Challenges of Operational Environments Survey

“Challenges of Operational
Environments - Carriers”
Survey
Protocol:
NHRC.2018.0016

Principal Investigator:
Cameron T. McCabe, PhD
cameron.t.mccabe.civ@health.mil
619-553-8067

Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

Contents
Overview/Instructions for Use ...............................................................................................................................3
Base Survey..........................................................................................................................................................4
Demographics ...................................................................................................................................................4
Help Seeking .....................................................................................................................................................2
Stressors ...........................................................................................................................................................3
Mental/Behavioral Health ..................................................................................................................................4
Job Satisfaction .................................................................................................................................................6
Command Climate.............................................................................................................................................2
Leadership.........................................................................................................................................................3
Safety ................................................................................................................................................................5
Free Response..................................................................................................................................................5
RCOH ...................................................................................................................................................................6
Stressors ...........................................................................................................................................................6
SEA TRIALS .........................................................................................................................................................7
Stressors ...........................................................................................................................................................7
HOMEPORT SHIFT..............................................................................................................................................8
Stressors ...........................................................................................................................................................8
DEPLOYMENT .....................................................................................................................................................9
Stressors ...........................................................................................................................................................9
POST DEPLOYMENT ........................................................................................................................................10
Stressors .........................................................................................................................................................10
SUICIDE(S).........................................................................................................................................................11
Mental/Behavioral Health ................................................................................................................................11
Command Climate...........................................................................................................................................11
ACCIDENTS .......................................................................................................................................................12
COMBAT...............................................................................................................................................................2
Stressors ...........................................................................................................................................................2
LEADERSHIP CHANGE.......................................................................................................................................3
Leadership.........................................................................................................................................................3
PROGRAM EVALUATION....................................................................................................................................4
Help Seeking .....................................................................................................................................................4

Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

Overview/Instructions for Use
The Challenges of Operational Environments Study is a longitudinal study that will assess stressors associated
with different operational environments and their effect on mental and behavioral health. Because the
operational environment of the Commands involved will change over time, the survey that is being submitted
for approval has been designed to adapt similarly. The base survey will remain the same at every time point,
while separate modules will be added according to a pre-determined phases (i.e., maintenance period, sea
trials, homeport shift, deployment, and post-deployment).

Additionally, several ad hoc modules have been prepared should certain events occur and the Command
leadership requests additional examination of these topics. Relevant events that correspond to these ad hoc
modules include suicides/suicide clusters among the crew, accidents/mishaps, combat exposure, major
leadership change (e.g., a Commanding Officer being relieved of command), and program evaluation of
mental/behavioral health programs. The document that follows depicts items in the base survey and each
additional module. The subheaders within each section indicate where within the base survey the additional
questions for that module will be inserted.

Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

Base Survey
Demographics
Survey participation is voluntary. You can skip questions you choose not answer, and you can stop
participating at any time.
In this section of the questionnaire, you will create an identification code that is unique to you but
cannot be traced back to you. This ID code will be used instead of your name or other identifying
information. If you participate in follow-up questionnaires, we will give you these same instructions to
recreate this code so that we can link your questionnaires together without using your name or other
specific personal information. Please take care to answer each question accurately.
Please respond to the items below:
XX.1 Enter the 1st and 2nd letter of your mother's (or primary maternal figure's) first name.
(For example, if your mother's first name is Mary, you would enter MA.)
________________________________________________________________
XX.2 Enter the DAY OF THE MONTH that you were born.
(For example, if you were born on May 17, 1990, you would enter 17.)
________________________________________________________________
XX.3 Enter the 1st and 2nd letter of your father's (or primary paternal figure's) first name.
(For example, if your father's name is John, you would enter JO.)
_____________________________________________________________
XX.4 Enter the 1st and 2nd letter of the CITY WHERE YOU WERE BORN.
(For example, if you were born in Detroit, Michigan, you would enter DE.)
_________________________________________________________________
XX.5 Enter the first two letters of your middle name. If you do not have a middle name, enter XX.
______________________________________________________________
XX.6 Enter the 1st and 2nd letters of the high school you most recently attended. If you did not attend
high school, please enter XX.
(For example, if you attended Eagle High, you would enter EA.)
________________________________________________________________
XX. How long have you been stationed at your current command?

o Less than 6 months
o 6 months to 1 year
o 1 to 2 years
o 3 or more years
XX. Where do you currently live?

o
o
o
o
o
o
o
o

Temporary housing situation (such as a hotel while waiting for housing)
On the ship
Military housing – barracks
Military housing – on base
Military housing – off base
Civilian housing – rented apartment/condo/house
Civilian housing – owned apartment/condo/house
Other please specify: _______________

XX. Approximately how many nights per week are you sleeping on the ship/Floating
Accommodation Facility (FAF) (including your duty days)?
o 0
o 1
o 2
o 3
o 4
o 5
Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

o
o

6
7

XX. What is your sex?

o
o

Male
Female

XX. What is your race and/or ethnicity? Select all that apply.

□
□
□
□
□
□
□

American Indian or Alaska Native
(For example, Navajo Nation, Blackfeet Tribe of the Blackfeet Indian Reservation of Montana, Native
Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, Aztec, Maya, etc.)
Asian
(For example, Chinese, Asian Indian, Filipino, Vietnamese, Korean, Japanese, etc.)
Black or African American
(For example, African American, Jamaican, Haitian, Nigerian, Ethiopian, Somali, etc.)
Hispanic or Latino
(For example, Mexican, Puerto Rican, Salvadoran, Cuban, Dominican, Guatemalan, etc.)
Middle Eastern or North African
(For example, Lebanese, Iranian, Egyptian, Syrian, Iraqi, Israeli, etc.)
Native Hawaiian or Pacific Islander
(For example, Native Hawaiian, Samoan, Chamorro, Tongan, Fijian, Marshallese, etc.)
White
(For example, English, German, Irish, Italian, Polish, Scottish, etc.)

XX. Current marital status:

o
o
o
o

XX. Highest level of completed
education:
o Less than high school

Married/Cohabitating

o
o
o
o
o
o

Divorced
Widowed
Never Married

GED
High school diploma
Some college
Associate’s degree
Bachelor’s degree
More than a bachelor’s degree

XX. Age:

o
o
o
o
o

17-20
21-24
25-29
30-39
40+

Military Experience
XX. What is your component?

o
o
o
o

XX. Is your assignment to your current
command your first tour of duty?

o
o

Active Regular
Active Reserve
Selected Reserve
Other ________________

Yes
No

XX. In what department do you currently work:

o
o
o
o
o

Administration
Aviation Intermediate
Maintenance
Air
Air Wing
Combat Systems

o
o
o
o
o

Deck
Engineering
Intelligence
Legal
Media

o
o
o
o

Medical
Operations
Reactor
Religious
Ministries

o Safety

o
o
o
o
o

Security
Supply
Training
Weapons
Other:
____________

XX. Paygrade/Rank:
Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

o
o
o
o
o
o

E1-E4
E5-E6
E7-E9
W1-W5
O1-O3
O4 or higher

Display This Question: If Paygrade/Rank: = E1-E4; Or Paygrade/Rank: = E5-E6; Or Paygrade/Rank: = E7-E9
XX. What is your rate?

o
o
o
o
o
o
o
o
o
o
o

Aviation Boatswain’s Mate - Equipment

ABE

Aviation Boatswain’s Mate – Fuels

ABF

Aviation Boatswain’s Mate - Handling

ABH

Air Traffic Controlman

AC

Aviation Machinist Mate

AD

Aviation Electrician’s Mate

AE

Advanced Electronics Computer Field

AECF

Aviation Aerographer’s Mate

AG

Aircrew Program

AIRC/AI
RR
AM

o

Aviation Structural Mechanic Equipment

AME

Aviation Structural Mechanic –
Hydraulics

AMH

Aviation Structural Mechanic –
Structures

AMS

Undesignated Airman

AN

Aviation Ordanceman

AO

Aviation Support Equipment Technician

AS

Aviation Equipment Technician

AT

Avionics Technician

AV

Aviation Warfare Systems Operator

AW

Aviation Maintenance
Administrationman

AZ

o
o
o
o
o
o
o
o

Aviation Structural Mechanic

o Boatswain’s Mate
o Builder
o Construction Electrician
o Construction Mechanic
o Culinary Specialist
o Cryptologic Technician
o Damage Controlman
o Fleet Diver Program

BM
BU
CE
CM
CS
CT
DC
DIVER

o Engineering Aid
o Electricians Mate
o Engineman
o Equipment Operator
o Explosive Ordnance Disposal
o Electronics Technician
o Fire Controlman (Advanced Electronics

EA

o Fireman (Engine/Mechanical Apprentice)
o Gunner’s Mate
o Gas Turbine Systems Technician o Hospital Corpsman
o Hull Technician
o Interior Communications Electrician
o Intelligence Specialist
o Information System Technician
o Legalman
o Logistics Specialist
o Master at Arms
o Mass Communications Specialist
o Machinist Mate
o Mineman
o Machinery Repairman
o Missile Technician (Advanced

FN

o Musician
o Navy Counselor
o Nuclear Field
o Navy Counselor
o Operations Specialist
o Personnelman

MU

EM
EN
EO
EOD
ET
FC

Computer

GM
GSE
HM
HT
IC
IS
IT
LN
LS
MA
MC
MM
MN
MR
MT

Electronics Field)

NC
NF
NC
OS
PN
Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

o Aircrew Survival Equipmentman
o Quartermaster
o Religious Program Specialist
o SEAL Challenge Program
o Submarine Electronics Computer Field
o Ship’s Serviceman
o Seaman
o Seaman Subfarer Program

PR
QM
RP
SEAL
SECF
SH
SN

o Sonar Technician
o Steelworker
o Special Warfare Combatant – Craft
o Torpedoman’s Mate
o Utilitiesman
o Yeoman
o Other (Please Specify) ______________

ST
SW
SWCC
TM
UT
YN

SS

XX. How long have you served in the military?

o
o
o
o
o
o

Less than 1 year
1-2 years
3-4 years
5-7 years
8-10 years
More than 10 years

Some of the questions in this survey ask you about your experiences “underway.” We define going
underway as a time when you were working aboard your ship while at sea (not in port).
XX. Approximately how many total times have you gone underway on a ship for at least 30 days at a
time
(since Sept 11, 2001)?

o
o
o
o
o

0
1
2
3
4 or more

Display This Question: If experience underway 30+ days is 1;2;3;4 or more
XX. When did you return from your most recent underway period?
Month: Select
Response Options: January, February, March, April, May, June, July, August, September, October, November,
December
Year: Select
Response options: 2001, 2002, 2003..., 2023
Display This Question: If experience underway 30+ days is 1;2;3;4 or more
XX. How long was your most recent underway period?

o
o
o
o
o

Less than 1 week
1-2 weeks
3-4 weeks
1-6 months
6+ months

Help Seeking
XX. In the past 6 months, while stationed on the , have you used or attempted to use
any of the following resources to deal with issues related to stress, family/relationships,
Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

substance/alcohol use, and/or mental or behavioral health?
No, I did
not seek
help from
this
resource

I sought help
but did not
receive it from
this resource

I sought and
received help
from this
resource

Medical – Primary Care Provider such as the
Senior Medical Officer, Senior Nurse Officer,
Corpsman, etc.
Medical – Mental Health Provider such as
the Psych Boss, Licensed Clinical Social
Worker, etc.
Medical – A military-affiliated medical
provider outside of the
Medical – Tricare Doctor on Demand
Chaplain
Marriage and Family Life Counselor (MFLC)
Deployment Resiliency Counselor (DRC)
Military OneSource
Fleet and Family Service Center
Military-affiliated mental health resource not
listed above
Civilian mental health resource not listed
above
Other (please specify)
XX. Using the scale provided, rate each of the possible concerns that might affect your decision to seek
treatment
for a psychological or mental health problem (such as stress or depression) from a mental health
professional (such as a counselor).
Strongly
Disagree
disagree

Neutral

Agree

Strongly
Agree

It would be too embarrassing
My shipmates might treat me differently
I don't think I'll actually get help
It might harm my career
I don’t know where to get help
It’s difficult to schedule an appointment
I don’t trust mental health providers
It would be difficult to get time off work or school

Stressors
XX. In the past 6 months, while you've been working aboard the /Floating
Accommodation Facility (FAF), how much of a problem have each of the following been for you?

Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

Not a
problem
at all

A little
bit of a
proble
m

A
moderate
problem

A big
problem

A very
serious
problem

N/A

The overhead lighting in my work
area
The temperature in my work area
The air quality in my work area
Exposure to loud noises
Access to fresh, quality food
Access to safe drinking water
Access to working bathrooms
Access to administrative services
Access to mental health services
Access to medical care for health
issues
Long working hours
Lack of ability to take breaks
Not getting along with people in my
unit
Lacking the tools or equipment to do
my job
Not having enough people to
complete the mission
Not having the training necessary to
do my job
Concerns about well-being of loved
ones
Maintaining relationships with family
and friends
Lack of clear and meaningful tasking
Boredom
Working outside my rate

XX. In the last 6 months while you’ve been assigned to , how difficult has serving in
the Navy been for you and your family?
Quite a
Not difficult
A little bit
Moderatel
Extremel
bit
at all
difficult
y difficult
y difficult
difficult
For myself
For my family

XX. On average over the past month, how much stress have you experienced...
None at all

A little

A
moderate
amount

Quite
a bit

A lot

N/A

At work or while carrying out your
military duties?
In your family life or in a relationship
with a significant other?
Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

Due to financial issues?

Mental/Behavioral Health
XX. Over the LAST 2 weeks, how often have you been bothered by any of the following problems?
Not at all

Few or
several
days

More than
half the
days

Nearly
every day

Little interest or pleasure in doing things
Feeling down, depressed, or hopeless
Trouble falling or staying asleep, or sleeping too
much
Feeling tired or having little energy
Poor appetite or overeating
Feeling bad about yourself – or that you are a
failure or have let yourself or your family down
Trouble concentrating on things, such as
reading the newspaper or watching television
Moving or speaking so slowly that other people
could have noticed. Or the opposite - being so
fidgety or restless that you have been moving
around a lot more than usual
Thoughts that you would be better off dead or
of hurting yourself in some way
Display This Pop-up: If selected ‘few or several days’, ‘more than half the days’, or ‘nearly every day’ for
“thoughts that you would be better off dead or of hurting yourself in some way”
XX. If you need help or someone to talk to, please call, text, or chat 988 (Suicide & Crisis Lifeline)
and/or contact the other resources listed at the end of this survey at any time. A printed copy of the
resources can also be provided to you upon your request. You may also speak with a member of the
survey team right now.
XX. Over the LAST 2 weeks, how often have you been bothered by any of the following problems?
Not at all

Few or
several
days

More than
half the
days

Nearly
every day

Feeling nervous, anxious, or on edge
Not being able to stop or control worrying
Worrying too much about different things
Trouble relaxing
Being so restless that it is hard to sit still
Becoming easily annoyed or irritable
Feeling afraid as if something awful might
happen

XX. Below is a list of problems and complaints that people sometimes have in response to stressful life
experiences. Please read each one carefully and fill in a bubble to indicate how much you have been
bothered by that problem in the last month.
Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

Not at
all

A little bit

Moderatel
y

Quite a bit

Extremely

Repeated, disturbing and unwanted memories
of the stressful experience
Feeling very upset when something reminded
you of the stressful experience
Avoiding memories, thoughts or feelings related
to the stressful experience
Avoiding external reminders of the stressful
experience (for example, people, places,
conversations, activities, objects, or situations)?
Having strong negative beliefs about yourself,
other people, or the world (for example, having
thoughts such as: I am bad, there is something
wrong with me, no one can be trusted, the
world is completely dangerous)
Loss of interest in activities you used to enjoy
Feeling jumpy or easily startled
Having difficulty concentrating
XX. In the past month, how often did you do each of the following at work?
Never

Once

Twice

3-4 times

5 or more times

Got angry with someone and yelled or
shouted at them
Got angry with someone and kicked or
smashed something
Threatened someone with physical
violence
Got into a fight with someone and hit or
physically harmed the person
XX. During the past month, when have you usually gone to bed at night?
Response options: 0000, 0015, 0030, 0045, 0100…2345
XX. During the past month, how long in minutes has it taken you to fall asleep each night?

o
o
o
o

15 minutes or less
16-30 minutes
31-60 minutes
More than 60 minutes

XX. During the past month, what time have you usually gotten up in the morning?
Response options: 0000, 0015, 0030, 0045, 0100…2345
XX. During the past month, about how many hours of actual sleep did you get each night? (This may
be different
than the number of hours you spend in bed.)
Response options: 1 hr, 2hrs, 3 hrs…12 hrs
XX. During the past month, how would you rate your sleep quality overall?
Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

o
o
o
o

Very good
Fairly good
Fairly bad
Very bad

XX. How often do you have a
drink containing alcohol?

o
o
o
o
o

Never
Monthly or less
2-4 times/month
2-3 times/week
6 or more times/week

XX. How many drinks containing
alcohol do you have on a
typical day when
you are drinking?
o 0 drinks

o
o
o
o
o

XX. How often do you have six
or more drinks on one
occasion?

o
o
o
o
o

1-2 drinks
3-4 drinks
5-6 drinks
7-9 drinks

Never
Less than monthly
Monthly
Weekly
Daily or almost daily

10 or more drinks

XX. In the past 6 months,
Yes

No

Have you had thoughts of killing yourself?
Have you ever actually made a plan to kill yourself?
Have you made an actual attempt to kill yourself in which you
had at least some intent to die?
Have you engaged in non-suicidal self-injury (that is, purposely
hurt yourself without wanting to die, for example by cutting or
burning)?

Display This Pop-up: If selected ‘yes’ to any of the above items
XX. If you need help or someone to talk to, please call, text, or chat 988 (Suicide & Crisis Lifeline)
and/or contact the other resources listed at the end of this survey at any time. You may also speak with
a member of the survey team right now.

Job Satisfaction
XX. Overall, how satisfied are you with your military job/career?

o
o
o
o
o

Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied

XX. How much do you agree or disagree with the following:

Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

Strongly
disagree

Disagre
e

Neutral

Agree

Strongly
agree

My experiences at my current duty station will
advance my career
My experiences at my current duty station are
meaningful and rewarding
Display This Question: If Paygrade/Rank: = E1-E4; Or Paygrade/Rank: = E5-E6; Or Paygrade/Rank: = E7-E9
XX. How likely are you to re-enlist after completing your current tour of duty?

o
o
o
o

Very unlikely
Somewhat unlikely
Somewhat likely
Very Likely

Display This Question: If Paygrade/Rank: = W1-W5; Or Paygrade/Rank: = O1-O3; Or Paygrade/Rank: = O4 or
higher
XX. How likely are you to recommission after completing your current tour of duty?

o
o
o
o

Very unlikely
Somewhat unlikely
Somewhat likely
Very Likely

XX. In the past week, how many hours of work have you averaged per day?
Response options: 0, 1, 2, 3…24

Command Climate
XX. Thinking about Sailors assigned to this ship, rate the degree to which you agree with the following
statements.
Strongly
Strongly
Disagree
Neutral
Agree
disagree
agree
Sailors on this ship have trust in
each other
Sailors on this ship care about
each other
Sailors on this ship work well
together to get the job done
Sailors on this ship support each
other as a team
I have a sense of belonging with
Sailors on this ship
I feel like an outsider on this ship
XX. Please indicate the extent to which you agree with each of the following statements…
Strongly
disagree
I tend to bounce back quickly
after hard times.

Disagree

Neutral

Agree

Strongly
agree
Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

I have a hard time making it
through stressful events.
It does not take me long to
recover from a stressful event.
It is hard for me to snap back
when something bad happens.
I usually come through difficult
times with little trouble.
I tend to take a long time to get
over setbacks in my life.
XX. Please rate your current level of morale:

o
o
o
o
o

Very low
Low
Moderate
High
Very High

XX. Please rate the current level of morale
of your shipmates:

o
o
o
o
o

Very low
Low
Moderate
High
Very High

Leadership
XX. What is the rank of your immediate supervisor?
Response options: E1, E2, E3…O6
Display This Question: If Immediate Supervisor Rank: = E1-E4; Or Immediate Supervisor Rank: = E5-E6; Or
Immediate Supervisor Rank: = E7-E9
XX. Please rate how much you agree or disagree with the following statements about your immediate
supervisor:
Strongly
Strongly
Disagree
Neutral
Agree
disagree
agree
My immediate supervisor treats
me with respect
My immediate supervisor
supports and encourages the
development of others
My immediate supervisor
communicates a clear and
motivating vision of the future
My immediate supervisor knows
how to get the job done
My immediate supervisor has
explosive outbursts
My immediate supervisor blames
others for failures
My immediate supervisor puts
people down in my unit

Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

Display This Question: If Immediate Supervisor Rank: = E1-E4; Or Immediate Supervisor Rank: = E5-E6; Or
Immediate Supervisor Rank: = E7-E9
XX. Please rate how much you agree or disagree with the following statements about your immediate
Senior Enlisted Leader:
Strongly
Strongly
Disagree
Neutral
Agree
disagree
agree
My immediate senior enlisted
leader treats me with respect
My immediate senior enlisted
leader supports and encourages
the development of others
My immediate senior enlisted
leader communicates a clear and
motivating vision of the future
My immediate senior enlisted
leader knows how to get the job
done
My immediate senior enlisted
leader has explosive outbursts
My immediate senior enlisted
leader blames others for failures
My immediate senior enlisted
leader puts people down in my
unit
Display This Question: If Immediate Supervisor Rank: = E1-E4; Or Immediate Supervisor Rank: = E5-E6; Or
Immediate Supervisor Rank: = E7-E9; Or Immediate Supervisor Rank: = O1-O4
XX. Please rate how much you agree or disagree with the following statements about your immediate
Officer Leader:
Strongly
Strongly
Disagree
Neutral
Agree
disagree
agree
My immediate supervising officer
treats me with respect
My immediate supervising officer
supports and encourages the
development of others
My immediate supervising officer
communicates a clear and
motivating vision of the future
My immediate supervising officer
knows how to get the job done
My immediate supervising officer
has explosive outbursts
My immediate supervising officer
blames others for failures
My immediate supervising officer
puts people down in my unit
Display This Question: If Immediate Supervisor Rank: = E1-E4; Or Immediate Supervisor Rank: = E5-E6; Or
Immediate Supervisor Rank: = E7-E9; Or Immediate Supervisor Rank: = O1-O5
XX. Please rate how much you agree or disagree with the following statements about your
Commanding Officer (CO):
Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

Strongly
disagree

Disagree

Neutral

Agree

Strongly
agree

My CO treats me with respect
My CO supports and encourages
the development of others
My CO communicates a clear
and motivating vision of the
future
My CO knows how to get the job
done
My CO has explosive outbursts
My CO blames others for failures
My CO puts people down in my
unit

Safety
XX. Please rate the degree to which you agree with the following statements about your current work
center.
Strongly
Strongly
Disagree
Neutral
Agree
disagree
agree
My work center has enough
experienced personnel
Effective communication exists within
my work center

Free Response
XX. Is there anything else you would like us to know? Please do not include any personally identifiable
information.

Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

Maintenance Phase
Stressors
XX. How much of a problem have each of the following been for you while living aboard the
/Floating Accommodation Facility (FAF) (including on your duty days)?
A
A big
A very
Not a
A little bit of moderate
proble
serious
problem at all a problem
problem
m
problem
Uncomfortable sleeping
conditions (e.g., size and
quality of my rack)
Lack of sleep
The amount of motion or
vibration
Lack of privacy

N/
A

Cleanliness or sanitation
Adequate personal storage
space
Ability to exercise
XX. In the past 6 months, while you've been working in the shipyard, how much of a problem have
each of the following been for you?
Not a
problem at
all

A little bit of A moderate A big
a problem
problem
problem

A very
serious
problem

N/A

Lengthy commute to work
Lack of parking near the work
site
Being spread out across
multiple work locations
Traveling between multiple
work locations
Exposure to smoke or fumes
at work
Exposure to mold at work
Lack of access to necessary
PPE

Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

SEA TRIALS
Stressors
XX. How much of a problem have each of the following been for you while living aboard /Floating Accommodation Facility (FAF) (including on your duty days)?
Not a
A
A big
A very
A little bit of moderate
problem at
proble
serious
N/A
a
problem
all
problem
m
problem
Uncomfortable sleeping
conditions (e.g., size and
quality of my rack)
Lack of sleep
The amount of motion or
vibration
Lack of privacy
Cleanliness or sanitation
Adequate personal storage
space
Ability to exercise

Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

HOMEPORT SHIFT
Stressors
XX. How much of a problem have each of the following been for you since relocating?
Not a
problem at
all

A little bit of
a problem

A moderate
problem

A big
proble
m

A very
serious
problem

N/A

Making friends
Adjusting to local culture and
customs
Ensuring personal safety
Dealing with administrative
problems
Difference in cost of living
Finding satisfactory housing
Changes in spouse or partner
employment
Change in children’s school or
childcare
Dealing with family
adjustment problems
Inability to access resource
due to geographic location

Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

DEPLOYMENT
Stressors
XX. How much of a problem have each of the following been for you while living aboard the
/Floating Accommodation Facility (FAF) (including on your duty days)?
A little bit
A
A big
A very
Not a problem
of a
moderate
proble
serious
at all
problem
problem
m
problem
Uncomfortable sleeping
conditions (e.g., size and
quality of my rack)
Lack of sleep
The amount of motion or
vibration
Lack of privacy

N/A

Cleanliness or sanitation
Adequate personal storage
space
Ability to exercise

XX. Please rate the impact that your deployment had on each of the following:

On my career
On my social life
On my family life
On my physical health
On my mental health

Strong
negative
impact

Moderate
negative
impact

No
impact

Moderate
positive
impact

Strong
positive
impact

Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

POST DEPLOYMENT
Stressors
XX. How much of a problem have each of the following been for you since you returned from
deployment?
Strongly
disagree

Disagre
e

Neutra
l

Agre
e

Strongly
agree

N/
A

I am having difficulty returning to my role in my
family.
I feel my family resents my absence.
My family doesn't understand what I went
through.
I have felt alienated or alone since returning.
It is difficult reconnecting with my circle of
friends.
I have changed or others have changed.
I miss the structure and focus of being
deployed.
I feel my current work duties are less
meaningful now compared to on deployment.
I am having a hard time getting "back to
normal."

Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

SUICIDE(S)
Mental/Behavioral Health
XX. The following statements are intended to assess your beliefs about your current problems. Please
read each statement carefully and select the option that best describes how you feel right now.
Strongly
disagree

Disagree

Neutral

Agree

Strongly
agree

I am completely unworthy of love.
Nothing can help solve my problems.
I can’t cope with my problems any longer.
I can’t imagine anyone being able to
withstand this kind of pain.
There is nothing redeeming about me.
Suicide is the only way to stop this pain.

Command Climate
XX. Do you know anyone from this command who has died by
suicide?
Yes
No
Display Question XX.2 and XX.3 If: Do know anyone who has attempted suicide recently: = Yes
XX.2 What was your relationship to the person who died by suicide?

XX.3 How close would you describe your
relationship with this person?

XX.4 Thinking about the effect of the person’s
suicide on your life, please mark:

1 – Not close at all

1 – The death had little effect on my life

2

2

3 – Somewhat close
4
5 – Very close

3
4
5 – The death had a significant or devastating
effect on me that I still feel.

Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

ACCIDENTS
XX. In the past month, have you had an accident or made a mistake that affected the mission because
of sleepiness?
Yes
No
XX. In the past month, have you had a near miss that could have that affected the mission because of
sleepiness?
Yes
No
XX. In the past month, how often did you struggle to stay awake while performing your duties?
Never
A few times
Several times a week
More than half the days
Nearly everyday
XX. Please indicate the extent to which you agree with each of the following statements …
Strongly
disagree Disagree

Neutral

Agree

Strongly
Agree

All members of my work center have the authority to
halt unsafe activities until the hazards/risks are
addressed.
Members of my work center report hazards(s) to our
supervisor.
Members of my work center are comfortable reporting
safety violations, unsafe behaviors, or hazardous
conditions.
Members of my work center, from the top down,
incorporate operational risk management (ORM) into
daily activities.
My chain of command enforces safety rules during
daily work.
My work center does not sacrifice safety for mission
accomplishment.
Morale in my work center is high.
Members of my work center are comfortable
approaching their supervisor about personal
issues/fatigue
Leaders/Supervisors in my work center care about
my quality of life.
Leaders/Supervisors in my work center set aside
regular time for coaching and mentoring.
Members of my work center arrive at work prepared
(i.e., well rested, properly equipped, motivated, etc.) to
do their jobs safely and effectively.
Leaders/Supervisors in my work center set a good
example for following standards.
My work center has adequate resources (e.g., tools,
equipment, publications, etc.) to perform its current
tasks.
Required publications are current and used in every
job in my work center.

Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

COMBAT
Stressors
XX. Indicate whether you experienced each of the following during your most recent deployment:
Yes

No

Passed through hostile waters or air space
Were harassed by hostile vessels
Were in fear of artillery, missile, rocket, or bomb attack
Feared death, injury, or entrapment below the waterline
Encountered a “near miss” incident where you were in imminent danger of being
injured or killed
Artillery, rockets, missiles, mines, or something similar exploded in the air or in the
water close to your ship
Sustained an injury that required medical treatment
Had to board a hostile vessel at sea
Saw shipmates or civilians who were killed, dead, dying, or maimed
Were on a ship which suffered a collision or was otherwise damaged or sunk
Performed damage control for fire or water hazards
Participated in operations that killed someone or you think might have killed someone
Suffered ill effects of extreme heat or extreme cold
Had difficulty breathing as a result of exposure to oil, smoke, fumes, dust, or other
contaminants in the air
Had to drink water contaminated with fuel, oil, sewage or other chemical or biological
agents
Came into contact with POWs or displaced refugees

Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

LEADERSHIP CHANGE
Leadership
XX. Using the scale provided, rate the degree to which you agree with the following statements about
the recent change in :
Neither
Strongly
Disagre
Agre
Strongl
agree nor
disagree
e
e
y agree
disagree
I think that the command will
benefit from this change.
There are legitimate reasons for
the command to make this change.
This change will make my job
easier to accomplish.
The leadership has encouraged all
of us to embrace this change.
I am worried about the change.
There isn't anything for me to gain
from this change.
I don't believe this change is
actually going to fix anything.
The time we are spending on this
change should be spent on
something else.

Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

PROGRAM EVALUATION
Help Seeking
XX. Indicate whether you have participated in any of the following:
Yes

No

Mentorship and sponsorship programs
Trainings and coaching
Activities and events
XX. Which of the following have you participated in while serving at your current command?
Please check ALL that apply:
Mentored a crew member through a formal mentorship program
Have been mentored by a crew member through a formal mentorship program
Sponsored a crew member
Have been sponsored by a crew member
Received Extended Operational Stress Control (E-OSC) instructor training
Received some E-OSC training modules
Received ASIST training
Received safeTALK training
Attended command-sponsored PT event(s)
Other (please specify) _________________________________________
None
For each activity checked,
XX. How has each of the following affected your mental/behavioral health?

Mentored a crew member
through a formal mentorship
program
Have been mentored by a
crew member through a formal
mentorship program
Sponsored a crew member
Have been sponsored by a
crew member
Received Extended
Operational Stress Control (EOSC) instructor training
Received some E-OSC
training modules
Received ASIST training
Received safeTALK training
Attended command-sponsored
PT event(s)
Other (please specify)

Made it
much
worse

Made it
slightly
worse

Did not
affect it

Made it
somewhat
better

Made it
much better

Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

Display if: Medical – Primary Care Provider = Yes
XX.1. Were you able to get help from Medical – Primary Care Provider such as the Senior Medical
Officer, Senior Nurse Officer, Corpsman, etc.?
o Yes
o No, I was turned away because they did not provide the service I was looking for
o No, I was turned away because they didn’t have any available appointments or services
o No, it took too long to get an appointment
o No, I tried but I could not get in touch with this resource
o No, other reason : ______________________________
Display XX.2 & XX.3 If: Were you able to get help from Medical – Primary Care Provider = Yes
XX.2. How would you rate your overall satisfaction with the help you received from Medical – Primary
Care Provider such as the Senior Medical Officer, Senior Nurse Officer, Corpsman, etc.?
o Very Satisfied
o Moderately satisfied
o Neither satisfied nor dissatisfied
o Moderately dissatisfied
o Very dissatisfied
XX.3. How long did it take for you to receive help from Medical – Primary Care Provider such as the
Senior Medical Officer, Senior Nurse Officer, Corpsman, etc.?
o Less than 2 Weeks
o More than 2 weeks but less than 1 month
o 1-2 months
o 3-4 months
o 5 months or more
Display if: Medical – Mental Health Provider = Yes
XX.1. Were you able to get help from Medical – Mental Health Provider such as the Psych Boss,
Licensed Clinical Social Worker, etc.?

o
o
o
o
o
o

Yes
No, I was turned away because they did not provide the service I was looking for
No, I was turned away because they didn’t have any available appointments or services
No, it took too long to get an appointment
No, I tried but I could not get in touch with this resource
No, other reason : ______________________________

Display XX.2 & XX.3 If: Were you able to get help from Medical – Mental Health Provider = Yes
XX.2. How would you rate your overall satisfaction with the help you received from Medical – Mental
Health Provider such as the Psych Boss, Licensed Clinical Social Worker, etc.?
o Very Satisfied
o Moderately satisfied
o Neither satisfied nor dissatisfied
o Moderately dissatisfied
o Very dissatisfied
Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

XX.3. How long did it take for you to receive help from Medical – Mental Health Provider such as the
Psych Boss, Licensed Clinical Social Worker, etc.?
o Less than 2 Weeks
o More than 2 weeks but less than 1 month
o 1-2 months
o 3-4 months
o 5 months or more
Display if: Medical – Military-Affiliated Provider Outside of the = Yes
XX.1. Were you able to get help from Medical – A military-affiliated medical provider outside of the
?

o
o
o
o
o
o

Yes
No, I was turned away because they did not provide the service I was looking for
No, I was turned away because they didn’t have any available appointments or services
No, it took too long to get an appointment
No, I tried but I could not get in touch with this resource
No, other reason : ______________________________

Display XX.2 & XX.3 If: Were you able to get help from Medical – Military-affiliated medical provider outside of
= Yes
XX.2. How would you rate your overall satisfaction with the help you received from Medical – A
military-affiliated medical provider outside of the ?
o Very Satisfied
o Moderately satisfied
o Neither satisfied nor dissatisfied
o Moderately dissatisfied
o Very dissatisfied
XX.3. How long did it take for you to receive help from Medical – A military-affiliated medical provider
outside of the ?
o Less than 2 Weeks
o More than 2 weeks but less than 1 month
o 1-2 months
o 3-4 months
o 5 months or more
Display if: Medical – Tricare Doctor on Demand = Yes
XX.1. Were you able to get help from Medical – Tricare Doctor on Demand?

o
o
o
o
o
o

Yes
No, I was turned away because they did not provide the service I was looking for
No, I was turned away because they didn’t have any available appointments or services
No, it took too long to get an appointment
No, I tried but I could not get in touch with this resource
No, other reason : ______________________________

Display XX.2 & XX.3 If: Were you able to get help from Medical – Tricare Doctor on Demand = Yes
Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

XX.2. How would you rate your overall satisfaction with the help you received from Medical – Tricare
Doctor on Demand?
o Very Satisfied
o Moderately satisfied
o Neither satisfied nor dissatisfied
o Moderately dissatisfied
o Very dissatisfied
XX.3. How long did it take for you to receive help from Medical – Tricare Doctor on Demand?
o Less than 2 Weeks
o More than 2 weeks but less than 1 month
o 1-2 months
o 3-4 months
o 5 months or more
Display if: Chaplain = Yes
XX.1. Were you able to get help from the Chaplain?

o
o
o
o
o
o

Yes
No, I was turned away because they did not provide the service I was looking for
No, I was turned away because they didn’t have any available appointments or services
No, it took too long to get an appointment
No, I tried but I could not get in touch with this resource
No, other reason : ______________________________

Display XX.2 & XX.3 If: Were you able to get help from the Chaplain = Yes
XX.2. How would you rate your overall satisfaction with the help you received from the Chaplain?
o Very Satisfied
o Moderately satisfied
o Neither satisfied nor dissatisfied
o Moderately dissatisfied
o Very dissatisfied
XX.3. How long did it take for you to receive help from the Chaplain?
o Less than 2 Weeks
o More than 2 weeks but less than 1 month
o 1-2 months
o 3-4 months
o 5 months or more
Display if: MFLC = Yes
XX.1. Were you able to get help from the Marriage and Family Life Counselor (MFLC)?

o
o
o
o
o

Yes
No, I was turned away because they did not provide the service I was looking for
No, I was turned away because they didn’t have any available appointments or services
No, it took too long to get an appointment
No, I tried but I could not get in touch with this resource
Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

o

No, other reason : ______________________________

Display XX.2 & XX.3 If: Were you able to get help from the Marriage and Family Life Counselor (MFLC) = Yes
XX.2. How would you rate your overall satisfaction with the help you received from the Marriage and
Family Life Counselor (MFLC)?
o Very Satisfied
o Moderately satisfied
o Neither satisfied nor dissatisfied
o Moderately dissatisfied
o Very dissatisfied
XX.3. How long did it take for you to receive help from the Marriage and Family Life Counselor (MFLC)?
o Less than 2 Weeks
o More than 2 weeks but less than 1 month
o 1-2 months
o 3-4 months
o 5 months or more
Display if: Deployment Resiliency Counselor (DRC) = Yes
XX.1. Were you able to get help from the Deployment Resiliency Counselor?

o
o
o
o
o
o

Yes
No, I was turned away because they did not provide the service I was looking for
No, I was turned away because they didn’t have any available appointments or services
No, it took too long to get an appointment
No, I tried but I could not get in touch with this resource
No, other reason : ______________________________

Display XX.2 & XX.3 If: Were you able to get help from Deployment Resiliency Counselor (DRC) = Yes
XX.2. How would you rate your overall satisfaction with the help you received from the Deployment
Resiliency Counselor?
o Very Satisfied
o Moderately satisfied
o Neither satisfied nor dissatisfied
o Moderately dissatisfied
o Very dissatisfied
XX.3. How long did it take for you to receive help from the Deployment Resiliency Counselor?
o Less than 2 Weeks
o More than 2 weeks but less than 1 month
o 1-2 months
o 3-4 months
o 5 months or more
Display if: Military OneSource = Yes
XX.1. Were you able to get help from Military OneSource?

o

Yes
Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

o
o
o
o
o

No, I was turned away because they did not provide the service I was looking for
No, I was turned away because they didn’t have any available appointments or services
No, it took too long to get an appointment
No, I tried but I could not get in touch with this resource
No, other reason : ______________________________

Display XX.2 & XX.3 If: Were you able to get help from Military OneSource = Yes
XX.2. How would you rate your overall satisfaction with the help you received from Military
OneSource?
o Very Satisfied
o Moderately satisfied
o Neither satisfied nor dissatisfied
o Moderately dissatisfied
o Very dissatisfied
XX.3. How long did it take for you to receive help from Military OneSource?
o Less than 2 Weeks
o More than 2 weeks but less than 1 month
o 1-2 months
o 3-4 months
o 5 months or more
Display if: Fleet and Family Service Center = Yes
XX.1. Were you able to get help from Fleet and Family Service Center?

o
o
o
o
o
o

Yes
No, I was turned away because they did not provide the service I was looking for
No, I was turned away because they didn’t have any available appointments or services
No, it took too long to get an appointment
No, I tried but I could not get in touch with this resource
No, other reason : ______________________________

Display XX.2 & XX.3 If: Were you able to get help from Fleet and Family Service Center = Yes
XX.2. How would you rate your overall satisfaction with the help you received from Fleet and Family
Service Center?
o Very Satisfied
o Moderately satisfied
o Neither satisfied nor dissatisfied
o Moderately dissatisfied
o Very dissatisfied
XX.3. How long did it take for you to receive help from Fleet and Family Service Center?
o Less than 2 Weeks
o More than 2 weeks but less than 1 month
o 1-2 months
o 3-4 months
o 5 months or more
Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

Display if: Military-affiliated mental health resource not listed above = Yes
XX.1. Were you able to get help from the other military-affiliated mental health resource you indicated?

o
o
o
o
o
o

Yes
No, I was turned away because they did not provide the service I was looking for
No, I was turned away because they didn’t have any available appointments or services
No, it took too long to get an appointment
No, I tried but I could not get in touch with this resource
No, other reason : ______________________________

Display XX.2 & XX.3 If: Were you able to get help from Military-affiliated mental health resource not listed
above = Yes
XX.2. How would you rate your overall satisfaction with the help you received from the other militaryaffiliated mental health resource you indicated?
o Very Satisfied
o Moderately satisfied
o Neither satisfied nor dissatisfied
o Moderately dissatisfied
o Very dissatisfied
XX.3. How long did it take for you to receive help from the other military-affiliated mental health
resource you indicated?
o Less than 2 Weeks
o More than 2 weeks but less than 1 month
o 1-2 months
o 3-4 months
o 5 months or more
Display if: Civilian-affiliated mental health resource not listed above = Yes
XX.1. Were you able to get help from the other civilian mental health resource you indicated?

o
o
o
o
o
o

Yes
No, I was turned away because they did not provide the service I was looking for
No, I was turned away because they didn’t have any available appointments or services
No, it took too long to get an appointment
No, I tried but I could not get in touch with this resource
No, other reason : ______________________________

Display XX.2 & XX.3 If: Were you able to get help from Civilian-affiliated mental health resource not listed
above = Yes
XX.2. How would you rate your overall satisfaction with the help you received from the other civilian
mental health resource you indicated?
o Very Satisfied
o Moderately satisfied
o Neither satisfied nor dissatisfied
o Moderately dissatisfied
o Very dissatisfied
Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

XX.3. How long did it take for you to receive help from the other civilian mental health resource you
indicated?
o Less than 2 Weeks
o More than 2 weeks but less than 1 month
o 1-2 months
o 3-4 months
o 5 months or more
XX. How distressed were you before using or trying to use mental or behavioral health resource(s)?

o
o
o
o

Very distressed
Moderately distressed
Slightly distressed
Not at all distressed

XX. In the past 6 months, have you provided another crew member(s) with social support?

o
o

Yes
No

XX. In the past 6 months, have you helped navigate any crew member(s) to mental or behavioral health
care?

o
o

Yes
No

XX. Using the scale provided, rate each of the possible concerns that might affect your decision to
seek treatment for a psychological or mental health problem (e.g., stress or depression) from a
mental health professional
(e.g., a counselor).
Strongly
disagree Disagree

Neutral

Agree

Strongly
Agree

It would be too embarrassing
My peers would blame me for the problem
I would be seen as weak
People important to me would think less of me
It would harm my reputation
I don’t have adequate transportation

XX. Which of these changes do you think will lead to the greatest improvement in the health, wellbeing, and readiness of the crew? [check only one]

o
o
o
o
o
o

Giving incoming Sailors a guide to outline what to expect while working aboard the ,
as well as advice on where to live to minimize commuting time
Allowing Sailors to have shorter terms (1-2 years) serving aboard carriers in RCOH
Reducing number of first tour sailors serving aboard carriers in RCOH
Providing BAS (Basic Allowance for Subsistence)
Providing more options for high-quality food
Providing closer parking or shuttles to and from existing parking areas
Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025

o
o
o
o

Reducing environmental stressors on the ship (e.g., noise, mold, etc.)
Reviewing and addressing manning on carriers in RCOH
Reducing shipyard interference with workflow
Other (please specify): _____________________________________________

Naval Health Research Center
IRB NUMBER: NHRC.2018.0016
IRB APPROVAL DATE: 04/03/2025