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.

PURPOSE:
  • This survey is designed to give members of [unit name] the opportunity to provide anonymous feedback to the [unit name] 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 squadron CO (Det OIC if survey conducted for detachment use). 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 rank/grade:
Military Branch:
Your Status:
Your time in current unit:
Have you recently returned from an overseas unit deployment?
Gender:
Age:
Your current marital status:
Select which best describes your use of motorcycles:
Number of motorcycles you have owned:
Type of motorcycle you primarily operate:
Engine size of the primary motorcycle you operate:
Dollar value of your primary motorcycle (when you first obtained it):
Primary reason you ride a motorcycle
How long have you been operating a motorcycle?
How long have you had your current motorcycle?
Did you purchase your motorcycle after returning from your last unit deployment?
How recently have you completed level I training (e.g., MSF’s BRC; Total Control Basic Rider Training, etc.)?
How recently have you completed the level II training (e.g., ARC, MSRC, CRC, Total Control Intermediate Rider Training, etc.)?
How recently have you completed level III training (e.g., CA SuperBike; YCRS; Track Day, etc.)?
How often do you operate your motorcycle off road?
Have you been denied motorcycle rider training due to a lack of available courses/quotas?
Has your unit denied you the opportunity to attend motorcycle rider training?
Do you have a motorcycle endorsement on your driver license?
Do you have motorcycle insurance?
Number of other motorcyclists you typically ride with:
How frequently do you carry a passenger?
Do you own an automobile?
Is a motorcycle your primary mode of transportation?
How often do you ride your motorcycle to/from work?
Distance from your residence to your work:
Travel time from your residence to your work:
Average number of miles per year that you operate or are a passenger on a motorcycle:
Number of road trips that exceed 150 miles total driving distance that you typically take on a motorcycle per year:
How often do you use the technique of "lane splitting" (passing between two vehicles in adjacent lanes)?
Type helmet you typically wear:
Does your installation/unit have a motorcycle mentorship club?
Total number of motorcycle-related moving traffic citations you have personally received:
Total number of motorcycle-related mishaps you have personally had:
How many times have you been injured while riding a motorcycle?


How often do your unit leaders show support for the motorcycle safety program?
Characters remaining: 400
How often have your unit leaders assisted you in identifying/reducing risks associated with your motorcycle?
Characters remaining: 400
Leaders/Supervisors know who the high-risk motorcyclists are in my unit.
Characters remaining: 400
How often do you wear your helmet off base when riding your motorcycle?
Characters remaining: 400
How often do you require passengers on your motorcycle to wear a helmet?
Characters remaining: 400
How often do you wear other Personal Protective Equipment when riding your motorcycle off base (jacket, riding pants, boots, etc.)?
Characters remaining: 400
How often do you require passengers on your motorcycle to wear Personal Protective Equipment?
Characters remaining: 400
How often do you operate your motorcycle in inclement weather (e.g., rain, sleet, snow, fog, etc.)?
Characters remaining: 400
How often do you check T-CLOCS (tire pressure, controls, lights, oil, chassis/chain, and stand) before you ride your motorcycle?
Characters remaining: 400
How often do you use portable music players when operating your motorcycle?
Characters remaining: 400
How often do you use a cell phone when operating your motorcycle?
Characters remaining: 400
Do you use a Bluetooth headset to listen to music or talk on the phone?
Characters remaining: 400
How often do you drive greater than 10 mph faster than the flow of traffic when operating your motorcycle?
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.)?
Characters remaining: 400
How often do you operate your motorcycle within one hour of consuming alcohol?
Characters remaining: 400
How often do you carry a first aid kit on your motorcycle?
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