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Version 1.1 – Effective 7/18/2017
Command Team
Start of Block: Victim/Survivor Awareness of Co-location Advocacy Services
Command Team Please select the response that best describes your current duty position
o Commander or commander-equivalent
o First Sergeant
o Superintendent
o None of the above
Please select your Grade/Rank
o Drop down menu of enlisted, officer, and civilian ranks
Are you Hispanic or Latino?
Note: The U.S. Office of Management and Budget (OMB) defines "Hispanic or Latino" as a
person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture
or origin, regardless of race.
o Yes
o No
o Prefer not to answer
What is your race?
American Indian or Alaska Native. A person having origins in any of the original peoples of
North and South America (including Central America), and who maintains tribal affiliation or
community attachment. Asian. A person having origins in any of the original peoples of the
Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia,
China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and
Vietnam. Black or African American. A person having origins in any of the black racial
groups of Africa. Native Hawaiian or Other Pacific Islander. A person having origins in any of
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the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands. White. A person
having origins in any of the original peoples of Europe, the Middle East, or North Africa.
o American Indian or Alaska Native
o Asian
o Black or African American
o Native Hawaiian or Other Pacific Islander
o White
o Prefer not to answer
What is your sex?
o Male
o Female
o Prefer not to answer
How long have you been physically assigned and located at this installation?
o Less than 6 month
o 6-12 months
o 1-2 years
o 2-4 years
o Over 4 years
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Do you think your Airmen or Guardians would receive the care they needed if you walked them
into the appropriate advocacy office?
o Definitely not
o Probably not
o Might or might not
o Probably yes
o Definitely yes
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Do you think you would receive the care you needed if you walked into the advocacy office?
o Definitely not
o Probably not
o Might or might not
o Probably yes
o Definitely yes
If you knew someone (peer, superior, subordinate, etc) had sought help from victim advocates
(Sexual Assault Response Coordinator, Domestic Abuse Victim Advocate, sexual harassment
advocate, etc), would you
Definitely not
Probably not
Might or
might not
Probably yes
Definitely yes
think
negatively of
that person?
o
o
o
o
o
avoid that
person
because
you're afraid
you'd say the
wrong thing
to them?
o
o
o
o
o
avoid that
person
because
there's a lot
of drama
surrounding
them?
o
o
o
o
o
treat them
exactly the
same?
o
o
o
o
o
see that as a
sign of
personal
failure?
o
o
o
o
o
think
positively of
that person?
o
o
o
o
o
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Please consider the following items as a member of the command team.
If you knew one of your Airmen or Guardians in your unit had sought help from victim advocates
(Sexual Assault Response Coordinator, Domestic Abuse Victim Advocate, Sexual Assault
Victim Advocate, Sexual Harassment, Victim Counsel, Religious Support Team, etc.), would you
Definitely not
Probably not
Might or
might not
Probably yes
Definitely
yes
think negatively
of that person?
o
o
o
o
o
avoid that
person because
you're afraid
you'd say the
wrong thing to
them?
o
o
o
o
o
avoid that
person because
there's a lot of
drama
surrounding
them?
o
o
o
o
o
treat them
exactly the
same?
o
o
o
o
o
see that as a
sign of personal
failure?
o
o
o
o
o
unofficially alter
their duties and
responsibilities?
o
o
o
o
o
think positively
of that person?
o
o
o
o
o
Page 5 of 8
How confident are you of where each of the following victim advocate offices are located?
Definitely not
Probably not
Might or
might not
Probably yes
Definitely yes
Sexual
Assault
Response
Coordinator
o
o
o
o
o
Domestic
Abuse Victim
Advocate
o
o
o
o
o
Sexual
Harassment
o
o
o
o
o
Religious
Support
Teams
o
o
o
o
o
Victim’s
Counsel
o
o
o
o
o
Are the following services located in one location at your installation?
Sexual Assault Response Coordinator, Domestic Abuse Victim Advocate, Sexual Assault
Victim Advocate, Sexual Harassment, Victim Counsel, Religious Support Team
o No
o Maybe - I'm not sure
o Yes
If you needed to speak with a victim advocate for any reason, would you be more likely to seek
support if sexual harassment, sexual assault, and domestic violence advocacy services were in
a single physical location?
o Definitely yes
o Probably yes
o Might or might not
o Probably not
o Definitely not
Page 6 of 8
As a member of the command team, I have the ______ to adequately support victims
Extremely
inadequate
Training
Resources
Authority
o
o
o
Somewhat
inadequate
o
o
o
Neither
adequate nor
inadequate
o
o
o
Somewhat
adequate
o
o
o
Extremely
adequate
o
o
o
How would you describe your knowledge about the specific services and support that victim
advocates can provide on your installation?
o Not knowledgeable at all
o Slightly knowledgeable
o Moderately knowledgeable
o Very knowledgeable
o Extremely knowledgeable
Do you have effective mechanism for sharing important information about victims to medical
providers, advocates, commanders, or others with a need-to-know?
o Yes
o Somewhat
o No
Can you briefly explain how you share information about victims with providers or others with a
need-to-know?
________________________________________________________________
Under what circumstances would you need to share information about a victim with anyone
else? Briefly explain and do not include any PII.
________________________________________________________________
Page 7 of 8
Did you seek advocacy consultation in the past 6 months?
o No
o Yes
(If yes) Did you reach the correct advocate on the first try? Choose the response that best
fits your situation from your perspective.
o Yes - I got the right advocate on the first try or I was immediately connected to the right
care advocate
o No - I did not get the right advocate on the first try; I had to leave and come back another
day.
o No - I did not get the right advocate on the first or second try. I had to leave and try again
in a different office. It took me a couple times to find the right person to help me.
o No - I was turned away and I did not try again.
If you were turned away, can you share a little about your experience? Do not use any
personally identifiable information such as names or locations.
________________________________________________________________
How much do you agree with the following statement?
The Department of the Air Force provides adequate support and resources to Airmen and
Space Professionals who have experienced any form of interpersonal violence or
workplace relation issues.
o Strongly disagree
o Somewhat disagree
o Neither agree nor disagree
o Somewhat agree
o Strongly agree
End of Block: Victim/Survivor Awareness of Co-location Advocacy Services
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File Modified | 2022-08-23 |
File Created | 2022-07-07 |