled in your new location), how often… |
Did you feel that things were going your way? |
|
|
|
x |
|
|
|
|
x |
|
Q47F |
Across the entire span of your most recent PCS move (e.g., during assignment coordination, packing and preparing, transport/moving, getting settled in your new location), how often… |
Did you find that you could not cope with all the things that you had to do? |
|
|
|
x |
|
|
|
|
x |
|
Q47G |
Across the entire span of your most recent PCS move (e.g., during assignment coordination, packing and preparing, transport/moving, getting settled in your new location), how often… |
Were you able to control irritations in your life? |
|
|
|
x |
|
|
|
|
x |
|
Q47H |
Across the entire span of your most recent PCS move (e.g., during assignment coordination, packing and preparing, transport/moving, getting settled in your new location), how often… |
Did you feel that you were on top of things? |
|
|
|
x |
|
|
|
|
x |
|
Q47I |
Across the entire span of your most recent PCS move (e.g., during assignment coordination, packing and preparing, transport/moving, getting settled in your new location), how often… |
Were you angered by things outside of your control? |
|
|
|
x |
|
|
|
|
x |
|
Q47J |
Across the entire span of your most recent PCS move (e.g., during assignment coordination, packing and preparing, transport/moving, getting settled in your new location), how often… |
Did you feel that difficulties were piling up so high that you could not overcome them? |
|
|
|
|
|
|
|
|
|
|
Q48 |
Did you receive primary care medical services in the past 12 months? |
|
|
|
|
|
|
|
|
|
|
|
Q49 |
Overall, how satisfied were you with the primary care medical services you received in the past 12 months? |
|
|
|
|
|
|
|
|
|
|
|
Q50 |
Did you receive specialty care medical services in the past 12 months? |
|
|
|
|
|
|
|
|
|
|
|
Q51 |
Overall, how satisfied were you with the specialty care medical services you received in the past 12 months? |
|
|
|
|
|
|
x |
|
|
|
|
Q52 |
Have you used any respite care services offered through your Military Service Family Support Program in the past two years? |
|
|
|
|
|
|
x |
|
|
|
|
Q53 |
Overall, how satisfied were you with the respite care services you received through your Military Service Family Support Program in the past two years? |
|
|
|
|
|
|
x |
|
|
|
|
Q54 |
Have you used any respite care services offered through TRICARE ECHO in the past two years? |
|
|
|
|
|
|
x |
|
|
|
|
Q55 |
Overall, how satisfied were you with the respite care services you received through TRICARE ECHO in the past two years? |
|
|
|
|
|
|
|
|
|
|
x |
Q56 |
Were you provided educational services (i.e., EIS, DoDEA, public) in the past 12 months? |
|
|
|
|
|
|
x |
|
|
|
|
Q57A |
How easy or difficult was it to receive the following? |
Special Education Services |
|
|
|
|
|
x |
|
|
|
|
Q57B |
How easy or difficult was it to receive the following? |
Early intervention services |
|
|
|
|
|
x |
|
|
|
|
Q57C |
How easy or difficult was it to receive the following? |
Support to address your child's educational needs |
|
|
|
|
|
x |
|
|
|
|
Q58 |
Did you request assistance from your local Military Legal office related to special education concerns in the past 12 months? |
|
|
|
|
|
|
|
|
|
x |
|
Q6 |
What is your marital status?
|
|
|
|
|
|
|
x |
x |
x |
x |
|
Q61A |
How satisfied are you (or your family) with the following aspects of the EFMP? |
The coordination of your family’s services |
|
|
|
|
|
x |
x |
x |
x |
|
Q61B |
How satisfied are you (or your family) with the following aspects of the EFMP? |
The ability of EFMP family support staff to coordinate your services |
|
|
|
|
|
x |
x |
x |
x |
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Q61C |
How satisfied are you (or your family) with the following aspects of the EFMP? |
How quickly EFMP family support staff respond to your family |
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x |
x |
x |
x |
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Q61D |
How satisfied are you (or your family) with the following aspects of the EFMP? |
The overall support given by EFMP family support staff |
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x |
x |
x |
x |
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Q61E |
How satisfied are you (or your family) with the following aspects of the EFMP? |
The accessibility of services your family receives |
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x |
x |
x |
x |
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Q61F |
How satisfied are you (or your family) with the following aspects of the EFMP? |
The quality of services your family receives |
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Q62 |
What resource do you use most often to access information about EFMP? |
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X |
Q63A |
Did you or your family use any of the following additional services? |
Housing assistance; |
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Q63B |
Did you or your family use any of the following additional services? |
Child care services |
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Q63C |
Did you or your family use any of the following additional services? |
Non-medical counseling |
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Q63D |
Did you or your family use any of the following additional services? |
school liaison program; |
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Q63E |
Did you or your family use any of the following additional services? |
Military and Family Support Center |
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X |
Q63F |
Did you or your family use any of the following additional services? |
Education Support Services |
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Q63G |
Did you or your family use any of the following additional services? |
Other federal, state, and local resources |
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x |
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Q64A |
How helpful were the services in meeting your family's needs? |
Housing assistance; |
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Q64B |
How helpful were the services in meeting your family's needs? |
Child care services |
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Q64C |
How helpful were the services in meeting your family's needs? |
Non-medical counseling |
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Q64D |
How helpful were the services in meeting your family's needs? |
school liaison program; |
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Q64E |
How helpful were the services in meeting your family's needs? |
Military and Family Support Center |
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x |
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Q64F |
How helpful were the services in meeting your family's needs? |
Education Support Services |
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Q64G |
How helpful were the services in meeting your family's needs? |
Other federal, state, and local resources |
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x |
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Q65A |
Did you or your family use any of the following additional services? |
Housing assistance; |
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Q65B |
Did you or your family use any of the following additional services? |
Child care services |
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Q65C |
Did you or your family use any of the following additional services? |
Non-medical counseling |
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Q65D |
Did you or your family use any of the following additional services? |
school liaison program; |
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Q65E |
Did you or your family use any of the following additional services? |
Military and Family Support Center |
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x |
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Q65F |
Did you or your family use any of the following additional services? |
Education Support Services |
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Q65G |
Did you or your family use any of the following additional services? |
Other federal, state, and local resources |
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x |
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Q66 |
In the past 12 months, how many days off work have you or your spouse/partner taken to address issues related to your family member's special needs? |
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x |
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Q67A |
To what extent has being enrolled in the EFMP had a positive or negative impact on… |
Your job/career options in the military |
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x |
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Q67B |
To what extent has being enrolled in the EFMP had a positive or negative impact on… |
Your military career progress so far |
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x |
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Q67C |
To what extent has being enrolled in the EFMP had a positive or negative impact on… |
Your future military career progress |
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x |
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Q67D |
To what extent has being enrolled in the EFMP had a positive or negative impact on… |
Your spouse/partner's ability to work a full-time job |
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x |
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Q67E |
To what extent has being enrolled in the EFMP had a positive or negative impact on… |
Your spouse/partner’s career options |
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x |
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Q68 |
Suppose you have to decide whether to stay on active duty. How likely will your EFMP enrollment positively impact your decision to stay? |
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x |
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Q69 |
Based on the services received through EFMP, does your family favor you staying or leaving active duty? |
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x |
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Q7 |
Do you have a significant other? |
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x |
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Q8 |
Do you live full-time with your significant other? |
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Q9 |
Does your current spouse/partner have any military experience? |
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