Document Page: First | Prev | Next | All | Image | This Release | Search

       NBC SURVEY FORM
       NUCLEAR, BIOLOGICAL, AND CHEMICAL (USC@ DEFENSE SURVEY

       INTRODUCTION
               Purpose.  This survey is designed to collect general information on individual
       protective measures for NBC defense.       The results will be used to improve Marine Corps
       individual protective measures for NBC defense equipment. ra addition, the analysis of this
       data will identify trends and statistics on Specific NBC defense issues that may lead to
       further study. ALI INFOR14ATION PROVIDED XS CONFIDENTIAL. SURVEY DATA WILL NOT BE USED TO
       EVALUATE INDIVIDUAL OR UNIT PERFORMANCE.
                                                     Today's Date

       NA24E:(Optional)
                              LAST             FIRST                    ml

       SSN:(Optional)

       UNIT:(Optional)

       I. Background.
               1. Rank/Grade:            2. DOR:               3. Sex:         (M/F)
               4. Age:
               S. Primary MOB:              6. Additional MOS's
               7. Education level:(Highest  grade completed)
               S. Date of arrival in SWA:   (MM/YY)
               9. Assignment prior to SWA: a. FMFLAN-, b. FMFPAC c. Non-FMF
                   (Circle One)             d. SMCR      e. IP.R
                                            f. Other:
               10. Current billet de scription:
               11. Estimated time in billet: (Ro-nths)

       11. Training Assessment.
               1. Concerning NBC defense training, do you consider yourself?

                    a. Overtrained b. Correctly Trained c. Undertrained

               2. Please rate the effectiveness of the following NBC training methods. ENTER YOUR
       RESPONSE AS FOLLOWS:

               1              2               3               4              5
          Extremely    Effective     Somewhat     Mediocre       Not            No
          Effective                  Effective                 Effective     opinion

                              Boot Camp/BWT or Basic School
                              MOS Skill Training/EST
                              On The Job -.raining
                              Individual Replacement Training
                              Unit Training Prior to SWA
                              Unit Training in SWA
                              MCI Courses
                              Other Training; Describe:


       Ill. Doctrine.

               1. Have you ever read any Marine Corps Doctrine on NBC Defense?
                 (Yes / NO)





                                                       E-2

Document Page: First | Prev | Next | All | Image | This Release | Search