| What is your age? |
Under 20
20s
30s
40s
50s
60s
70s
Over 80
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| What is your sex? |
Male
Female
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| What type of MHS beneficiary are you? |
Active Duty
Reserve
Family Member
Civilan Staff
Retiree
Other
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| If military, what is your rank? |
E1-E4
E5-E9
W1-W5
O1-O4
O5-O10
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| If military, what is your Military Occupational Specialty (MOS)? |
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| What is your deployment status? |
Never been deployed
1-3 Deployments
4+ Deployments
Currently Deployed
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| Where do you generally receive your health care? |
Military Treatment Facilities (MTFs)
Outside of MTFs
Both
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| To help us identify which issues need the most immediate attention in the MHS, please answer the following question based on their level of importance:
Improving the care and management of PTSD and TBI is: |
Very important
Somewhat important
Not so important
Not important at all
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| To help us identify which issues need the most immediate attention in the MHS, please answer the following question based on their level of importance: Ensuring the AHLTA is faster and easier to use is: |
Very important
Somewhat important
Important
Not so important
Not important at all
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| To help us identify which issues need the most immediate attention in the MHS, please answer the following question based on their level of importance: Improving recruiting and retention of MHS staff is: |
Very important
Somewhat important
Important
Not so important
Not important at all
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| To help us identify which issues need the most immediate attention in the MHS, please answer the following question based on their level of importance: Implementing a pay for performance system of incentives to reward quality outcomes is: |
Very important
Somewhat important
Important
Not so important
Not important at all
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| To help us identify which issues need the most immediate attention in the MHS, please answer the following question based on their level of importance: Improving our facilities, especially at the BRAC sites like the NCA and San Antonio is: |
Very important
Somewhat important
Important
Not so important
Not important at all
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| To help us identify which issues need the most immediate attention in the MHS, please answer the following question based on their level of importance: Improving prevention and disease management programs is: |
Very important
Somewhat important
Important
Not so important
Not important at all
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| To help us identify which issues need the most immediate attention in the MHS, please answer the following question based on their level of importance: Improving the efficiency of health care operations is: |
Very important
Somewhat important
Important
Not so important
Not important at all
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| MHS Leadership should: |
Remain as it is
Revert to three separate service organizations (military)
Become joint military command
Become more joint via unified military and civilian agency
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| Please agree or disagree with the following statement: I am able to make appointments to see my doctor quickly. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
Not applicable
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| Please agree or disagree with the following statement: It is easy for me to make appointments to see my doctor. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
Not applicable
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| Please agree or disagree with the following statement: I have my choice of doctor when seeking health care from the MHS. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
Not applicable
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| Please agree or disagree with the following statement: I see the same doctor from visit to visit and therefore benefit from great continuity of care. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
Not applicable
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| Please agree or disagree with the following statement: MHS personnel take great care of my health records and do not lose my health information. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
Not applicable
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| Please agree or disagree with the following statement: MHS personnel conduct themselves in an organized manner when it comes to providing health care. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
Not applicable
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| Please agree or disagree with the following statement: MHS personnel, including doctors, nurses and staff, are polite, caring and treat me with respect. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
Not applicable
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| Please agree or disagree with the following statement: MHS personnel, including doctors, nurses and staff, provide me with knowledgeable help and answers to my question. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
Not applicable
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| Please agree or disagree with the following statement: MHS health care facilities are high quality and effective environments for providing health care. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
Not applicable
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| Please agree or disagree with the following statement: Transferring into VA care from the MHS is easy and efficient. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
Not applicable
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| Please agree or disagree with the following statement: The MHS provides excellent health care support to my family. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
Not applicable
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| Please agree or disagree with the following statement: The MHS provides me with excellent psychological health support. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
Not applicable
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| Please agree or disagree with the following statement: My trust in the MHS is improving. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
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| Please agree or disagree with the following statement: The MHS’s abilities in providing the highest quality health care are improving. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
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| Please agree or disagree with the following statement: The MHS’s efforts to ensure the highest quality health-care are improving. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
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| Please agree or disagree with the following statement: The MHS is improving its level and quality of service. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
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| Please agree or disagree with the following statement: The MHS cares about its beneficiaries. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
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| Please agree or disagree with the following statement: The MHS is improving. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
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| Please agree or disagree with the following statement: The MHS is making and improving innovations in providing health care. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
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| Please agree or disagree with the following statement: The MHS is making and improving innovations in health research. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
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| Please agree or disagree with the following statement: The MHS is improving two-way communication between health care providers and beneficiaries. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
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| Please agree or disagree with the following statement: The MHS is conscientiousness. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
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| Please agree or disagree with the following statement: The MHS is improving its comprehensiveness and coordination. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
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| Please agree or disagree with the following statement: The MHS is improving its compassion. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
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| Please agree or disagree with the following statement: The MHS is improving confidentiality in providing health care. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
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| Please agree or disagree with the following statement: The MHS is improving cleanliness in its facilities. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
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| Please agree or disagree with the following statement: MHS personnel are improving their ability to communicate clearly. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
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| Please agree or disagree with the following statement: MHS personnel are improving in their courtesy. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
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| Please agree or disagree with the following statement: The MHS is improving its level of consumer control. |
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
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| Please agree or disagree with the following statement: The MHS is improving to become more cost effective.
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Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
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