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1 - TAKE A SURVEY
2 - SURVEY INFORMATION
a) Survey Overview
b) AFCMRS Policy
c) Survey Instructions
d) Sample CC Access
e) Hierarchy View
f) Unit Survey History
g) Optional Items
3 - SAMPLE SURVEYS
a) OPS Survey
b) MX Survey
c) SUP Survey
d) HHQ Survey
e) MED PT Safety Survey
f) SW OPS
g) Driving Safety Survey
h) NucMsn OPS Survey
i) NucMsn MX Survey
j) NucMsn PRAP SUP
k) NucMsn non-PRAP SUP
l) NucMsn MED
m) ISR OPS
n) ISR SUP
o) Test Agency Survey
p) MED OPS Survey
4 - SET-UP UNIT SURVEY
5 - SAMPLE CC ACCESS
6 - COMMANDER ACCESS
7 - SURVEY ADMIN
8 - CONSIDERATIONS
a) OPS Survey
b) MX Survey
c) SUP Survey
d) HHQ Survey
e) MED PT Safety Survey
f) SW OPS Survey
g) NucMsn OPS Survey
h) NucMsn MX Survey
i) NucMsn PRAP SUP
j) NucMsn non-PRAP SUP
k) Archived Surveys
OPS (2016)
MX (2016)
SUP (2016)
HHQ (2016)
NucMsn OPS (2016)
NucMsn MX (2016)
NucMsn PRAP SUP (2016)
MED PT Safety (2017)
9 - SUGGESTIONS
10 - HELP / FAQ
11 - LINKS
12 - CONTACT US
13 - HOME
Accessibility/Section 508
AFMA SCN
AF20-101SE - AF20-114SE
[=]
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Driving Safety Survey (SCN AF20-102SE)
Do NOT discuss or comment on classified, operationally sensitive, or personally identifiable information.
We cannot provide confidentiality to a participant regarding comments involving criminal activity/behavior, or statements that pose a threat to yourself or others.
INFORMED CONSENT
. This survey is voluntary, per Office of People Analytics guidance. This is your opportunity to anonymously provide concerns to your commander via write-in comments. Please be specific.
Your responses are anonymous
. Demographic information will be used only to help us analyze results. No results will be reported unless there are five or more members of a demographic group. This prevents the use of demographics to identify individual survey participants.
SURVEY INSTRUCTIONS:
Respondents may skip individual survey items that they do not want to answer. ALL demographics must be answered.
Once all survey items are completed, click on the Submit button at the bottom of the page.
A "Thank You" note will appear. You have then completed the survey.
Please select one:
Military
Civilian
7-Digit PIN:
Your grade/rank
Cadet
E1-E4
E5-E6
E7-E9
WO1-CWO5
O1-O3
O4-O5
O6 & above
Other
No response
Your grade/rank
GS-1 to GS-3
GS-4 to GS-8
GS-9 to GS-11
GS-12 & above
WG-8 & below
WG-9 to WG-11
WG-12 & above
WL-5 & below
WL-6 & above
WS-7 & below
WS-8 to WS-13
WS-14 & 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
DR-I
DR-II
DR-III
DR-IV
DO-I
DO-II
DO-III
DO-IV
Other
What is
your
Service?
USAF
USSF
US Army
USMC
USN
USCG
US Civilian
Other
No response
Your age
< 21
21 - 22
23 - 25
26 - 30
31 - 35
36 - 40
41 - 45
> 45
No response
Your military affiliation
Active Duty
Traditional Reservist/IMA
Full-time Reserve Technician
Traditional Guardsman
Full-time Guardsman
Civil Service
Other
No response
Do you currently own or ride a motorcycle?
No
Yes
No response
Do you use TRiPS (the on-line Travel Risk Planning System) or another pre-departure safety tool prior to taking extended drives/rides?
TRiPS
Another tool
Neither
Both
No response
Distance from your residence to your work
< 1 mile
1-5 miles
6-10 miles
11-20 miles
21-100 miles
> 100 miles
N/A
No response
Your travel time
from your residence
to work
<15 minutes
15-30 minutes
31-45 minutes
46-60 minutes
>60 minutes
No response
Your travel time
from work
back to your residence
<15 minutes
15-30 minutes
31-45 minutes
46-60 minutes
>60 minutes
No response
Your average hours actually at work on a workday
<8 hours
8 hours
9-10 hours
11-12 hours
>12 hours
No response
When talking on a phone while driving, you use:
A handheld cell phone
A hands-free device
Both hands-free and handheld
Other
I never talk on a phone while driving
No response
As a passenger, how often would you challenge the driver for driving in an unsafe manner?
Never
Rarely
Sometimes
Often
Always
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
How often do you take road/weather conditions into account while driving?
Never
Rarely
Sometimes
Often
Always
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
How often do you encounter drivers around you that appear to be distracted while driving?
Never
Rarely
Sometimes
Often
Always
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
How often do you drive fatigued as a result of your work schedule?
Never
Rarely
Sometimes
Often
Always
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
How often do you drive more than 10 MPH above the posted speed limit?
Never
Rarely
Sometimes
Often
Always
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
How often do you drive when you feel even the slightest effects from consuming alcohol?
Never
Rarely
Sometimes
Often
Always
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
How often do you talk on a phone while driving?
Never
Rarely
Sometimes
Often
Always
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
How often do you text, use social media, or use the internet while driving?
Never
Rarely
Sometimes
Often
Always
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
How often do you find yourself distracted while driving?
Never
Rarely
Sometimes
Often
Always
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
How often do you respond aggressively towards other drivers?
Never
Rarely
Sometimes
Often
Always
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
How often do you use turn signals prior to turning or lane changes?
Never
Rarely
Sometimes
Often
Always
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
How often do you take adequate rest stops on long trips?
Never
Rarely
Sometimes
Often
Always
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
My leaders/supervisors do a good job communicating risks associated with driving.
Never
Rarely
Sometimes
Often
Always
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
Everyone in my unit is held to the same standard regarding DUI punishment.
Never
Rarely
Sometimes
Often
Always
N/A
Don't Know
Characters remaining:
400
Enter any comment here:
The greatest threat to my safety while driving is:
No Response
My Response Is
Characters remaining:
400
THERE I WAS … Describe the most unsafe experience you had while driving.
No Response
My Response Is
Characters remaining:
400
MOTORCYCLE SURVEY ITEMS
My leaders/supervisors show support for the motorcycle safety program.
No Response
My Response Is
Characters remaining:
400
How often do you wear a helmet off base when riding a motorcycle?
No Response
My Response Is
Characters remaining:
400
How often do you wear full PPE (per USAF guidance) when riding a motorcycle off base?
No Response
My Response Is
Characters remaining:
400
How often do you check T-CLOCS (tire pressure, controls, lights, oil, chassis/chain, stand) before you ride?
No Response
My Response Is
Characters remaining:
400
How often do you talk on a phone while riding your motorcycle?
No Response
My Response Is
Characters remaining:
400
How often do you text, use social media, or the Internet while riding a motorcycle?
No Response
My Response Is
Characters remaining:
400
How often do you ride more than 10 MPH above the posted speed limit while riding a motorcycle?
No Response
My Response Is
Characters remaining:
400
How often do you let peer pressure influence you to take unnecessary risks when riding a motorcycle (e.g., speeding, a wheelie, no hands, no helmet, etc.)?
No Response
My Response Is
Characters remaining:
400
How often do you drive when you feel even the slightest effects from consuming alcohol while riding a motorcycle?
No Response
My Response Is
Characters remaining:
400
The greatest threat to my safety while riding my motorcycle is:
No Response
My Response Is
Characters remaining:
400
THERE I WAS … Describe the most unsafe experience you had on a motorcycle. (Approx. 200 words max.)
No Response
My Response Is
Characters remaining:
400
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