Various aspects of the present disclosure generally relate to wireless communication. In some aspects, a user equipment (UE) may determine that a resource spread multiple access scheme is enabled, wherein the bit and/or symbol level resource spreading happens in time and/or frequency domain through bits or symbol level repetition and spreading. Furthermore, the UE may process bits of codewords and modulated symbols using a set of spreading sequences and a set of scrambling sequences. The UE may transmit the modulated symbols with a discrete-Fourier-transform (DFT)-spread (DFT-s) waveform based at least in part on processing the modulated symbols using the set of spreading sequences and the set of scrambling sequences. Numerous other aspects are provided.