Survey Crosswalk

0704-XXXX_Survey Crosswalk_EFMP_10.3.2022.xlsx

Exceptional Family Member Program Survey

Survey Crosswalk

OMB: 0704-0638

Document [xlsx]
Download: xlsx | pdf

Overview

DoD Requirement Evals (1-9)
DoD Evals (1-9) by EFMP Q's
Army Aims
Army Aims by EFMP Q's


Sheet 1: DoD Requirement Evals (1-9)

1. Examine the extent to which EFMP policies and processes are meeting the needs of families enrolled in EFMP
·   Evaluation Question 1: How do families experience EFMP enrollment?
·   Evaluation Question 2: How do families identify and access support through EFMP Family Support providers?
·   Evaluation Question 3: How do families experience transition of services (e.g., relocation)?
·   Evaluation Question 4: To what extent are processes meeting EFMP program goals?


2.    Examine satisfaction with EFMP services for families enrolled in the program
·   Evaluation Question 5: Are customers satisfied with the services available to them?
·   Evaluation Question 6: Are customers satisfied with the coordination of services received?


3.    Examine the extent to which families with special needs are demonstrating resilience and readiness
·   Evaluation Question 7: Examine the relationship between EFMP service utilization/satisfaction and readiness and resilience (e.g., relocation preparedness, stress management)


4. Examine the availability and accessibility of programs provided by other Federal, State, local, and non-governmental agencies to military families enrolled in the EFMP

Evaluation Question 8: Are military families enrolled in the EFMP able to access other services and supports to meet their needs?

Evaluation Question 9: To what extent do families find the services and supports provided by other entities beneficial?

Sheet 2: DoD Evals (1-9) by EFMP Q's

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









Q1 In what sErvice were you on active duty on October XX, 2022?









Q2 Do you have any dependent(s) who are currently enrolled in the Exceptional Family Member Program (EFMP)?









Q3 What is your current paygrade?









Q4 How long have you srved on active duty?









Q5 How old are you?









Q6 What is your maritala status?









Q7 Do you have a signficant other?









Q11 Where do you live at your permanent duty station?









Q12 Please tell us about all of the military dependents in your family who are enrolled in EFMP.









Q13 How long has your dependent(s) been enrolled in the EFMP?









Q16 How often has your Leadership provided the needed supports to assist you with your family’s needs?

X X X X X


Q17 Since enrolling in the EFMP, to what extent have the needs of your family member(s) enrolled in the program been met?



X X X


Q18 Overall, how satisfied/dissatisfied are you with EFMP?
X

X




Q19 How long did it take for you (your family) to complete the enrollment process?
X

X




Q20A How satisfied are you (or your family) with the following aspects of the EFMP enrollment process? Directions received for the enrollment process
X

X




Q20B How satisfied are you (or your family) with the following aspects of the EFMP enrollment process? Timeliness of the enrollment process
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




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




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

X




Q26 Overall, how satisfied are you with the EFMP enrollment process?

X
X X 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
X X 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
X X X


Q31 Did the Family Support providers provide you with a link to the EFMP Family Support Feedback Tool during your most recent visit?

X
X X X


Q32A What are the reasons for not engaging with the EFMP Family Support? Location

X
X X X


Q32B What are the reasons for not engaging with the EFMP Family Support? Availability of child care

X
X X X


Q32C What are the reasons for not engaging with the EFMP Family Support? Expense of child care

X
X X X


Q32D What are the reasons for not engaging with the EFMP Family Support? Hours of operation

X
X X X


Q32E What are the reasons for not engaging with the EFMP Family Support? Conflict with work schedule

X
X X X


Q32F What are the reasons for not engaging with the EFMP Family Support? Transportation

X
X X X


Q32G What are the reasons for not engaging with the EFMP Family Support? Unaware of Family Support services

X
X X X


Q32H What are the reasons for not engaging with the EFMP Family Support? Unable to reach Family Support provider

X
X X X


Q32I What are the reasons for not engaging with the EFMP Family Support? Did not need support in the past 12 months

X
X X X


Q32J What are the reasons for not engaging with the EFMP Family Support? Other


X X X X


Q33 Since enrolling in the Exceptional Family Members Program, how many times have you (or your family) relocated because of a PCS move?


X X X X


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


X X X X


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


X X X X


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


X X X X


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


X X X X


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


X X X X


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


X X X X


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 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 X 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 X 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 X 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 X 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?

X X X X X


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?

X X X X X


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 X X X


Q39 Overall, to what extent did the EFMP support make your PCS move smoother?

X X X X X


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?

X X X X X


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?

X X X X X


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?

X X X X X


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?

X X X 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 X X X


Q43B Be responsive when handling the move?

X X X X X


Q43C Help you access services at the new location with ease?

X X X X X


Q43D Be helpful during the transition?


X x X X


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?


X x X X


Q44B During your most recent PCS move, to what extent… Were you able to access medical services during the move?


X x X X


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 X


Q48 Did you receive primary care medical services in the past 12 months?



X X X


Q49 Overall, how satisfied were you with the primary care medical services you received in the past 12 months?



X X X


Q50 Did you receive specialty care medical services in the past 12 months?



X X X


Q51 Overall, how satisfied were you with the specialty care medical services you received in the past 12 months?

X
X X X


Q52 Have you used any respite care services offered through your Military Service Family Support Program in the past two years?

X
X X 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 X X


Q54 Have you used any respite care services offered through TRICARE ECHO in the past two years?



X X 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 Q59 Overall, how satisfied were you with the legal assistance you received in the past 12 months?



X




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

X
X




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







X
Q60C To what extent do you agree or disagree with the following statements? Mark one answer for each item. Accessing relevant services was easy

X






Q62 What resource do you use most often to access information about EFMP?







X
Q63A Did you or your family use any of the following additional services? Housing assistance;







X
Q63B Did you or your family use any of the following additional services? Child care services







X
Q63C Did you or your family use any of the following additional services? Non-medical counseling







X
Q63D Did you or your family use any of the following additional services? school liaison program;







X
Q63E Did you or your family use any of the following additional services? Military and Family Support Center







X
Q63F Did you or your family use any of the following additional services? Education Support Services







X
Q63G Did you or your family use any of the following additional services? Other federal, state, and local resources








X Q64A How helpful were the services in meeting your family's needs? Housing assistance;








X Q64B How helpful were the services in meeting your family's needs? Child care services








X Q64C How helpful were the services in meeting your family's needs? Non-medical counseling








X Q64D How helpful were the services in meeting your family's needs? school liaison program;








X Q64E How helpful were the services in meeting your family's needs? Military and Family Support Center








X Q64F How helpful were the services in meeting your family's needs? Education Support Services








X Q64G How helpful were the services in meeting your family's needs? Other federal, state, and local resources







X
Q65A How accessible were the following additional services? Housing assistance;







X
Q65B How accessible were the following additional services? Child care services







X
Q65C How accessible were the following additional services? Non-medical counseling







X
Q65D How accessible were the following additional services? school liaison program;







X
Q65E How accessible were the following additional services? Military and Family Support Center







X
Q65F How accessible were the following additional services? Education Support Services







X
Q65G How accessible were the following additional services? Other federal, state, and local resources



X X X X

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?



X X X X

Q67A To what extent has being enrolled in the EFMP had a positive or negative impact on… Your job/career options in the military



X X X X

Q67B To what extent has being enrolled in the EFMP had a positive or negative impact on… Your military career progress so far



X X X X

Q67C To what extent has being enrolled in the EFMP had a positive or negative impact on… Your future military career progress



X X X X

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



X X X X

Q67E To what extent has being enrolled in the EFMP had a positive or negative impact on… Your spouse/partner’s career options



X X X X

Q68 Suppose you have to decide whether to stay on active duty. How likely will your EFMP enrollment positively impact your decision to stay?



X X X X

Q69 Based on the services received through EFMP, does your family favor you staying or leaving active duty?

Sheet 3: Army Aims

PROJECT AIMS
1.    Evaluate the level of accessibility of EFMP services for Active Duty Army Soldiers and their families
·   Evaluation Question 1: How do EFMP families learn about services available to them?
·   Evaluation Question 2: How do families identify and access support through EFMP and System Navigators (i.e., Family support staff)?
·   Evaluation Question 3: How do families experience hand-offs?
2.    Evaluate perceptions of satisfaction with EFMP services for Active Duty Army Soldiers and their families
·   Evaluation Question 4: Are customers satisfied with how they learn about services available to them?
·   Evaluation Question 5: Are customers satisfied with their coordination and services?
·   Hypothesis 1: Soldiers with greater access to EFMP services and System Navigators will also report greater satisfaction with EFMP.
3.    Investigate how Soldier and family characteristics (e.g., age, gender, rank) are related to perceptions of and experiences with EFMP services
·   Hypothesis 2: Soldier rank will impact perceptions of accessibility and satisfaction with services. Junior enlisted Soldiers will report lower accessibility, overall, as well as higher satisfaction among those who access services.
4.    Examine links between EFMP service accessibility/satisfaction and Soldier readiness and performance (e.g., lost duty time, spouse employment, and transitional stress associated with relocations)
·   Hypothesis 3: Access to, and satisfaction with, System Navigator services will be related to improved outcomes, including less lost duty time, fewer barriers to spouse employment, and lower transitional stress during relocations.

Sheet 4: Army Aims by EFMP Q's

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








x Q1 In what Service were you on active duty on October XX, 2022?








x
Q10 What is your current spouse/partner’s current employment status?









x Q12 Please tell us about all of the military dependents in your family who are enrolled in EFMP.










Q13 How long has your dependent(s) been enrolled in the EFMP?





x x x x
Q14 What was your rank when your family was first enrolled in EFMP?

x







Q15 What circumstances led to your family's enrollment in the EFMP?










Q16 How often has your Leadership provided the needed supports to assist you with your family’s needs?





x x x x
Q17 Since enrolling in the EFMP, to what extent have the needs of your family member(s) enrolled in the program been met?





x x x x
Q18 Overall, how satisfied/dissatisfied are you with EFMP?





x x x x
Q20A How satisfied are you (or your family) with the following aspects of the EFMP enrollment process? Directions received for the enrollment process




x x x x
Q20B How satisfied are you (or your family) with the following aspects of the EFMP enrollment process? Timeliness of the enrollment process




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
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




x x x x
Q61D How satisfied are you (or your family) with the following aspects of the EFMP? The overall support given by EFMP family support staff




x x x x
Q61E How satisfied are you (or your family) with the following aspects of the EFMP? The accessibility of services your family receives




x x x x
Q61F How satisfied are you (or your family) with the following aspects of the EFMP? The quality of services your family receives









Q62 What resource do you use most often to access information about EFMP?









X Q63A Did you or your family use any of the following additional services? Housing assistance;









Q63B Did you or your family use any of the following additional services? Child care services









Q63C Did you or your family use any of the following additional services? Non-medical counseling









Q63D Did you or your family use any of the following additional services? school liaison program;









Q63E Did you or your family use any of the following additional services? Military and Family Support Center








X Q63F Did you or your family use any of the following additional services? Education Support Services









Q63G Did you or your family use any of the following additional services? Other federal, state, and local resources




x



Q64A How helpful were the services in meeting your family's needs? Housing assistance;









Q64B How helpful were the services in meeting your family's needs? Child care services









Q64C How helpful were the services in meeting your family's needs? Non-medical counseling









Q64D How helpful were the services in meeting your family's needs? school liaison program;









Q64E How helpful were the services in meeting your family's needs? Military and Family Support Center




x



Q64F How helpful were the services in meeting your family's needs? Education Support Services









Q64G How helpful were the services in meeting your family's needs? Other federal, state, and local resources




x



Q65A Did you or your family use any of the following additional services? Housing assistance;









Q65B Did you or your family use any of the following additional services? Child care services









Q65C Did you or your family use any of the following additional services? Non-medical counseling









Q65D Did you or your family use any of the following additional services? school liaison program;









Q65E Did you or your family use any of the following additional services? Military and Family Support Center




x



Q65F Did you or your family use any of the following additional services? Education Support Services









Q65G Did you or your family use any of the following additional services? Other federal, state, and local resources







x
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?








x
Q67A To what extent has being enrolled in the EFMP had a positive or negative impact on… Your job/career options in the military







x
Q67B To what extent has being enrolled in the EFMP had a positive or negative impact on… Your military career progress so far







x
Q67C To what extent has being enrolled in the EFMP had a positive or negative impact on… Your future military career progress







x
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







x
Q67E To what extent has being enrolled in the EFMP had a positive or negative impact on… Your spouse/partner’s career options







x
Q68 Suppose you have to decide whether to stay on active duty. How likely will your EFMP enrollment positively impact your decision to stay?








x
Q69 Based on the services received through EFMP, does your family favor you staying or leaving active duty?








x
Q7 Do you have a significant other?








x
Q8 Do you live full-time with your significant other?










Q9 Does your current spouse/partner have any military experience?

File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

© 2024 OMB.report | Privacy Policy