Off Duty and Recreational Activity Survey

Your grade/rank:

Your age

Your branch of the military

Your gender

Your current marital status

Have you recently returned from Unit Deployment

Have you received Drinking and Driving training after return from deployment



SUPERVISION

   
My supervisor assists me in reducing risks associated with off-duty and recreational activities.

       
 Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
N/A
Don't Know
 
Enter any comment here: 

   
My supervisor honestly cares about my safety when I am off duty.

       
 Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
N/A
Don't Know
 
Enter any comment here: 

   
My supervisor knows which subordinates are involved in high-risk off-duty and recreational activities.

       
 Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
N/A
Don't Know
 
Enter any comment here: 



ORGANIZATIONAL PROCESSES

   
My command's Off-duty and Recreational Activity Program is effective at helping me reduce personal injury.

       
 Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
N/A
Don't Know
 
Enter any comment here: 

   
My command periodically briefs me on off-duty and recreational activity safety risks.

       
 Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
N/A
Don't Know
 
Enter any comment here: 

   
Safety personnel in my command assist me in reducing risks associated with off-duty and recreational activities.

       
 Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
N/A
Don't Know
 
Enter any comment here: 

   
Safety standdowns are effective at helping me reduce off-duty and recreational activity mishaps/injuries.

       
 Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
N/A
Don't Know
 
Enter any comment here: 



RESOURCES

   
Missing work due to an off-duty/recreational activity injury would adversely affect my command's ability to accomplish its mission.

       
 Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
N/A
Don't Know
 
Enter any comment here: 



PRECONDITIONS

   
I am comfortable telling peers when they are behaving unsafely (e.g., endangering themselves or others).

       
 Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
N/A
Don't Know
 
Enter any comment here: 



ACTS

How often do you participate in the following off-duty and recreational activities?

(Rarely means 1-2 times a year, Sometimes means 1-2 times a month, Often means 1-2 times a week, Very Often means 3 or more times a week)


   
Sky-diving

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 

   
Hang-gliding

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 

   
Para-sailing

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 

   
Bungee jumping

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 

   
Rock climbing

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 



How often do you participate in the following off-duty and recreational activities (continued)?

   
Motocross/off-road motorcycles

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 

   
Motorcycle touring

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 

   
ATV (four wheel)

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 

   
Snowmobiles

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 

   
Jet skiing

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 



How often do you participate in the following off-duty and recreational activities (continued)?

   
Scuba diving

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 

   
Swimming/Snorkeling

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 

   
Surfing

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 

   
Spending a day at the beach

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 

   
Water skiing/Wake boarding

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 



How often do you participate in the following off-duty and recreational activities (continued)?

   
Boating

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 

   
Snow skiing

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 

   
Snow boarding

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 

   
Skate boarding

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 

   
Mountain biking (bicycle)

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 



How often do you participate in the following off-duty and recreational activities (continued)?

   
Road biking (bicycle)

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 

   
Jogging/Running (under 8 miles)

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 

   
Marathon running

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 

   
Hiking

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 

   
Weight lifting

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 



How often do you participate in the following off-duty and recreational activities (continued)?

   
Boxing

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 

   
Martial arts

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 

   
Intramural sports (basketball, baseball, football)

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 

   
Hunting (bow or firearm)

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 

   
Yard work/mowing

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 



How often do you participate in the following off-duty and recreational activities (continued)?

   
Home repairs/remodeling

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 

   
Woodworking/Crafts (power tools used)

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 

   
Alcohol consumption during activities

       
 NeverRarelySometimesOftenVery Often
N/A
Don't Know
 
Enter any comment here: 



OPEN-ENDED RESPONSE ITEMS