AMEDD Resiliency Needs Assessment - United States Army

Transcription

V1, 27 APRIL 2021AMEDD Resiliency Needs AssessmentA. Survey IntroductionParticipant Information SheetTitle:Project Lead:Contact Info:Army Medical Department (AMEDD) Resiliency Needs AssessmentWRAIR301-319-9711;Why are you completing this survey?The Army’s Office of the Surgeon General (OTSG) has requested support from the Walter Reed ArmyInstitute of Research (WRAIR) to provide a needs assessment across the AMEDD enterprise to informthe development of a resiliency program for AMEDD personnel. You have been directed to completethe online survey. The AMEDD Resiliency Needs Assessment will provide leaders with key informationabout unit cohesion and morale while also providing feedback on the levels of resiliency and burnoutthroughout the organization. To protect your identity, all data will be anonymous, held securely, andonly group (aggregate) responses will be reported. Your individual responses will never be reported, andyour name or identity will never be linked with your survey response in any way. This study isconducted and supported by the U. S. Department of Defense. There are mandatory and voluntaryparts to this evaluation. The box below contains more detailed information concerning the onlinesurvey and your participation in the voluntary portion of the study. Please email any questions youmight have before you decide whether to participate in the research portion of the study.The following gives you important information about this survey: Key Information for You to ConsiderPurpose. This online survey will be used to inform the development of a resiliency program for AMEDDpersonnel.Procedures and Activities. The online survey assesses topics such as burnout, work stressors, attitudestoward your organization, team, leadership, and COVID-19, physical and behavioral health, andattitudes toward seeking care for behavioral health issues.Voluntary. While this survey is command-directed, the completion of all survey items is voluntary andyou can stop any time. The survey is also anonymous. In addition, we will ask you whether you consentto allowing your anonymous data be used for analyses in potential future research efforts. Providingyour consent for future use of your data is voluntary. It is up to you whether you choose to allow yourdata to be used for any potential future research. There are no penalties and you will not lose anythingif you decide that you do not want your data to be used for research.Duration. The online survey will take approximately 30 minutes to complete.Risks. The risks of participating in the survey have been determined to be minimal; however,certain questions may involve topics that make you uncomfortable. You may skip or elect not to answerany questions. Resources for any distress or anxiety are provided below.Benefits. This survey is not designed to benefit you directly. The OTSG will use these results to developa resiliency program. There is a chance that AMEDD personnel may benefit from that new program andtherefore indirectly benefit from the information learned from this evaluation.Page 1 of 22

V1, 27 APRIL 2021What are my responsibilities as a participant?You are being asked to complete an online survey. Please reserve enough time to complete the survey inone sitting (approximately 30 minutes).This survey cannot be used as a way to request behavioral health assistance because everything isanonymous, and we will not be able to identify you to provide help. If these questions cause you distressor anxiety, you can use the following web resources: Military OneSource,https://www.militaryonesource.mil/, Community Resource x, and Army Wellness center/locations. You can also contact your localEmployee Assistance Program (EAP), MTF, or clinic. Visit https://www.tricare.mil/mtf to find contactinformation for your local facility.What happens to the information collected?The information collected will be used to inform the development of a resiliency program for AMEDDpersonnel. Responses to this survey will NOT be used to take any actions for any individual. UnitCommand and AMEDD Leadership will not receive any individualized data and individual participantswill not be identified based on their responses. Your personal identity will not be revealed under anycircumstances. All data are considered as a group (in aggregate) and are completely anonymous.How will your privacy and data confidentiality be protected?All data are anonymous and not linked to personally identifying information (PII); thus the risk of abreach to confidentiality is extremely low. We will not be collecting any information that can identifyyou now or in the future. Data collected online will be securely stored and encrypted when transferredfrom one location to another. Data will be stored on secure common access card-accessible drives at theWRAIR. Records may be inspected by the WRAIR Human Subjects Protection Branch and otherrepresentatives of the DoD.What happens if I no longer want to participate?You may withdraw your participation by closing out of the online survey at any time. You may choose tonot answer any given question on the survey if you do not feel comfortable. If you choose to quit thesurvey, data collected prior to your withdrawal will be used for research purposes if you provided priorconsent as there will be no way to identify you. Stopping the survey will not result in any penaltiesagainst you and there will be no loss of benefit to which you were previously entitled.Who can I contact if I have questions?If you have questions about this evaluation, you may contact 301-319-9711;If you have questions about your rights as a respondent, you can contact the HSPB Director at WRAIR, at(301) 319-9940 or via email at usarmy.detrick.medcom-wrair.mbx.hspb@mail.mil.I received a participant information sheet and I agree to allow my survey responses to be used for researchpurposes.o Yeso NoPage 2 of 22

V1, 27 APRIL 2021B. DemographicsWhile your responses to this survey are anonymous and confidential, the following demographicinformation is collected to describe survey participation. Please answer each question honestly; only group(aggregate) responses will be reported and your individual responses will never be identified.1. What is your primary military affiliation?o I am a Department of the Army or Department of Defense Civilian (or NAF employee)o I am a Soldier on an active status (i.e., active duty or activated member of the reserve orNational Guard)o I am a Department of Defense Contractor [Screen out to closing page with resources]o Other [Screen out to closing page with resources]2. What is your gender identity?o Maleo Femaleo Other, please specifyo Prefer not to answer3. What is your age?o 18-24o 25-29o 30-39o 40-49o 50-59o 60 and overo Prefer not to answer4. Do you consider your ethnicity to be Hispanic or Latino/a?o Yeso Noo Prefer not to answer5. Do you consider your race to be (check all that apply):o American Indian or Alaska Nativeo Asiano Black or African Americano Native Hawaiian or Other Pacific Islandero Caucasiano Other, please specifyo Prefer not to answer6. What is your highest level of civilian education?o High school diploma/GEDo Some collegeo Associate’s degreeo Bachelor’s degreeo Graduate degreeo Prefer not to answer7. What is your current marital status?o Not marriedPage 3 of 22

V1, 27 APRIL 20218.9.10.11.12.13.o Married, living with spouseo Married, not living with spouse (geographically separated)o Separatedo Prefer not to respond[If 7 married and 1 Soldier] Is your spouse also serving in the military?o Yeso Noo Prefer not to respond[If 7 not married or separated] What is your current relationship status?o Not in a committed relationshipo In a committed relationship and living with partnero In a committed relationship and not living with partnero Prefer not to respondDo you have any children in your household who are 18 or younger?o Yeso Noo Prefer not to response[if 10 Yes] How many children in your household are 18 or younger?o 1o 2o 3o 4o 5o 6o 7 or moreo Prefer not to respondPlease indicate your primary job role.o Clinical services, in which you directly care for patients or animals (e.g., doctor, dentist,veterinarian, nurse, public health nurse, physical therapist, psychologist, physician assistant,nurse practitioner)o Technical and clinical support services, in which you aid other clinicians (e.g., phlebotomist,medical technologist, dental hygienist, veterinary technician, epidemiologist)o Administrative services, in which you aid in the functioning of the hospital (e.g., humanresources, administrative assistant, logistics, resource management)[If 12 Clinical or technical services] For your primary job role, in which of the following medicalservices are you employed?o Primary and/or Soldier careo Preventative careo Public healtho Hospital care and surgeryo Urgent and emergency careo Behavioral health and substance useo Laboratoryo Radiologyo Specialty careo Case managemento Dentalo Pharmacyo Visiono Women’s health and pregnancyPage 4 of 22

V1, 27 APRIL 2021o Children’s healtho Veterinaryo Other, please specify:14. [If 12 Clinical services] What is your specialty?o Allergy and immunologyo Anesthesiology and surgical serviceso Behavioral healtho Behavioral health nursingo Dentalo Dermatologyo Diagnostic radiologyo Emergency medicineo Family medicineo Internal medicineo Maternal child nursingo Medical Sub-specialtieso Med-surg nursingo Neurologyo Nuclear medicineo Obstetrics and gynecologyo Ophthalmologyo Orthopedic Surgeryo Otolaryngologyo Pathologyo Pediatricso Pediatric Sub-specialtieso Physical medicine and rehabilitationo Preventative medicineo Public Healtho Radiation oncologyo Surgeryo Surgical Sub-specialtieso Urologyo Veterinaryo Other, please specify:15. [If 12 Clinical services] In what setting do you primarily see patients?o Inpatiento Outpatiento Other, please specify:16. [If 12 Administrative services] In your primary job role, in which of the following departments ofthe medical service are you employed?o Clinical operationso Housekeeping/janitorialo Human resourceso Hospital leadershipo Information technologyo Logistics and maintenanceo Patient administrationo Resource management/business operationso Other, please specify:Page 5 of 22

V1, 27 APRIL 202117. Including training, how many years of professional experience do you have working in a militarysystem?o 1o 1-5o 6-10o 10-15o 16-20o 20-30o More than 30o Prefer not to respond18. [If 12 Clinical] Are you an intern, resident, or fellow (e.g., graduate medical education, Social WorkInternship Program, Phase 2 AIT)?o Noo Yeso Prefer not to respond19. [If 1 Active Duty] What is your rank/pay grade?o E1-E4o E5-E9o O1-O3, W1-W5o O4 and aboveo Prefer not to respond20. [If 1 Active Duty] Are you a part of the MTOE Assigned Personnel (MAP) Program?o Yeso Noo Prefer not to respond21. [If 1 Active Duty] How many of each type of deployment have you completed that lasted more than30 days?o Combato 0-20 (dropdown)o Non-combato 0-20 (dropdown)o COVID-relatedo 0-20 (dropdown)22. [If 21 COVID 0] Did you feel that you had received adequate training or preparation for your COVIDassignment/deployment?o Yeso No23. [If 21 COVID 0] Did the COVID deployment or assignment require extended time away from home?o Yeso No24. Which of the following best describes the type of medical unit you are affiliated with:o Military Treatment Facility (including Health Clinics, Community Hospitals, Medical Centers,Troop Commands, and Soldier Readiness Units)o Dental Treatment Facilityo Public health Unito Headquarters Unit25. [If 24 Military Treatment Facility] Specify the Military Treatment Facility where you currently work:o Bassett Army Community Hospital – Fort Wainwright, AKo Baumholder Army Health Clinic – Baumholder, Germanyo Bayne-Jones Army Community Hospital – Fort Polk, LAPage 6 of 22

V1, 27 APRIL 2021oo B. G. Crawford F. Sams Army Medical Clinic – Camp Zama, Japano Blanchfield Army Community Hospital – Fort Campbell, KYo Brian D. Allgood Army Community Hospital – Camp Humphreys, South Koreao Brooke Army Medical Center – Joint Base San Antonio, TXo Brussels Army Health Clinic (NATO) – Sterrebeck, Belgiumo Darnall Army Medical Center – Fort Hood, TXo Desmond Doss Health Clinic – Schofield Barracks, HIo Dunham Army Health Clinic – Carlisle Barracks, PAo Eisenhower Army Medical Center – Fort Gordon, GAo Evans Army Community Hospital – Fort Carson, COo Fort Belvoir Community Hospital – Fort Belvoir, VAo Fox Army Health Center – Redstone Arsenal, ALo Grafenwoehr Army Health Clinic –Grafenwohr, Germanyo Guthrie Army Health Clinic – Fort Drum, NYo Hohenfels Army Health Clinic – Hohenfels, Germanyo Ireland Army Community Hospital – Fort Knox, KYo Irwin Army Community Hospital – Fort Riley, KSo Keller Army Community Hospital – West Point, NYo Kenner Army Health Clinic – Fort Lee, VAo Kimbrough Ambulatory Care Center – Fort Meade, MDo Kirk Army Health Clinic – Aberdeen Proving Ground, MDo Landstuhl Regional Medical Center – Germanyo Leonard Wood Army Community Hospital– Fort Leonard Wood, MOo Lyster Army Health Clinic – Fort Rucker, ALo Madigan Army Medical Center – Joint Base Lewis-McChord, WAo Martin Army Community Hospital – Fort Benning, GAo McAfee Army Health Clinic – White Sands Missile Range, NMo McDonald Army Health Clinic – Joint Base Langley-Eustis, VAo Moncrief Army Community Hospital – Fort Jackson, SCo Munson Army Health Center – Fort Leavenworth, KSo Presidio of Monterey Army Health Clinic – Monterey, CAo Reynolds Army Community Hospital – Fort Sill, OKo Rodriguez Army Health Clinic – Fort Buchanan, PRo Raymond W. Bliss Army Health Center – Fort Huachuca, AZo SHAPE Army Health Clinic – Casteau, Belgiumo SOUTHCOM Health Clinic – Doral, FLo Stuttgart Army Health Clinic – Patch Barracks, Germanyo Tripler Army Medical Center – Honolulu, HIo Tuttle Army Health Clinic – Savannah, GAo Vicenza Army Health Clinic – Vicenza, Italyo Vilseck Army Health Clinic – Rose Barracks, Germanyo Walter Reed National Military Medical Center – Bethesda, MDo Weed Army Community Hospital – Fort Irwin, CAo Wiesbaden Army Health Clinic – Wiesbaden, Germanyo William Beaumont Army Medical Center – Fort Bliss, TXo Winn Army Community Hospital – Fort Stewart, GAo Womack Army Medical Center – Fort Bragg, NCo Other, please specify:26. [If 24 Dental Treatment Facility] Specify the Dental Treatment Facility where you currently work:Page 7 of 22

V1, 27 APRIL 2021o Dental Activity – Alaskao Dental Activity – Army Dental Laboratoryo Dental Activity – Bavaria, Germanyo Dental Activity – Fort Benning, GAo Dental Activity – Fort Bliss, TXo Dental Activity – Fort Bragg, NCo Dental Activity – Fort Campbell, KYo Dental Activity – Fort Carson, COo Dental Activity – Fort Drum, NYo Dental Activity – Fort Eustis, VAo Dental Activity – Fort Gordon, GAo Dental Activity – Fort Hood, TXo Dental Activity – Fort Jackson, SCo Dental Activity – Fort Knox, KYo Dental Activity – Fort Lee, VAo Dental Activity – Fort Leonard Wood, MOo Dental Activity – Fort Meade, MDo Dental Activity – Fort Polk, LAo Dental Activity – Fort Riley, KSo Dental Activity – Fort Sill, OKo Dental Activity – Fort Stewart, GAo Dental Activity – Hawaiio Dental Activity – Joint Base Lewis-McChord, WAo Dental Activity – Joint Base San Antonio, TXo Dental Activity – Koreao Dental Activity – Landstuhl, Germanyo Dental Activity – Vicenza, Italyo Dental Activity – West Point, NYo Dental Clinic – Aberdeen Proving Ground, MDo Dental Clinic – Carlisle Barracks, PAo Dental Clinic – Fort Belvoir, VAo Dental Clinic – Fort Huachuca, AZo Dental Clinic – Fort Irwin, CAo Dental Clinic – Fort Leavenworth, KSo Dental Clinic – Fort Richardson, AKo Dental Clinic – Fort Rucker, ALo Dental Clinic – Camp Zama, Japano Dental Clinic – SHAPE, Belgiumo Dental Health Command – Atlantic – Fort Belvoir, VAo Dental Health Command – Central – Fort Bliss, TXo Dental Health Command – Europe – Landstuhl, Germanyo Dental Health Command – Pacific – Hawaiio Other, please specify:27. [If 24 Public Health Unit] Specify the Public Health Unit where you currently work:o Army Public Health Center – Aberdeen Proving Ground, MDo Public Health Command – Central – Joint Base San Antonio, TXo Public Health Command – Atlantic – Fort Meade, MDo Public Health Command – Europe – Germanyo Public Health Command – Pacific – Hawaiio Public Health Activity – Rheinland-PfalzPage 8 of 22

V1, 27 APRIL 2021o Public Health Activity – Italyo Public Health Activity – Fort Belvoiro Public Health Activity – Fort Braggo Public Health Activity – Fort Gordono Public Health Activity – Fort Knoxo Public Health Activity – Fort Hoodo Public Health Activity – Fort Carsono Public Health Activity – Joint Base Lewis-McChordo Public Health Activity – Guamo Public Health Activity – Hawaiio Public Health Activity – Japano Public Health Activity – Koreao Public Health Activity – San Diegoo Other, please specify:28. [If 24 Headquarters Unit] Specify the Headquarters Unit where you currently work:o Office of the Surgeon General (OTSG)o Medical Command (MEDCOM)o Regional Health Command – Europe (RHC-E)o Regional Health Command – Atlantic (RHC-A)o Regional Health Command – Central (RHC-C)o Regional Health Command – Pacific (RHC-P)o Other, please specify:C. Organizational AttitudesThe questions in this section are intended to provide information on your attitudes regarding theorganization in which you work. You may feel anxiety or distress while answering certain questions. Toprotect your identity, all data will be held securely and only group (aggregate) responses will be reported.As a reminder, your individual responses will not be reported.29. [If 1 Active Duty] What best describes your current career intentions?o Definitely STAY IN until retiremento Probably STAY IN until retiremento Definitely STAY IN beyond my present obligation, but not necessarily until retiremento UNDECIDED about whether to stay after completion of my current obligationo Probably LEAVE upon completion of my current obligationo Definitely LEAVE upon completion of my current obligation30. [If 1 Civilian] What best describes your current career intentions?o Definitely STAY working in the military health system until retiremento Probably STAY working in the military health system until retiremento Definitely STAY working in the military health system for the next three years, but notnecessarily until retiremento UNDECIDED about whether to stay working in the military health system for the next threeyearso Probably LEAVE the military health system in the next three yearso Definitely LEAVE the military health system in the next three years31. In the past year, have you considered no longer working in healthcare?o Yeso NoPage 9 of 22

V1, 27 APRIL 2021Very lowLowMediumHighVeryhighYour overall job satisfaction Your satisfaction with yoursalary/compensation AgreeStronglyagree32. Please rate the following:33. Please rate the extent to which youNeitheragree or disagree that the following areStronglyagreeDisagreeproblems among the team members you disagreenorwork with on a day-to-day basis:disagreeSexual harassment is a problem in my team Sexual assault is a problem in my team Racism is a problem in my team Extremism is a problem in my team Bullying or hazing is a problem in my team NeitheragreenordisagreeAgreeStronglyagree34. Please rate the extent to which youagree or disagree with the followingstatements.StronglyDisagreedisagreeThe members of my team are cooperative witheach other. The members of my team know that they candepend on each other. The members of my team stand up for eachother. NeitheragreenordisagreeAgreeStronglyagree35. Please rate the extent to which youagree or disagree with the followingstatements.StronglyDisagreedisagreeI trust my immediate supervisor. I trust the leadership in my organization. Page 10 of 22

V1, 27 APRIL 202136. Please rate the extent to which youagree or disagree with the ragreenordisagreeAgreeStronglyagreeMy immediate supervisor is an effective leader 37. Thinking about your current team/unit,rate how often your leaders NeverSeldomSometimesOftenAlwaysEmphasize taking care of yourself Encourage you to get enough sleep Give you positive feedback about youraccomplishments Remind you that you serve an importantpurpose Encourage you to maintain compassion Acknowledge challenges the team may face Reduce tension in the team/unit whenemotions run high Take responsibility when mistakes orchallenging circumstances occur Are willing to listen to you Protect subordinates from unnecessary oroverly burdensome taskers Are approachable and available when needed Are objective and fair when addressingconflicts D. Organizational Culture38. How committed do you think yourNot at allorganization is to the each of thecommittedfollowing?My physical ittedExtremelycommitted Page 11 of 22

V1, 27 APRIL 2021Allowing members of my team to be ableto bring up problems and tough issues Fostering development of meaning andpurpose in my work. Giving me choice and flexibility at work Recognizing and rewarding myaccomplishments Allowing me to participate in decisionmaking that affects me Fostering cohesion at work Daily improvement and learning frommistakes My wellness and self-care Giving me regular feedback on my work E. Work StressorsThe questions in this section are intended to provide information on specific stressors you may beconcerned about and their effects on you. You may feel anxiety or distress while answering certainquestions. To protect your identity, all data will be held securely and only group (aggregate) responses willbe reported. As a reminder, your individual responses will not be erHow often do you feel tired? How often are you physically exhausted? How often are you emotionallyexhausted? How often do you think: ”I can’t take itanymore” How often do you feel worn out? How often do you feel weak andsusceptible to illness? Do you feel worn out at the end of theworking day? 39. How often do the followingstatements describe the way youfeel?Page 12 of 22

V1, 27 APRIL 2021Are you exhausted in the morning at thethought of another day at work? Do you feel that every working hour istiring for you? Do you have enough energy for family andfriends during leisure time? To a veryhighdegreeTo a highdegreeSomewhatTo a lowdegreeTo a verylowdegreeIs your work emotionally exhausting? Do you feel burnt out because of yourwork? Does your work frustrate you? 40. How often do the followingstatements describe the way youfeel?41. Using your own definition of “burnout,” please select one of the answers below:o I enjoy my work. I have no symptoms of burnout.o I am under stress, and don’t always have as much energy as I did, but I don’t feel burnedout.o I am definitely burning out and have one or more symptoms of burnout, e.g., emotionalexhaustion.o The symptoms of burnout that I am experiencing won’t go away. I think about workfrustrations a lot.o I feel completely burned out. I am at the point where I may need to seek help.42. Please rate the extent to which you areworried or concerned about thefollowing:Not AtAllSlightlyModeratelyVeryExtremelyMy workload Staffing levels of my team Increased work demands due to teammembers who have deployed Getting clear, up to date communications MHS Genesis/Network Issues Lack of career growth/promotion opportunities Mandatory training requirements Page 13 of 22

V1, 27 APRIL 2021Insufficient compensation Transfer to DHA Lack of control/autonomy Potential downsizing of the Army’s medicalcomponent Lack of respect from patients/customers Lack of respect from supervisors/employers,colleagues, or staff Administrative demands TRICARE network ability to provide outsidemedical services to patients [If 1 Active Duty] Change from PROFIS toMTOE Assigned Personnel (MAP) Program [If 1 Active Duty] Marketplace program [If 1 Active Duty] Army Combat Fitness Test(ACFT) F. COVID-19 Stressors and AttitudesThis survey intends to assess stressors and attitudes related to the COVID-19 pandemic. Please answer thefollowing questions about your stressors and attitudes related to COVID-19.43. Please rate the extent to which you areworried or concerned about thefollowing in the context of COVID-19:Not AtAllSlightlyModeratelyVeryExtremelyBeing isolated/quarantined/quartered becauseof COVID-19 Doing jobs I am not trained for Changes in workload due to COVID-19 Having adequate childcare while I work Changes to work schedule(s) Uncertainty about COVID-19 Changing rules, regulations and guidancerelated to COVID-19 Contracting the COVID-19 virus 44. To what extent has COVID-19 impacted your work duties?Page 14 of 22

V1, 27 APRIL 2021o Not at allo Slightlyo Moderatelyo Veryo Extremely45. Please indicate which response best represents what you think about your team’s current responseto the COVID-19 pandemic:o My team has not taken enough precautions in response to the COVID-19 pandemic.o My team has taken the right amount of precautions in response to the COVID-19 pandemic.o My team has taken too many precautions in response to the COVID-19 pandemic.46. To what extent has your household been impacted financially by the COVID-19 pandemic?o No impacto Minimal impacto Moderate impacto Major impacto Severe impact47. [If 7 married or 8 In a committedrelationship and living with partner]Have any of the following occurred as aresult of the COVID-19 pandemic?YesNoNot applicableMy Spouse/partner is no longer employedoutside of the home My Spouse/partner has had their work hoursreduced My spouse/partner had to take an unpaid leaveof absence/”furloughed” My spouse/partner shifted to working fromhome or teleworking part- or full-time 48. [If 7 married or 8 In a committed relationship and living with partner] To what extent have you andyour spouse/partner had difficulty coping with the impact of the COVID-19 pandemic?o Not at allo Slightlyo Moderatelyo Veryo ExtremelyG. Health and WellnessThe questions in this section are intended to provide a snapshot of physical and behavioral health. You mayfeel anxiety or distress while answering certain questions. To protect your identity, all data will be heldsecurely and only group (aggregate) responses will be reported. As a reminder, your individual responseswill not be reported.49. In general, would you say your health is:o Excellento Very goodPage 15 of 22

V1, 27 APRIL 2021oooGoodFairPoor50. The following questions are aboutactivities you might do during a typicalday. Does your health now limit you inthese activities? If so, how much?Yes, limited a lotYes, limited alittleNo, not limited atallModerate activities such as moving a table,pushing a vacuum cleaner, bowling, or playinggolf. Climbing several flights of stairs. 51. During the past 4 weeks, have you had any of thefollowing problems with your work or other regular dailyactivities as a result of your physical health?YesNoAccomplished less than you would like. Were limited in the kind of work or other activities. YesNoAccomplished less than you would like Did work or activities less carefully than usual. 52. During the past 4 weeks, have you had any of thefollowing problems with your work or other regular dailyactivities as a result of any emotional problems (such asfeeling depressed or anxious)?53. During the past 4 weeks, how much did pain interfere with your normal work (including work outsidethe home and housework)?o Not at allo A little bito Moderatelyo Quite a bito ExtremelyPage 16 of 22

V1, 27 APRIL 2021These questions are about how you have been feeling during the past 4 weeks. For each question, pleasegive the one answer that comes closest to the way you have been feeling.All ofthetimeMostof thetimeA goodbit ofthetimeSomeof thetimeA littleof thetimeNoneof thetimeHave you felt calm and peaceful? Did you have a lot of energy? Have you felt downhearted and blue? 54. How much of the time during the past 4weeks 55. During the past 4 weeks, how much of the time has your physical health or emotional problemsinterfered with your social activities (like visiting friends, relatives, etc.)?o All of the timeo Most of the timeo Some of the timeo A little of the timeo None of the time56. On average, how many hours of sleep have you gotten per day during the last week?o 3 or fewero 4o 5o 6o 7o 8 or more57. Over the last 2 weeks, howoften have you been botheredby any of the followingproblems?Not at allSeveral daysMore thanhalf the daysNearly everydayLittle interest or pleasure in doingthings Feeling down, depressed, orhopeless 58. At any time in the past 12 months, did you seriously think about trying to kill yourself?o Yeso No [Go to 61]59. [If 58 Yes] During the past 12 months, did you make any plans to kill yourself?Page 17 of 22

V1, 27 APRIL 2021ooYesNo60. [If 58 Yes] During the past 12 months, did you try to kill yourself?o Yeso NoNever61. How often do you have a drinkcontaining alcohol?62. How many drinks containingalcohol do you have on a typicalday when you are drinking?63. How often do you have six ormore drinks on one occasion?One time Two or fourTwo orFour ormonthly ortimes athree times more timeslessmonthper weeka week 0 drinks1 or 2drinks3 or 4drinks5 or 6drinks7 to 9drinks10 ormore NeverLess thanmonthlyMonthlyWeeklyDaily oralmostdaily H. Attitudes and Use of Behavioral HealthcareThe q

The Army's Office of the Surgeon General (OTSG) has requested support from the Walter Reed Army Institute of Research (WRAIR) to provide a needs assessment across the AMEDD enterprise to inform the development of a resiliency program for AMEDD personnel. You have been directed to complete the online survey.