Retention of Military Nurses Survey

The information collected by this survey will be used to assist in formulating policy to increase retention of nurses.

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Privacy Act Advisory: The information collected by this survey will be used to assist in formulating policy to increase retention of nurses. No personally identifiable data will be collected, and all data used for reporting and analysis will be in aggregate form only. Participation is voluntary and a failure to participate or respond to any question will not result in any penalty or loss of benefits.

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Part I: Demographic Data – Please complete the following demographic information.

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Branch of Military Service:
Army
Navy
Air Force

4

Are you:
Active Component
Reserve Component
National Guard

5

Age:

6

Gender:
Male
Female

7

Current rank:
01
02
03
04
05
06

8

Hispanic or Latino origin:
Yes
No

9

Race:
White
Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian or Pacific Islander

10

Marital Status:
Single
Married
Divorced
Widowed

11

Highest Degree:
ADN
BSN
MS/MSN
Masters, other than nursing
Doctorate

12

Nursing Certification:
NP
CRNA
CCRN
Nurse Mid-Wife
Perioperative
None
Other

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Current Work Position:
Staff Nurse
Manager
Executive
Other

14

Current Work Location:
Inpatient
Outpatient
Other

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Average length of your workday in hours:

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Number of scheduled hours worked per week:

17

Number of additional hours of work taken home per week:

18

Number of hours per week standing duty or watch:

19

How many years have you been in the military?

20

Before you were an officer, were you enlisted? (If no, skip to #22.)
Yes
No

21

Number of years you were enlisted:

22

How many years have you been in the Nurse Corps?

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How many years have you been a registered nurse?

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What is the status of your service commitment?
It's over, and I can leave whenever I wish (Skip #26)
I still owe some time before I can leave

25

How many months do you now owe?

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Are you stationed CONUS or OCONUS?
CONUS (in the U.S.)
OCONUS (outside the U.S.)

27

Are you stationed or deployed in a wartime theater?
Yes
No

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Are you a caregiver to an elderly, sick, disabled, or terminally ill family member?
Yes
No

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Do you have any children? (If no, skip to question 36.)
Yes
No

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Do you have any pre-school (Pre-K) age children?
Yes
No

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If so, how many pre-school age children do you have?

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Do you have primary school (grades K-6) age children?
Yes
No

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If so, how many primary school age children do you have?

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Do you have secondary (grades 7-8) or high school (grades 9-12) age children?
Yes
No

35

If so, how many secondary or high school age children do you have?

36

Is your spouse on active duty?
Yes
No
Not Applicable (if you're single)

37

If your spouse is not on active duty is he or she employed?
Yes
No

38

Before taxes and other deductions, what is the approximate total annual income of your spouse?
24,999 or less
Between 25,000 and 39,999
Between 40,000 and 49,999
Between 50,000 and 59,999
60,000 or more
No spouse or partner