Private Motor Vehicle 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.
Please select one:
  
7-Digit PIN:
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 PMV training after return from deployment
Your distance from residence to work
Your travel time from residence to work
Your travel time from work to residence
Your usual mode of transportation to/from work
The usual number of people you travel with in a PMV to/from work
Do you typically use a PMV to conduct military business (e.g., MPF, medical, military events, etc.)
Your average hours actually at work on a workday
Are you currently employed at an additional job(s) outside the military


My command leadership provides me adequate information to identify and reduce risks associated with PMVs.
Characters remaining: 400
My supervisor assists me in identifying and reducing risks associated with PMVs.
Characters remaining: 400
My supervisor is genuinely concerned about my safety when it comes to PMVs.
Characters remaining: 400
My PMV is currently in good operating condition.
Characters remaining: 400
I would say something to the driver of a vehicle I was in if he/she was doing something unsafe.
Characters remaining: 400
I feel pressured by passengers to drive faster and/or bend traffic rules.
Characters remaining: 400
I feel pressured by other drivers on the road to drive faster and/or bend traffic rules.
Characters remaining: 400
My driving times or distances between home and work are excessive.
Characters remaining: 400
Take long drives
Characters remaining: 400
Work long hours
Characters remaining: 400
Fail to get adequate rest
Characters remaining: 400
Over exercise
Characters remaining: 400


How often do the following describe your driving habits?

Excessive speed
Characters remaining: 400
Loss of vehicle control
Characters remaining: 400
Failure to use a seatbelt
Characters remaining: 400
Excessive alcohol consumption
Characters remaining: 400
Failure to yield right of way
Characters remaining: 400


How often do the following describe your driving habits (continued)?

Tailgating
Characters remaining: 400
Running a red traffic light
Characters remaining: 400
Accelerating through a yellow traffic light
Characters remaining: 400
Rolling through a stop sign
Characters remaining: 400
Making an illegal U-turn
Characters remaining: 400


How often do the following describe your driving habits (continued)?

Allowing a passenger in the front seat to not wear a seatbelt
Characters remaining: 400
Allowing a passenger in the back seat to not wear a seatbelt
Characters remaining: 400
Using a cell phone while driving
Characters remaining: 400
Wearing ear phones
Characters remaining: 400
Driving fatigued
Characters remaining: 400


How often do the following describe your driving habits (continued)?

Driving while distracted (reading a map, eating, loud music, etc.)
Characters remaining: 400
Driving while angry/upset/depressed/ill/etc.
Characters remaining: 400
Road rage (anger at other drivers)
Characters remaining: 400
Failure to take road conditions into account
Characters remaining: 400
Failure to take weather conditions into account
Characters remaining: 400
Failure to wear prescription glasses
Characters remaining: 400
Failure to use turn signals (including lane changes)
Characters remaining: 400
Failure to make adequate rest stops on long trips
Characters remaining: 400


OPEN-ENDED RESPONSE ITEMS

The most significant action(s) I could take to reduce the probability of a PMV mishap/injury is(are):
Characters remaining: 400
What is my organization doing right and why?
Characters remaining: 400
What should my unit be doing to improve PMV safety among its members?
Characters remaining: 400
The last time I did not wear my seat belt in a moving PMV was because:
Characters remaining: 400