Evaluation of U.S. Army Coaching for Resilience and Trauma-Informed Leadership Training Pilot (TILT)

DoD-wide Data Collection and Analysis for the Department of Defense Qualitative and Quantitative Data Collection in Support of the Independent Review Commission on Sexual Assault Recommendations

T1_OMB_CFR Baseline Survey_9.11

Evaluation of U.S. Army Coaching for Resilience and Trauma-Informed Leadership Training Pilot (TILT)

OMB: 0704-0644

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Appendix A1. CFR Baseline Survey

Landing Page


Welcome to Fort Leonard Wood OSUT. Today, you will be completing the Individual Resilience Assessment (IRA). The IRA assesses life-skills that have been shown to help individuals manage and overcome stressful life events.


As part of your training, you are also being offered the opportunity to participate in a pilot evaluation for the Coaching for Resilience (CFR) program. The Department of Defense (DoD) has contracted NORC at the University of Chicago (NORC) to support an independent evaluation of the CFR program. NORC is a non-partisan, objective research institute that provides rigorous and reliable research and evaluation services to clients.


Participation in the evaluation involves a few extra survey questions (3-4 minutes) today beyond the mandatory Individual Resilience Assessment, a 15-minute follow-up survey in about four months, and an optional interview. The goal of this evaluation survey today is to understand what trainees learn as a result of participating in the CFR program and how that compares to people who do not participate in the program.


All Trainees from Platoons 1, 2, 3, and 4 who participate in the pilot evaluation today and complete the follow-up survey will receive a $15 e-gift card for the survey you complete today and a $30 e-gift card for the follow-up evaluation survey. Some soldiers will also be eligible for a $40 e-gift card for an interview.


Participation in the evaluation is voluntary. Trainees who do not wish to participate in the evaluation should select “no” and will be redirected to the mandatory Individual Resilience Assessment for Initial Entry Training.


Your contact information is stored separately from your survey responses. Responses to this survey are confidential and will not be shared with Army Performance Experts without your specific permission (at the end of this survey). Your responses will be combined with others, and the results will be reported to DoD and Army leadership in aggregate.


If you have any questions about this survey or the evaluation being conducted by NORC, please contact the NORC Project Team by email: ArmyResilience@norc.org.



OMB CONTROL NUMBER:  0704-0644

OMB EXPIRATION DATE: 01/31/2026

AGENCY DISCLOSURE NOTICE

The public reporting burden for this collection of information, 0704-0644, is estimated to average 18 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.

Privacy Advisory: Personal contact information is being collected and used by the NORC at the University of Chicago (NORC) for the purpose of distributing gift cards in thanks for your participation and to contact you for the follow-up CFR evaluation survey. Your information will be securely stored by NORC, will not be delivered to DoD for any non-stated purpose, and will be destroyed no later than September 28, 2027, at the conclusion of NORC’s contract. Providing your information is voluntary, however, choosing not to provide your personal contact information will result in NORC’s inability to offer the $15 gift card as a thank you for your participation today, and exclusion from the follow-up evaluation survey and the subsequent $30 gift card for participation in the follow-up evaluation survey.



Participation in the Coaching for Resilience evaluation is voluntary. Do you agree to participate in the pilot evaluation?

    1. Yes, I agree to participate in the pilot evaluation. Trainees directed to demographics

    2. No, I do not want to participate in the pilot evaluation. Trainees are redirected to IRA 2.0 survey.



  1. DEMOGRAPHICS



  1. What is your age?

    1. 17-25

    2. 26-35


  1. What is the highest degree or level of school that you have completed? (Select one)

    1. High school graduate (traditional diploma, GED, home school diploma, etc.)

    2. Some college, but no degree

    3. Associate’s Degree (e.g., AA, AS)

    4. Bachelor’s Degree (e.g., BA, BS, AB)

    5. Graduate or professional degree (e.g., MA, MS, Med, MBA, MSW, PhD, MD, JD)


  1. What is your sex?

    1. Female

    2. Male



  1. What is your race and/or ethnicity? Select all that apply and enter additional details in the spaces below. The survey is programmed to automatically recode your response into only two categories, preventing anyone from identifying you based on your answer to this question. No one will see your original response.

  • American Indian or Alaska Native - Enter, for example, Navajo Nation,

Blackfeet Tribe of the Blackfeet Indian Reservation of Montana, Native Village of

Barrow lnupiat Traditional Government, Nome Eskimo Community, Aztec, Maya, etc.

Shape1

  • Asian - Provide details below.

Chinese □ Asian Indian □ Filipino

Vietnamese □ Korean □ Japanese

Shape2

Enter, for example, Pakistani, Hmong, Afghan, etc.




  • Black or African American - Provide details below.

African American □ Jamaican □ Haitian

Nigerian □ Ethiopian □ Somali

Shape3

Enter, for example, Trinidadian and Tobagonian, Ghanaian, Congolese, etc.

  • Hispanic or Latino - Provide details below.

Mexican □ Puerto Rican □ Salvadoran

Cuban □ Dominican □ Guatemalan

Shape4

Enter, for example, Colombian, Honduran, Spaniard, etc.

  • Middle Eastern or North African - Provide details below.

Lebanese □ Iranian □ Egyptian

Syrian □ Iraqi □ Israeli

Shape5

Enter, for example, Moroccan, Yemeni, Kurdish, etc.

  • Native Hawaiian or Pacific Islander - Provide details below.

Native Hawaiian □ Samoan □ Chamorro

TonganFijian Marshallese

Shape6

Enter, for example, Chuukese, Palauan, Tahitian, etc.





  • White - Provide details below.

English German Irish

Italian Polish Scottish

Shape7

Enter, for example, French, Swedish, Norwegian, etc.



  1. Additional Constructs for CFR Pilot Evaluation


Welcome to the Coaching for Resilience pilot evaluation.


Please answer the following questions.


SELF-AWARENESS/CONFIDENCE


  1. Self-Efficacy

How strongly do you agree or disagree with these statements:

Strongly Disagree

Disagree

Agree

Strongly Agree

  1. If I can’t do a job the first time, I keep trying until I can.





  1. Failure just makes me try harder.





  1. I feel insecure about my ability to do things.






  1. Help-Seeking Behaviors

Imagine that you begin to experience some problem. The problem is not so overwhelming that you can’t function. However, it continues for more than a few days. You consider seeking help from someone. Below are several reasons why you might choose NOT to seek help. Please read each reason and decide how important it would be in keeping you from seeking help.


How strongly do you agree or disagree with these statements:

Strongly Disagree

Disagree

Agree

Strongly Agree

  1. I’d prefer to suck it up rather than dwell on my problems.





  1. Problems like this are a part of life; they’re just something you have to deal with.





  1. I’d prefer to wait until I’m sure the problem is a serious one.





  1. The problem wouldn’t be a big deal; it would go away in time.





  1. I wouldn’t want to overreact to a problem that wasn’t serious.





  1. The problem wouldn’t seem worth getting help for.





  1. I wouldn’t know what sort of help was available.





  1. I don’t trust doctors and other health professionals.







  1. Help-Seeking Attitudes

How strongly do you agree or disagree with these statements:

Strongly Disagree

Disagree

Agree

Strongly Agree

  1. I would feel uneasy going to counseling or coaching because of what other soldiers would think.





  1. Getting counseling or coaching is embarrassing for a soldier.





  1. Having an anxiety attack/panic attack/depression is shameful for a soldier.





  1. I don’t think there’s any need for a soldier to cover up getting counseling or coaching.





  1. If I thought I needed help from counseling or coaching, I would get it no matter who knew about it.






ORGANIZATIONAL COMMITMENT


  1. Retention to the Military

How strongly do you agree or disagree with these statements:

Strongly Disagree

Disagree

Agree

Strongly Agree

  1. I am proud of my work





  1. My work has a great deal of personal meaning to me





  1. I am committed to making the military my career





  1. I feel like “part of the family” among the people I work with.






  1. Job Engagement

How strongly do you agree or disagree with these statements:

Strongly Disagree

Disagree

Agree

Strongly Agree

  1. My work is one of the most important things in my life.





  1. I am committed to my job.





  1. How I do in my job influences how I feel.





  1. I would choose my current work again if I had the chance.






HEALTH STATUS


  1. Mental Health

How much of the time, during the last month, have you

All of the time

Most of the time

A good bit of the time

Some of the time

A little of the time

None of the time

  1. Been a very nervous person?







  1. Felt calm and peaceful?







  1. Felt downhearted and low?







  1. Been a happy person?







  1. Felt so down in the dumps that nothing could cheer you up?












  1. Initial Entry Training – Individual Resilience Assessment

This section of the survey is required for all initial entry Trainees, regardless of their participation in the Coaching for Resilience evaluation.


Please answer the following questions.

11. Coping Skills

Listed below are some strategies for coping with stressful situations.

Please rate how often you use the following strategies when coping with stressful situations:

Never

Almost never

Sometimes

Fairly often

Very often

  1. I combat negative thinking by focusing on the facts.

O

O

O

O

O

  1. I talk to someone about the situation.

O

O

O

O

O

  1. I think through the situation, anticipating what might happen.

O

O

O

O

O

  1. I identify the steps I need to take to resolve the situation.

O

O

O

O

O

  1. I try to “step back” and see the problem from a different perspective.

O

O

O

O

O

  1. I focus my attention on something else (e.g., TV, videogames).

O

O

O

O

O

  1. I blow off steam by doing something fun.

O

O

O

O

O

  1. I exercise to help relieve stress.

O

O

O

O

O

  1. I eat/drink to relieve stress.

O

O

O

O

O

  1. I smoke/vape to relieve stress.

O

O

O

O

O

  1. I try not to take things too seriously.


O

O

O

O

O




For questions 1, 2, and 3, please select the three coping strategies you use most often to cope with stressful situations. Please select the FIRST most often used strategy, then the SECOND, and finally, the THIRD most often used strategy for coping successfully with a stressful situation. Mark only one for each.



a

b

c

d

e

f

g

h

i

j

  1. FIRST

O

O

O

O

O

O

O

O

O

O

  1. SECOND

O

O

O

O

O

O

O

O

O

O

  1. THIRD

O

O

O

O

O

O

O

O

O

O


  1. Locus of Control


Please indicate the extent to which the following statements describe you:

Not at all

Slight extent

Moderate extent

Great extent

Very great extent

  1. I believe I can achieve whatever I set my mind to.

O

O

O

O

O

  1. I believe that I can achieve anything by working hard.

O

O

O

O

O

  1. I believe I have control over the events in my life.

O

O

O

O

O

  1. Much of what happens to me is because of chance.

O

O

O

O

O

  1. Luck plays a big part in my success.

O

O

O

O

O

  1. Others have more control over what happens to me than I do.

O

O

O

O

O

  1. I am dependent on others for my success.

O

O

O

O

O




13. General Stress


In the last month, how often have you...

Never

Almost never

Sometimes

Fairly often

Very often

  1. felt worried?

O

O

O

O

O

  1. felt like you had everything under control?

O

O

O

O

O

  1. felt confident in your ability to manage your stress and anxiety?

O

O

O

O

O

  1. felt confident in your ability to handle everything you were being asked to do?

O

O

O

O

O

  1. felt irritated by things that normally do not bother you?

O

O

O

O

O

  1. had trouble falling or staying asleep?

O

O

O

O

O

  1. been unable to concentrate?

O

O

O

O

O




14. Connectedness


Please indicate how much you agree or disagree with the following statements:

Strongly disagree

Disagree

Neither agree nor disagree

Agree

Strongly agree

  1. I have someone I can confide in.

O

O

O

O

O

  1. I have someone who shows me love and affection.

O

O

O

O

O

  1. I have someone who helps me forget life’s troubles.

O

O

O

O

O

  1. I have someone I can joke around with.

O

O

O

O

O

  1. I have someone I can reach out to when I have a problem.

O

O

O

O

O

  1. I have someone who has my back when I need it.

O

O

O

O

O

  1. I have someone I can ask about IET related tasks/assignments.

O

O

O

O

O

  1. I have someone who helps me with important life decisions.

O

O

O

O

O

  1. I have someone who provides good advice when I am in a difficult situation.

O

O

O

O

O

  1. I have someone who shares my interests.


O

O

O

O

O





Please indicate the extent to which you agree or disagree with the following statements about your current military life:

Strongly disagree

Disagree

Neither agree nor disagree

Agree

Strongly Agree

  1. I think more can be accomplished when you work as a team.

O

O

O

O

O

  1. I am confident in my ability to work with others.

O

O

O

O

O

  1. I make an effort to listen to other people’s ideas.

O

O

O

O

O

  1. I think everyone should have the opportunity to contribute.

O

O

O

O

O

  1. I think open communication is important for effective teamwork.

O

O

O

O

O

  1. I willingly share my ideas with others.

O

O

O

O

O

  1. I value the feedback I receive from others.

O

O

O

O

O

  1. I give others feedback even when they do not ask for it.

O

O

O

O

O

  1. Being [Becoming] a Soldier is a large part of who I am.

O

O

O

O

O

  1. I feel a strong sense of belonging in the Army.

O

O

O

O

O

  1. The Army values are consistent with my values.

O

O

O

O

O

  1. The Army accepts me for who I am.

O

O

O

O

O

  1. I feel committed to serving my country.

O

O

O

O

O






15. Conflict Resolution


Please rate how often you use the following strategies when dealing with a conflict:

Never

Almost never

Sometimes

Fairly often

Very often

  1. I seek different opinions on the situation.

O

O

O

O

O

  1. I try to understand the other person’s perspective.

O

O

O

O

O

  1. I work with others to find a solution.

O

O

O

O

O

  1. I look for solutions that satisfy everybody involved.

O

O

O

O

O

  1. I look for win-win solutions to problems.

O

O

O

O

O

  1. I negotiate when possible.

O

O

O

O

O

  1. I stand my ground, even if it means further disagreement.

O

O

O

O

O

  1. I look to others to support my point of view (I build an alliance).

O

O

O

O

O

  1. I remove myself from the situation as soon as possible.

O

O

O

O

O

  1. I keep my opinions to myself.

O

O

O

O

O

  1. I give in to avoid further disagreement.

O

O

O

O

O

  1. I do what is necessary to maintain the relationship.

O

O

O

O

O










16. Emotional Intelligence


Please indicate the extent to which the following statements describe you:

Not at all

Slight extent

Moderate extent

Great extent

Very great extent

  1. I know what triggers my emotions.

O

O

O

O

O

  1. I am usually aware of how I am feeling.

O

O

O

O

O

  1. I am often unaware of why I am feeling a particular emotion.

O

O

O

O

O

  1. I am good at picking up on what other people are feeling.

O

O

O

O

O

  1. I have trouble relating to other people’s feelings.

O

O

O

O

O

  1. I can tell how my actions impact those around me.

O

O

O

O

O

  1. I pay attention to how I show my feelings (my body language).

O

O

O

O

O

  1. People can easily tell how I am really feeling.

O

O

O

O

O

  1. I am able to calm myself down with I am upset.

O

O

O

O

O

  1. I know what to say to make other people feel better.

O

O

O

O

O

  1. I can gauge how to respond based on the emotions of others.

O

O

O

O

O

  1. I am careful to respect others feelings.

O

O

O

O

O



17. Motivation


Please indicate the extent to which the following statements describe you:

Not at all

Slight extent

Moderate extent

Great extent

Very great extent

  1. I do not need a lot of encouragement to get started on a task.

O

O

O

O

O

  1. Once I make up my mind to do something, I follow through.

O

O

O

O

O

  1. I have a hard time getting started on challenging tasks.

O

O

O

O

O

  1. I often put things off until the last minute.

O

O

O

O

O

  1. It is hard for me to stay motivated when things get difficult.

O

O

O

O

O

  1. I finish tasks that I have started even if they are hard.

O

O

O

O

O

  1. If I initially fail at something, I continue trying until I succeed.

O

O

O

O

O

  1. I only do what is necessary to complete a task.

O

O

O

O

O

  1. Compared to the people around me, I put more effort into my work.

O

O

O

O

O

  1. I am willing to work hard for things that are important to me.

O

O

O

O

O








18. Impulse Control


Please indicate the extent to which the following statements describe you:

Not at all

Slight extent

Moderate extent

Great extent

Very great extent

  1. I often say the first thing that comes to mind.

O

O

O

O

O

  1. I find myself doing the same thing over and over again, even if it is not working for me.

O

O

O

O

O

  1. I like to plan for large tasks before jumping in.

O

O

O

O

O

  1. I have a hard time staying focused.

O

O

O

O

O

  1. I am easily distracted.

O

O

O

O

O

  1. I see tasks through to the end.

O

O

O

O

O

  1. I tend to eat/drink too much.

O

O

O

O

O

  1. I tend to purchase things I cannot afford.

O

O

O

O

O

  1. I am able to resist temptation.

O

O

O

O

O

  1. I am good at saving money.

O

O

O

O

O

  1. I like to take risks.

O

O

O

O

O


19. Adaptability



Please indicate the extent to which the following statements describe you:

Not at all

Slight extent

Moderate extent

Great extent

Very great extent

  1. I can imagine multiple ways to solve any given problem.

O

O

O

O

O

  1. I find it difficult to switch directions in the middle of a project.

O

O

O

O

O

  1. When addressing a problem, I like to stick with solutions I have used in the past.

O

O

O

O

O

  1. I value diverse perspectives.

O

O

O

O

O

  1. I have a hard time adjusting my views when confronted with new information.

O

O

O

O

O

  1. Most of the time, I know better than others around me.

O

O

O

O

O

  1. I am comfortable with uncertainty.

O

O

O

O

O

  1. I worry about the unknown.

O

O

O

O

O

  1. I am comfortable in environments that are constantly changing.

O

O

O

O

O

  1. I have a hard time knowing how to act in new situations.

O

O

O

O

O

  1. I can easily adjust my behavior to meet the demands of any given situation.

O

O

O

O

O

  1. I prefer variety to routine.

O

O

O

O

O


20. Social Determinants of Health



Regarding your life prior to entering the military, please indicate how much you agree or disagree with the following statements:

Strongly disagree

Disagree

Neither agree nor disagree

Agree

Strongly agree

  1. I had access to healthcare.

O

O

O

O

O

  1. I had enough money for food.

O

O

O

O

O

  1. I had stable housing.

O

O

O

O

O

  1. I had basic utilities (e.g., heating, water, electricity).

O

O

O

O

O

  1. I felt safe in my neighborhood.

O

O

O

O

O

  1. I felt safe in my home.

O

O

O

O

O

  1. I had someone I could talk to about serious problems.

O

O

O

O

O

  1. I communicated positively with my parent or caregiver.

O

O

O

O

O

  1. I overcame hard times with the support of my family and community.

O

O

O

O

O

  1. I had a quality education.

O

O

O

O

O

  1. I attended school regularly.

O

O

O

O

O

  1. I experienced bullying in school.

O

O

O

O

O

















Flag for Trainees Designated to Participate in Coaching Sessions

Which platoon are you assigned to?

  1. 1

  2. 2

  3. 3

  4. 4



For Platoon 1 or 2 trainees (will receive coaching):

Over the next few weeks, you will be receiving one-on-one coaching with Performance Experts as part of the Coaching for Resilience program. The Coaching for Resilience program is designed to (1) develop the life skills assessed by the IRA, (2) better prepare you for challenges in your personal and professional life, and (3) improve readiness and performance.

If you’d like to share your IRA results with the Performance Expert to customize your coaching sessions, please check “yes” below. If you are not interested in coaching, please check “no.”

___ Yes, I want to share my IRA results with the performance expert.

___ No, I do not want to share my IRA results with the performance expert.



For Platoon 1 or 2 trainees who opt into sharing IRA results with PEs & evaluation:

Please provide your name for the Performance Expert, for customized coaching, and for NORC to reach out to you about the follow-up evaluation survey in about 4 months. Your name will not be used for any non-stated purpose or linked to your survey responses in the final program evaluation reports to DoD.

First name: _______________________________


Middle initial: _______________________________


Last name: _______________________________



Click NEXT to wrap-up survey to be able to get your $15 thank you gift code from NORC!



For Platoon 1 or 2 trainees who opt into sharing IRA results with PEs, but do not opt into evaluation:

Please provide your name for the Performance Expert for customized coaching. NORC will only provide your name to the Performance Expert office for your customized coaching.


First name: _______________________________


Middle initial: _______________________________


Last name: _______________________________



Click NEXT to wrap-up survey to be able to get your $15 thank you gift code from NORC!



For Platoon 1 or 2 trainees who do not opt into sharing IRA results with PEs, but opt into evaluation:

Please provide your name. Your name will not be linked with any of your survey answers or used for any non-stated purpose. Your name will not be shared with anyone in your Army unit or chain of command or in the DoD. NORC will only use your name to reach out to you about the follow-up evaluation survey in about 4 months.



First name: _______________________________



Middle initial: _______________________________



Last name: _______________________________



Click NEXT to wrap-up survey to be able to get your $15 thank you gift code from NORC!



For Platoon 3 or 4 trainees (will not receive coaching):

For Platoon 3 or 4 trainees who opt into evaluation:

Please provide your name. Your name will not be linked with any of your survey answers or used for any non-stated purpose. Your name will not be shared with anyone in your Army unit or chain of command or in the DoD. NORC will only use your name to reach out to you about the follow-up evaluation survey in about 4 months.

First name: _______________________________



Middle initial: _______________________________



Last name: _______________________________

Click NEXT to wrap-up survey to be able to get your $15 thank you gift code from NORC!




CONTACT INFORMATION PAGE and THANK YOU PAGE


Thank you for completing the survey


We would like to confirm your contact information to send your $15 digital gift card and the follow-up evaluation survey. As a reminder, you will be eligible to receive an additional $30 digital gift card if you complete the follow-up survey in about 4 months. Your contact information will not be linked with any of your survey answers or used for any non-stated purpose. Your contact information will not be shared with anyone in your Army unit or chain of command or in the DoD. NORC will solely use this information for the communications about this evaluation effort.

What is your personal email address?

_______________________________

To allow NORC to text you with a reminder about the follow-up survey, please enter your cell phone number below:

What is your cell phone number? ___________

By providing this number, you allow NORC to text you using an automated text system. We will only use your phone number for the follow-up evaluation survey. NORC will not share, sell, or otherwise use this number. You can reply STOP to our text messages to opt out at any time. Reply HELP for help. Standard messaging and data rates may apply. Messaging frequency may vary.



End screen for trainees who opted into the evaluation

Thank you for participating in the evaluation of the Coaching for Resilience program!

Please look for an email from ArmyResilience@norc.org with a link to complete the follow-up evaluation survey in about four months.

If you have any questions, please contact NORC at ArmyResilience@norc.org.



End screen for trainees who did not opt into the evaluation

Thank you for completing the Individual Resilience Assessment (IRA) for Initial Entry Training.

ETAC T1 CFR Evaluation 21


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AuthorShagun Patel
File Modified0000-00-00
File Created2026-01-07

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