Non-combat PTSD Survey
Thank you for your willingness to fill out our survey while we research an upcoming film project on non-combat PTSD among US military Veterans. You may fill this survey anonymously or provide contact information if you're willing to be contacted in the future if our team would like to ask additional questions.

By filling this survey out, you in no way are volunteering to nor expected to participate in our documentary film. Our aim is to collect helpful information and personal accounts of non-combat trauma to better understand the various cases different military veterans experiences to find our focus. 

We are uniquely interested in hearing from BIPOC, women, and LGBTQIA+ veterans who are from or live in the Southeast.

Examples of Non-Combat Trauma/PTSD
  • Experiencing hazing or physical assault during military service
  • Experiencing racism, sexism, religious bias, or other prejudice
  • Being the victim of military sexual assault or harassment while in the military
  • Losing a fellow service member to suicide
  • Extreme burnout from work stress or management styles
  • Duty in a burn ward or mortuary
  • Experienced targeted or intentional use of military regulations and bureaucracy in retaliatory way to harm or end your career. I.E., not merit or performance based punishment.
  • Experiencing (or witnessing) car accidents, aircraft crashes, or sinking ships
  • Witnessing a traumatic event while on active duty
  • Witnessing injury or death, not due to the enemy
  • Training accidents
This list isn’t all-inclusive, if you have a events or cases of trauma you consider to have caused you non-combat PTSD, please share.

Thank you for sharing your personal story. What you share may help other Veterans realize they are not alone, seek out medical help or support from friends, family, Veteran groups, and help educate the public in the diversity of experiences our military veterans experience while serving their country that is often overlooked in pop culture, media/news cycles, books, film, TV series both fiction and non-fiction.

From one Veteran to another, we take care of our own.

~ ADV

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What branch of service were you in?
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Required
Type of Service (can be more than one)
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Required
What years did you serve
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Where were you stationed? (Home Station)
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If you deployed to hostile locations, please provide locations.
Please note: Most base, camp, FOB, COP with American operations past or present are public record, therefore, not classified information.
Did you go on temporary duty (TDY) to any places of known or possibly risk? Domestic or foreign, hostile or for natural disaster or humanitarian efforts.
What is your discharge status?
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What was your rank at separation?
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What was your job/career field(s)? Include job code, military career term, and a more layman description if it's not abundantly clear what your job would be.
*
Would you consider your job/career field(s) one of the following?
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Required
Was your primary job/career field a support role that otherwise would never put yourself "outside the wire"  (ie, office job) but you were put on temporary duty, or assigned/attached to a combat or combat support unit?
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If yes, please explain in your description, later
What label or category of non-combat trauma/PTSD did you experienced?  
*
Example: Sexual assault, hazing, racism, etc.
If you're willing, please share in more detail the events you experienced that resulted in your non-combat trauma/PTSD
If there were multiple cases, please separate each one with a dash or bullet point
Does your non-combat PTSD / Trauma still effect you today?
*
Select all that apply
I have read and understand my rights to privacy and confidentiality outlined below
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*Personal Information Confidentiality: All personal information provided is considered to be confidential and not to be made explicitly public without each participants written consent. This would include releasing your full name, age, specific units or names given, among other identifiable information. DV Entertainment LLC may choose to use generalized summary of the different instances of non-combat trauma shared but not share the names or other identifying details prior to providing a written release associated with this project.  DV Entertainment LLC will do all it can, in good faith, to insure all the information and personal data provided is secure and not easily accessed by any outside or public individual or group beyond any targeted cyber attacks that are ultimately outside our control if our system is breached.Your information will never be sold to any third party for any reason to include adding you to our own mailing list without your explicit permission.
If you are willing to be contacted in the future to either answer additional questions or to possibly be screen to be a participate on the film, please provide us with your contact information *
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