Enhanced, Assess, Acknowledge, Act Sexual Assault Resistance Training

OMB Control Number: 0704-0644

OMB Expiration Date: 01/31/2026

EAAA Survey Specifications—Sailor and Facilitator Feedback Form

Updated 03/4/2025

Font colors are used in the specifications as follows:

• Screen names are in red font.

• Input variable names are in blue font.

• Programmer notes are in green font.

• Fills are in red font and highlighted in yellow.

• Randomization logic are in navy blue italic font.

The main navigation buttons, unless otherwise noted, are:

ß Back Next à

A header will be displayed at the top of every survey question screen (i.e., Q1 through Q41) that reads: All Feedback Provided is Confidential.

A footer will be displayed at the bottom of every screen, including the landing page (layout for the Tech Support pages that these buttons will display to is provided in the specs). We will use tool-tip for the footer:

Helpful Resources

FAQs

Tech Support

Response option formatting:

• Single select items are shown as radio buttons and are preceded by the coded value:

1

• Select all that apply items are shown as square check boxes and are preceded by the coded value:

1☐

Landing_Page

Enhanced Assess, Acknowledge, Act “EAAA” Evaluation Feedback Forms

Welcome to the EAAA Evaluation Feedback Form. This voluntary form is being administered on behalf of the DoD and Commander, Navy Region Southeast by NORC at the University of Chicago (NORC). NORC is a non-partisan, objective research organization that provides rigorous and reliable research and evaluation in the public interest.

This feedback form is part of an evaluation of the EAAA Training. The goal of collecting this feedback is to better understand the experiences sailors are having within the EAAA training at NATTC.

This form is voluntary and you may skip any questions or stop the questionnaire at any time without penalty.

To fill out the confidential feedback form, enter your unique 8-digit PIN below and click “BEGIN”.

OMB Control Number: 0704-0644

Expiration Date: 01/31/2026

AGENCY DISCLOSURE NOTICE

The public reporting burden for this collection of information,0704-0644, is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering, and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or burden reduction suggestions to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

IT INFO: DISPLAY “BEGIN” BUTTON CENTERED ON SCREEN.

IT INFO: ADD IN VALIDATION FOR A PIN ENTRY BOX TO REQUIRE AN 8-DIGIT NUMERIC PIN UNIQUE TO EACH RESPONDENT. If possible, please have XXXXXXXX in the box to represent the 8 digits that need to be added by the respondent, like a shadow pin. DISPLAY “BEGIN” BUTTON CENTERED ON SCREEN.

Identification

ATTEND

Which sessions of the EAAA training did you attend or facilitate?

1 Saturday only

2 Saturday and Sunday

3 I did not attend or facilitate any EAAA training sessions

CONF_TRAIN

IT INFO: SKIP TO PNOATTEND IF ATTEND=3

Please confirm the dates of your scheduled EAAA training:

Day 1 – [P_TRAINA]

Day 2 – [P_TRAINB]

1 The date(s) are correct  GO TO EAAAFACIL

2 The dates are NOT correct

TRAINA

What dates were you scheduled to attend or facilitate the EAAA training?

IT INFO: PROGRAM TO ACCEPT MM/DD/YYYY DATES.

Training Date 1:

[Month/Day/ Year]

TRAINB

Training Date 2:

[Month/Day/Year]

EAAAFACIL

IT INFO: EAAAFACIL=1 SKIP TO EAAA Facilitator Questions, EAAAFACIL=2 SKIP TO EAAA Participant Questions

IT INFO: PROGRAM A HARD STOP TO REQUIRE RESPONDENT TO SELECT A RESPONSE TO THIS ITEM. IF RESPONDENT TRIES TO CONTINUE WITHOUT RESPONDENING, SHOW A POP UP IN RED “This response is required in order to continue with the survey.”

Are you an EAAA facilitator?

1 Yes [Skip to EAAA Facilitator questions]

2 No [Skip to EAAA Participant questions]

EAAA Facilitator Questions (DISPLAY ONLY IF EAAAFACIL=1)

FTYPE

What was your main role in the EAAA training the weekend of [P_TRAINA]?

1 Facilitator 1

2 Facilitator 2

FREHEARSE

Before facilitating this most recent cohort, did you have the opportunity to complete a dress rehearsal or a full practice run through of the EAAA training separate from your original facilitator training?

1 Yes

2 No

FPREPARED

How prepared did you feel while delivering this EAAA training?

1 Not at all prepared

2 Somewhat prepared

3 Well prepared

FCOMF

How comfortable were you while delivering this EAAA training?

1 Not at all comfortable

2 Somewhat comfortable

3 Very comfortable

EAAA FACILITATOR2

FEAAAUNIT

Please select the EAAA unit(s) you covered in this training as a facilitator. (Check all that apply)

1 ☐ EAAA Unit 1 – Assess

2 ☐ EAAA Unit 2 – Acknowledge

3 ☐ EAAA Unit 3 – Act

4 ☐ EAAA Unit 4 – Relationships, Desire, and Sex

FTRAINFEEL

Overall, how well do you feel this training went?

1 Not well at all

2 Not so well

3 Somewhat well

4 Very well

5 Extremely well

EAAA FACILITATOR3

FTRAINDET

IT NOTE: IF R LEAVES FTRAINFEEL BLANK, SKIP TO NEXT ITEM.

In your own words, why do you believe the training went “[insert response to FTRAINFEEL]”:

___________________________________ [TEXT ENTRY]

EAAA FACILITATOR4

FCHANGE1

If you had to make changes, can you please select the EAAA unit(s) you had to make changes to?

[DROP DOWN LIST OF UNITS FILL FROM UNIT NAME(S) SELECTED IN FEAAAUNIT. FCHANGE2 AND FCHANGE3 WILL LOOP IF MULTIPLE UNITS ARE SELECTED]

IT NOTE: IF R SELECTS 5, DESELECT ALL OTHER RESPONSE OPTIONS.

1 ☐ EAAA Unit 1 - Assess

2 ☐ EAAA Unit 2 - Acknowledge

3 ☐ EAAA Unit 3 - Act

4 ☐ EAAA Unit 4 – Relationships, Desires, and Sex

5 ☐ N/A - I made no changes while facilitating the EAAA training.

FCHANGE2A

DISPLAY ITEM FCHANGE2A/B ONLY IF ANY RESPONSE OPTIONS WERE SELECTED FOR FCHANGE, OTHER THAN FCHANGE1=5 RESPONSE OPTION.

Please describe the change(s) you made to [SELECTED UNIT] and share how the information you presented was different from what was included in the curriculum?

_________________________ [TEXT ENTRY]

FCHANGE2B

If you provided additional details for the key objectives, please share one or two key examples:

_________________________ [TEXT ENTRY]

FCHANGE3

DISPLAY ONLY IF ANY RESPONSE OPTIONS WERE SELECTED FROM FCHANGE OTHER THAN FCHANGE=5.

Please select the reason for the change(s) to [UNIT NAME]. (Select all that apply)

☐ Not enough time.

☐ Technical difficulties.

☐ I did not have the materials.

☐ Participant(s) did not understand the material.

☐ Participants were not interested in the material.

☐ I was uncomfortable discussing some of the topics.

☐ Participant(s) were uncomfortable discussing some of the topics.

☐ Other (please explain): ____________________________ [TEXT ENTRY]

EAAA FACILITATOR5

FENGAGE

Overall, how engaged were participants over the course of the weekend?

1 No engagement

2 Some engagement

3 High engagement

4 I am not sure

FENGAGEOE

IT NOTE: IF R LEAVES FENGAGE BLANK, SKIP TO NEXT ITEM.

Please provide a brief example(s) informing your assessment of participant engagement:

_________________________ [TEXT ENTRY]

FPARQ

Please rate how well the participants seemed to understand the content from the EAAA trainings.

No / Limited Understanding			Full Understanding
1	2	3	4

FFEED

We would appreciate learning anything else you want to share from your experience during the EAAA training this past weekend, in terms of what worked well, what changes, adaptations, or improvements could be made to the content or activities you covered, and how the training could be improved to increase participants’ responsiveness to the content and/or activities, etc. Thank you for providing any additional feedback here:

____________________________________ [TEXT ENTRY]

CLOSEFACIL

Thank you for your responses! By clicking NEXT, you will submit your feedback.

EAAA Participant Questions (DISPLAY ONLY EAAAFACIL=2)

RANK

What is your rank/rate?

1 E1-E4

2 E5-E6

3 E7-E9

4 O1-O3

5 O4-O6

PCOMF

How comfortable were you with the information presented during the EAAA training?

1 Very comfortable

2 Somewhat comfortable

3 Neither comfortable or uncomfortable

4 Somewhat uncomfortable

5 Very uncomfortable

PNOATTEND

IT INFO: DISPLAY IF ATTEND=1 OR ATTEND=3. IF ATTEND=3, [FILL]=”attend any”. IF ATTEND=1, [FILL]=”attend all”.

Please share any details about why you did not [fill] of the EAAA training.

_______________________ [TEXT ENTRY]

IT INFO: AFTER PNOATTEND, IF ATTEND= 1 OR 3, SHOW BELOW TY2 SCREEN and END SURVEY.

TY2

Thank you for your responses and your time. This is the end of the feedback form. You can now close this screen.

PRATE

IT NOTE: IF R LEAVES PCOMF BLANK, SKIP TO NEXT ITEM.

Please share more about why you selected that response.

_______________________ [TEXT ENTRY]

EAAA SAILOR1

PSAPR1

How would you rate the value of the EAAA training in comparison to other military Sexual Assault Prevention trainings?

1 More valuable

2 About the same

3 Less valuable

4 I have not received other Sexual Assault Prevention trainings while in the military.

PSAPR2

DISPLAY ONLY PSAPR1=1

Please share more about why you selected that response.

____________________ [TEXT ENTRY]

EAAA SAILOR2

PUSE

Please indicate to what extent you agree or disagree with the following statements:

	Strongly Disagree	Disagree	Agree	Strongly Agree
PUSE1 I am confident that, going forward, I will use the strategies and skills presented in the EAAA training going forward.	1	2	3	4
PUSE2 The EAAA training and resources provided will be helpful to me.	1	2	3	4
PUSE3 I plan on sharing the information I learned from the EAAA training with my friends in the Navy.	1	2	3	4
PUSE4 I would recommend the EAAA training to my female shipmates.	1	2	3	4

PSIT

IT INFO: THIS MATRIX SHOULD BE SPLIT ACROSS TWO SCREENS IN THE ACTUAL INSTRUMENT WITH FOUR ITEMS ON THE FIRST SCREEN AND THREE ITEMS ON THE SECOND SCREEN.

Please indicate the extent to which any of the following situations occurred during the presentation of the course.

	Strongly disagree	Disagree	Agree	Strongly agree
PSIT1 EAAA facilitators were prepared and organized.	1	2	3	4
PSIT2 EAAA facilitators experienced technical difficulties.	1	2	3	4
PSIT3 EAAA facilitators provided clear instructions throughout the course.	1	2	3	4
PSIT4 EAAA facilitators were engaged with participants.	1	2	3	4
PSIT5 Materials provided were useful during the training.	1	2	3	4
PSIT6 I had enough time to finish my assignments during group activities.	1	2	3	4
PSIT7 I felt connected with other program participants throughout the course.	1	2	3	4

EAAA SAILOR3

PFEED1

Overall, how would you rate the EAAA training facilitators?

1 Excellent

2 Good

3 Fair

4 Poor

PFEED2

IT NOTE: IF R LEAVES PFEED1 BLANK, SKIP TO NEXT ITEM.

Please share more about why you selected that rating.

____________________ [TEXT ENTRY]

PFEED3

Overall, how would you rate the EAAA training content?

1 Excellent

2 Good

3 Fair

4 Poor

PFEED4

IT NOTE: IF R LEAVES PFEED3 BLANK, SKIP TO NEXT ITEM.

Please share more about why you selected that rating.

____________________ [TEXT ENTRY]

EAAA SAILOR4

PFEED5

Please share your suggestions on how we could improve the EAAA training content and/or delivery.

________________________ [TEXT ENTRY]

PFEED6

Please share more about what worked well during the EAAA training.

_________________________ [TEXT ENTRY]

EAAA SAILOR5

PFEED7

Please share what did not work well during the EAAA training.___________________________ [TEXT ENTRY]

PFEED8

Is there anything else that you would like to share or want us to know about the EAAA training content and/or delivery?

___________________________ [TEXT ENTRY]

SUBMIT_SURVEY

IT INFO: ONLY DISPLAY A “BACK” AND “NEXT” BUTTON ON THIS SCREEN

Thank you for providing your deidentified confidential feedback!

Click ‘NEXT’ to confirm your name and email so NORC can coordinate your volunteer hours. If you do not wish to confirm your information to receive the volunteer hours, you may close this window now.

Note that once you close this window, you will not be able to confirm your information to receive your volunteer hours in the future.

T4 Survey Specifications—Sailor Feedback Form Volunteer Hours

Updated 12/18/2024

Font colors are used in the specifications as follows:

• Screen names are in red font.

• Input variable names are in blue font.

• Programmer notes are in green font.

• Fills are in red font and highlighted in yellow.

• Randomization logic are in navy blue italic font.

The main navigation buttons, unless otherwise noted, are:

ß Back Next à

A footer will be displayed at the bottom of every screen, including the landing page (layout for the Tech Support pages that these buttons will display to is provided in the specs). We will use tool-tip for the footer:

Helpful Resources

FAQs

Tech Support

Response option formatting:

• Single select items are shown as radio buttons and are preceded by the coded value:

1m

• Select all that apply items are shown as square check boxes and are preceded by the coded value:

1☐

CONFIRMVOL_INFO

IT INFO: PRELOAD THE EMAIL, LASTNAME, AND FIRSTNAME, ASSOCIATED WITH THE CASE AS PROVIDED IN BASELINE SURVEY.

Privacy Advisory: Personal contact information is being collected and used by the NORC at the University of Chicago for the purpose of distributing gift cards in thanks for your participation. Your information will be securely stored by NORC at the University of Chicago, will not be delivered to DoD, and will be destroyed no later than December 31, 2026, at the conclusion of NORC’s data collection period for this evaluation. Providing your information is voluntary, however, choosing not to provide your personal contact information will result in NORC’s inability to coordinate your volunteer hours.

Is the below information correct?

[FNAME] [LNAME]

[EMAIL]

1 Yes, the above is correct. → CONTINUE TO CLOSE

2 No, need to make a correction. → GO TO VUPDATE Screen

VUPDATE

Please edit your responses below to update the information, then hit “Next.”

FNAME_UP

First name: __[FNAME] __________

LNAME_UP

Last name: __[LNAME] __________

EMAIL_UP

Email: __[EMAIL] __________

CLOSE

Click ‘Submit’ below to provide your name and email for your volunteer hours.

After you click ‘Submit’, NORC will notify the EAAA Training Team at NATTC and they will work to provide your volunteer training certificate within the next two weeks.   

IT INFO: ONLY DISPLAY A “BACK” AND “SUBMIT” BUTTON ON THIS SCREEN

ThankYou

Thank you, if you have any additional questions about the EAAA evaluation, please contact eaaa-eval@norc.org. Please close this tab to end your session.

Help_Resource_Screen

IT INFO: DISPLAY THIS SCREEN USING TOOL-TIP IF THE “Helpful Resources” BUTTON IN THE FOOTER IS CLICKED. IN THE SCREEN THAT POPS UP, THERE SHOULD BE A “Close” BUTTON AT BOTH THE TOP AND THE BOTTOM OF THE SCREEN.

Upon completion of the INDOC period at NATTC, all sailors should have received a Resource Kit designed for NATTC sailors. This resource kit included information on civil injunctions (a court order prohibiting contact from an abuser), the CATCH program, SAPR brochures on Pensacola resources, and how to support sexual assault victims. The national resources shared in that resource kit are shared below.

National Resources for Sailors

Suicide or Self-Harm

Suicide Prevention Lifeline
TOLL-FREE: 988
This crisis lifeline provides 24/7 confidential support (via text, call, or chat) and help if you are feeling mental health struggles, emotional distress, depression, substance abuse concerns, and/or thoughts about suicide. Judgement-free counselors are available to provide immediate support.

Domestic Violence

National Domestic Violence Hotline
TOLL-FREE: 1-800-799-7233 or TTY
This hotline provides 24/7 support (via text, call, or chat) to talk confidentially if you are experiencing domestic violence, seeking resources or information, or questioning unhealthy aspects of your relationship.

National Network to End Domestic Violence (NNEDV)-Safety Net Project
techsafety.org
This website provides resources and information on the use of technology for agencies and survivors of domestic violence, sexual assault, stalking, and trafficking. These include survivor, agency, app safety center, confidentiality, and legal systems toolkits.

National Network to End Domestic Violence (NNEDV)- WomensLaw.org
womenslaw.org or womenslaw.org/es (Español), Email Hotline: hotline.womenslaw.org/public

This website provides information relevant to anyone with questions about domestic violence, sexual violence, and other relevant topics. The email hotline site will provide legal information to anyone, not just women, who reaches out with legal questions or concerns regarding these topics.

Love is Respect, National Dating Abuse Helpline
TOLL-FREE: 1-866-331-9474

TEXT: ‘LOVEIS’ to 22522
This support line provides 24/7 assistance and help if you or someone you know is in an unhealthy or unsafe dating relationship, no matter how casual, or if you want to know more about personal safety and healthy relationships. Call center support is offered via text, call, or chat.

Sexual Assault

National Sexual Assault Hotline
TOLL-FREE: 1-800-656-HOPE (4673)
hotline.rainn.org/online
(Español) hotline.rainn.org/es

• This hotline connects you to a trained staff member from a sexual assault service provider in your area. The staff member can provide confidential support (via online chat or call) in finding local resources, such as referrals for long-term support and information about the laws in your community. You can also access 24/7 help online by visiting https://hotline.rainn.org/online.

• The Rape, Abuse, Incest National Network (RAINN) is a partnership of more than 1,100 local rape treatment hotlines that maintains an online referral resource directing you to local rape crisis centers nationwide.

Mental Health Services

SAMHSA’s National Helpline
(Substance Abuse and Mental Health Services Administration)
TOLL-FREE 1-800-662-HELP (4357)
SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.

NAMI (National Alliance on Mental Illness)
HelpLine 1-800-950-NAMI (6264)
The NAMI HelpLine is a free, nationwide peer-support service providing information, resource referrals, and support to people living with a mental health condition, their family members and caregivers, mental health providers, and the public. HelpLine staff and volunteers are experienced, well-trained, and able to provide guidance. To contact the NAMI HelpLine, call 800-950-NAMI (6264), Monday through Friday, 10 AM –8 PM ET, or email info@nami.org.

Victim Services

National Center for Victims of Crime
TOLL-FREE: 1-855-4-VICTIM (1-855-484-2846)
victimconnect.org

• This website has information to help victims of crimes learn about their rights and options confidentially. It provides a phone-based helpline, an online chat tool, and web-based information and service referrals.

• This hotline provides support and directs you to a state referral service for legal assistance or mental health care providers. They can also refer you to a local service provider who can provide more specific referrals. This number can be reached Monday-Friday from 12 PM-5 PM ET.

Stalking Prevention and Awareness Resource Center (SPARC)
stalkingawareness.org
SPARC provides nationwide training, technical assistance, and resources to allied professionals, including victim service providers, law enforcement, prosecutors, court personnel, judges, corrections, treatment providers, mental health professionals, campus student conduct offices, campus police/security, Title IX offices, and others.

National Human Trafficking Hotline
TOLL-FREE: 1-888-373-7888
Text “BeFree” (233733)
polarisproject.org
This national hotline provides 24/7 support to answer calls, texts, and live chats from anywhere in the United States in more than 200 languages. The National Hotline’s mission is to connect human trafficking victims and survivors to critical support and services to get help and stay safe and to equip the anti-trafficking community with the tools to combat all forms of human trafficking effectively.

Digital or Media Victims Services

Nonconsensual Pornography Hotline
TOLL-FREE: 1-844-878-CCRI (2274) Cyber Civil Rights Initiative Helpline
This hotline provides 24/7 support to victims of nonconsensual pornography (“NCP”, also known as “revenge porn”), recorded sexual assault (RSA), or sextortion. They can provide information, support, referrals, and non-legal advice.

FAQ_SCREEN

IT INFO: DISPLAY THIS SCREEN USING TOOL-TIP IF THE “FAQs” BUTTON IN THE FOOTER IS CLICKED. IN THE SCREEN THAT POPS UP, THERE SHOULD BE A “Close” BUTTON AT BOTH THE TOP AND THE BOTTOM OF THE SCREEN.

Who is NORC at the University of Chicago?

NORC is a not-for-profit survey and research organization that is working with the Naval Air Technical Training Center (NATTC) and the DoD Sexual Assault Prevention and Response Office (SAPRO) to evaluate the Enhanced Assess, Acknowledge, Act (EAAA) resistance program currently being offered at NATTC. For more information about NORC, visit www.norc.org.

How do I know this form is confidential?

All feedback provided in this form will be stored separately from your name and email that you provide in this feedback form. Your name and email in this feedback form is used to coordinate delivery of your volunteer hours.

How long will this form take to complete?

The survey will take about 5 minutes to complete.

Why should I participate?

The benefits to your participation may include better prevention programming and less sexual harassment and sexual assault at NATTC and Navy overall. The feedback provided in this form will be used to better understand the experiences sailors are having within the EAAA training at NATTC and will aid NORC’s evaluation of the EAAA training. Benefits may accrue to NATTC staff, who can use the evaluation results to improve prevention programming efforts to support a safer environment for sailors and staff on base.

Any immediate benefit to me?

There is no compensation if you choose to fill out the feedback form today.

Do I have to fill out this form?

No, you do not have to fill out the feedback form. It is voluntary, but in order to receive volunteer hours for completing the EAAA training, you must provide your information after completing the feedback form.

What is this form about?

This feedback form is part of an evaluation of the EAAA Training. The goal of collecting this feedback is to better understand the experiences sailors are having within the EAAA training at NATTC.

Technical_Assistance

IT INFO: DISPLAY THIS SCREEN USING TOOL-TIP IF THE “Tech Support” BUTTON IN THE FOOTER IS CLICKED. IN THE SCREEN THAT POPS UP, THERE SHOULD BE A “Close” BUTTON AT BOTH THE TOP AND THE BOTTOM OF THE SCREEN.

This feedback form is best viewed on a laptop, desktop, or large tablet running the current Firefox, Chrome, Safari, or Edge versions.

You can go forward or backward in the form by clicking the Next or Back buttons. (DO NOT use your browser’s Back or Forward buttons).

If you leave the feedback form idle for more than 10 minutes, it will time out to keep your responses confidential. Since the feedback form is confidential, you will need to log back into it with the link that was sent by eaaa-eval@norc.org to your email. All the responses you provided up until the feedback form timed out are saved.

For other technical support questions, or if you encounter any problems as you complete the survey, please contact NORC at eaaa-eval@norc.org for assistance.