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1 - TAKE A SURVEY
2 - SURVEY INFORMATION
a) Survey Overview
b) Survey Policy
c) Survey Instructions
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e) Hierarchy View
f) Optional Survey Items
3 - SAMPLE SURVEYS
a) GCA Survey
b) HHQ Survey
c) POV/PMV Survey
d) MTRCYCL Survey
e) D&D Survey
f) OD&R Survey
g) VPP Survey
h) MLC/IHA Survey
i) KGS Safety Survey
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5 - SAMPLE RESULTS
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8 - CONSIDERATIONS
a) All surveys
b) GCA Survey
c) HHQ Survey
d) POV/PMV Survey
e) MTRCYCL Survey
f) D&D Survey
g) OD&R Survey
h) VPP Survey
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RCS MC-5100-07
CUI
[=]
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Privately Owned Vehicle (POV)/Private Motor Vehicle (PMV) Survey
We cannot assure anonymity to respondents who admit to criminal activity or provide statements that imply a threat to themselves or others.
Do NOT discuss or comment on classified, operationally sensitive, or personally identifiable information.
PURPOSE:
This survey is designed to give members of the opportunity to provide
anonymous
feedback to the commander. This process helps leadership identify concerns and highlight areas where they might best focus their efforts.
SURVEY INSTRUCTIONS:
ALL
survey items must be answered.
Once all survey items are completed, click on the Submit button at the bottom of the page.
When you have submitted the survey, a "Thank You" note will appear.
For purposes of this survey, CO refers to the senior CO in the unit; (e.g., Bn CO in a battalion). If respondents desire to address conditions at higher, adjacent, or lower levels, provide those remarks in the free text comments section.
OUR COMMITMENT TO ANONYMITY:
Responses
cannot
be tied to the respondent.
Your
responses
are anonymous.
Your responses are separated from your personal information (e.g., rank, gender, etc.) so that your CO cannot tie the two together. For example, you may be the only female, E-8 in your unit, but your CO cannot tie your responses to that information. Please call 888-603-3170 if you would like to learn how these protections are implemented.
Please select one:
Military
Civilian
7-Digit PIN:
Your grade/rank:
Cadet Candidate
C1C
C2C
C3C
C4C
E1
E2
E3
E4
E5
E6
E7
E8
E9
WO1
CWO2
CWO3
CWO4
CWO5
O1
O2
O3
O4
O5
O6
O7 to O10
No Response
Your grade/rank:
NH-I
NH-II
NH-III
NH-IV
NJ-I
NJ-II
NJ-III
NJ-IV
NJ-V
NK-I
NK-II
NK-III
GS-1 to GS-3
GS-4 to GS-8
GS-9 to GS-11
GS-12 to GS-13
GS-14 & above
WS-7 & below
WS-8 to WS-13
WS-14 & above
WG-8 & below
WG-9 to WG-11
WG-12 & above
WL-5 & below
WL-6 & above
YA-1/2/3
YB-1/2/3
YC-1/2/3
YD-1/2/3
YE-1/2/3/4
YF-1/2/3
YG-2/3
YH-1/2/3
YI-1/2/3
YJ-1/2/3/4
YK-1/2/3
YL-1/2/3/4
YM-1/2
YN-1/2/3
YP-1
Contractor
NAF
Other
No response
Your age
< 21
21 - 22
23 - 24
25 - 30
> 30
No response
Your branch of the military
I am in the USN
I am in the USMC
I am in the US Army
I am in the USAF
I am in the USCG
I am a U.S. civilian
Other
No response
Your sex
Male
Female
No response
Your current marital status
Never Been Married
Married
Separated
Divorced
Widow/Widower
No response
Have you recently returned from Unit Deployment
Within last month
1-2 months
3-6 months
Greater than 6 months
Currently deployed
Not Applicable
No response
Have you received POV/PMV training after return from deployment
Yes
No
Not Applicable
No response
Your distance from residence to work
<1 mile
1-5 miles
6-10 miles
11-20 miles
>20 miles
No response
Your travel time from residence to work
<15 minutes
15-30 minutes
31-45 minutes
46-60 minutes
>60 minutes
No response
Your travel time from work to residence
<15 minutes
15-30 minutes
31-45 minutes
46-60 minutes
>60 minutes
No response
Your usual mode of transportation to/from work
Walk/jog
Bicycle
Motorcycle
Auto
Public transportation
Other
No response
The usual number of people you travel with in a POV/PMV to/from work
0
1
2
3
4 or more
N/A
No response
Do you typically use a POV/PMV to conduct military business (e.g., MPF, medical, military events, etc.)
Yes
No
No response
Your average hours actually at work on a workday
<8
8
9-10
11-12
>12 hours
No response
Are you currently employed at an additional job(s) outside the military
Yes
No
No response
SUPERVISION
My command leadership provides me adequate information to identify and reduce risks associated with POVs/PMVs.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
My supervisor assists me in identifying and reducing risks associated with POVs/PMVs.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
My supervisor is genuinely concerned about my safety when it comes to POVs/PMVs.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
PRECONDITIONS
My POV/PMV is currently in good operating condition.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
I would say something to the driver of a vehicle I was in if he/she was doing something unsafe.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
I feel pressured by passengers to drive faster and/or bend traffic rules.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
I feel pressured by other drivers on the road to drive faster and/or bend traffic rules.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
My driving times or distances between home and work are excessive.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
ACTS
How often do you:
Take long drives
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Work long hours
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Fail to get adequate rest
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Over exercise
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
How often do the following describe your driving habits?
Excessive speed
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Loss of vehicle control
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Failure to use a seatbelt
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Excessive alcohol consumption
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Failure to yield right of way
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
How often do the following describe your driving habits (continued)?
Tailgating
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Running a red traffic light
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Accelerating through a yellow traffic light
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Rolling through a stop sign
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Making an illegal U-turn
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
How often do the following describe your driving habits (continued)?
Allowing a passenger in the front seat to not wear a seatbelt
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Allowing a passenger in the back seat to not wear a seatbelt
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Using a cell phone while driving
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Texting or checking e-mail while driving
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Wearing ear phones
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Driving fatigued
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
How often do the following describe your driving habits (continued)?
Driving while distracted (reading a map, eating, loud music, etc.)
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Driving while angry/upset/depressed/ill/etc.
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Road rage (anger at other drivers)
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Failure to take road conditions into account
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Failure to take weather conditions into account
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Failure to wear prescription glasses
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Failure to use turn signals (including lane changes)
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Failure to make adequate rest stops on long trips
Never
Rarely
Sometimes
Often
Very Often
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
OPEN-ENDED RESPONSE ITEMS
The most significant action(s) I could take to reduce the probability of a POV/PMV mishap/injury is(are):
No Response
My Response Is
Characters remaining:
400
What should my unit be doing to improve POV/PMV safety among its members?
No Response
My Response Is
Characters remaining:
400
The last time I did not wear my seat belt in a moving POV/PMV was because:
No Response
My Response Is
Characters remaining:
400
Please wait for your responses to be saved
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