Motorcycle Safety 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.
Note: If you do not own, operate, or ride as a passenger on a motorcycle, here . . . do NOT complete this survey!
Please select one:
  
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
Military Branch:
I am in the USN
I am in the USMC
I am in the USAF
I am in the US Army
I am in the USCG
US Civilian
I am in a Foreign Military
Other
No response
Your Status:
Regular
Active Reserve
Drilling Reserve
Civilian
No response
Your time in current unit:
< 2 months
2-6 months
7-12 months
13-24 months
> 2 years
No response
Have you recently returned from an overseas unit deployment?
Within last month
1-2 months
3-6 months
> 6 months
Currently deployed
N/A
No response
Gender:
Male
Female
No response
Age:
< 18
18-20
21-25
26-29
30-39
40-49
> 49
No response
Your current marital status:
Never Been Married
Married
Separated within last 6 months
Separated 7-12 months ago
Separated more than 1 year ago
Divorced within last 6 months
Divorced 7-12 months ago
Divorced more than 1 year ago
Widow/Widower within last 6 months
Widow/Widower 7-12 months ago
Widow/Widower for more than 1 year
No response
Select which best describes your use of motorcycles:
Owner / operator
Operator only (do not own a motorcycle)
Passenger only
No response
Number of motorcycles you have owned:
0
1
2
3
4 or more
No response
Type of motorcycle you primarily operate:
Cruiser/touring
Sport/super sport
Track/racing only
Customized
Dirt bike
Three-wheeler
Moped/scooter
Other
N/A
No response
Engine size of the primary motorcycle you operate:
< 500 cc
500 cc to 750 cc
751 cc to 999 cc
1000 cc to 1200 cc
> 1200 cc
N/A
No response
Dollar value of your primary motorcycle (when you first obtained it):
< $1,000
$1,000-$2,000
$2,001-$5,000
$5,001-$10,000
$10,001-$20,000
> $20,000
N/A
No response
Primary reason you ride a motorcycle
Cost/financial
Traffic/parking
Ease of repair
Status
Social ( peers )
Freedom
Thrill seeking
Sports ( competitive / recreational)
Other
No response
How long have you been operating a motorcycle?
< 3 months
3-6 months
7-12 months
13-24 months
2-5 years
6-10 years
> 10 years
N/A
No response
How long have you had your current motorcycle?
< 3 months
3-6 months
7-12 months
13-24 months
> 24 months
N/A
No response
Did you purchase your motorcycle after returning from your last unit deployment?
Yes
No
N/A
No response
How recently have you completed level I training (e.g., MSF's BRC; Total Control Basic Rider Training, etc.)?
Within last 12 months
Within last 3 years
More than 3 years
Never completed level I training
N/A
No response
How recently have you completed the level II training (e.g., ARC, MSRC, CRC, Total Control Intermediate Rider Training, etc.)?
Within last 12 months
Within last 3 years
More than 3 years
Never completed level II training
N/A
No response
How recently have you completed level III training (e.g., CA SuperBike; YCRS; Track Day, etc.)?
Within last 12 months
Within last 3 years
More than 3 years
Never completed level III training
N/A
No response
How often do you operate your motorcycle off road?
Never
Couple times a year
Couple times a month
Couple times a week
Daily
N/A
No response
Have you been denied motorcycle rider training due to a lack of available courses/quotas?
Yes
No
N/A
No response
Has your unit denied you the opportunity to attend motorcycle rider training?
Yes
No
N/A
No response
Do you have a motorcycle endorsement on your driver license?
Yes
No
Not required
N/A
No response
Do you have motorcycle insurance?
Yes
No
N/A
No response
Number of other motorcyclists you typically ride with:
Alone
1-2 others
3-4 others
> 4 others
No response
How frequently do you carry a passenger?
Never
Couple times a year
Couple times a month
Couple times a week
Daily
N/A
No response
Do you own an automobile?
Yes
No
No response
Is a motorcycle your primary mode of transportation?
Yes
No
No response
How often do you ride your motorcycle to/from work?
Never
Couple times a year
Couple times a month
Couple times a week
Daily
N/A
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
No response
Travel time from your residence to your work:
< 15 minutes
15-30 minutes
31-45 minutes
46-59 minutes
1-2 hours
> 2 hours
No response
Average number of miles per year that you operate or are a passenger on a motorcycle:
< 1,000 miles
1,000-5,000 miles
5,001-10,000 miles
> 10,000 miles
No response
Number of road trips that exceed 150 miles total driving distance that you typically take on a motorcycle per year:
0
1-2
3-4
5-12
> 12
No response
How often do you use the technique of "lane splitting" (passing between two vehicles in adjacent lanes)?
Never (it's illegal here)
Never (it's legal, but unsafe)
Only between stopped traffic
Only between slow-moving traffic
Any time I can
No response
Type helmet you typically wear:
1/2 helmet
3/4 helmet
Full face helmet
Modular
None
No response
Does your installation/unit have a motorcycle mentorship club?
No
Yes and I'm enrolled
Yes but I'm not enrolled
I don't know
No response
Total number of motorcycle-related moving traffic citations you have personally received:
0
1
2
3
> 3
No response
Total number of motorcycle-related mishaps you have personally had:
0
1
2
3
> 3
No response
How many times have you been injured while riding a motorcycle?
0
1
2
3
> 3
No response


SUPERVISION

How often do your unit leaders show support for the motorcycle safety program?

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400
How often have your unit leaders assisted you in identifying/reducing risks associated with your motorcycle?

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400
Leaders/Supervisors know who the high-risk motorcyclists are in my unit.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

N/A

Don't Know
Characters remaining: 400


ACTS

How often do you wear your helmet off base when riding your motorcycle?

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400
How often do you require passengers on your motorcycle to wear a helmet?

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400
How often do you wear other Personal Protective Equipment when riding your motorcycle off base (jacket, riding pants, boots, etc.)?

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400
How often do you require passengers on your motorcycle to wear Personal Protective Equipment?

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400
How often do you operate your motorcycle in inclement weather (e.g., rain, sleet, snow, fog, etc.)?

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400
How often do you check T-CLOCS (tire pressure, controls, lights, oil, chassis/chain, and stand) before you ride your motorcycle?

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400
How often do you use portable music players when operating your motorcycle?

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400
How often do you use a cell phone when operating your motorcycle?

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400
Do you use a Bluetooth headset to listen to music or talk on the phone?

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400
How often do you drive greater than 10 mph faster than the flow of traffic when operating your motorcycle?

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400
How often does peer pressure influence you to take unnecessary risks when operating your motorcycle (e.g., speeding, a wheelie, no hands, no helmet, etc.)?

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400
How often do you operate your motorcycle within one hour of consuming alcohol?

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400
How often do you carry a first aid kit on your motorcycle?

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400


OPEN-ENDED RESPONSE ITEMS

The most significant action(s) my unit could take to enhance the commander's motorcycle safety program is(are):
Characters remaining: 400
The most significant action(s) I could take to support the commander's motorcycle safety program is(are):
Characters remaining: 400
What additional motorcycle training could be offered that would benefit motorcycle safety?
Characters remaining: 400
Off-base, I do not follow the military regulations for motorcycle safety and equipment use because:
Characters remaining: 400
THERE I WAS … Describe the most unsafe experience you had on a motorcycle.
Characters remaining: 400
What is my unit doing right?
Characters remaining: 400
Excessive speed, cornering too fast, collisions with other motor vehicles, . . . are factors in many military motorcycle mishaps. Please provide recommendations on how these threats can be reduced.
Characters remaining: 400
How would you discourage other motorcyclists from taking unnecessary risks?
Characters remaining: 400
Use this space to provide any concern that you would like to comment upon.
Characters remaining: 400