Returning Veterans & Their Families Caregiver Survey
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1. Caregiver Survey
100%
1
. Are you a veteran?
Are you a veteran?
Yes
No
2
. Are you a combat veteran?
Are you a combat veteran?
Yes
No
3
. If yes, what branch of the military?
If yes, what branch of the military?
Army
Navy
Marine Corps
Air Force
Coast Guard
Reserves
National Guard
4
. If you are a combat veteran, are you a veteran of:
If you are a combat veteran, are you a veteran of:
Global War on Terror (GWOT) to include Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF)
Desert Storm
Vietnam
Other
Other (please specify)
5
. If you are a veteran of the GWOT to include OEF/OIF, how many times have you deployed?
If you are a veteran of the GWOT to include OEF/OIF, how many times have you deployed?
6
. Are you a family member of a returning veteran?
Are you a family member of a returning veteran?
Yes
No
7
. If yes, what branch of the military?
If yes, what branch of the military?
Army
Navy
Marine Corps
Air Force
Coast Guard
Reserves
National Guard
8
. If yes, are you a family member of a combat veteran who served in:
If yes, are you a family member of a combat veteran who served in:
Global War on Terror (GWOT) to include Operation Enduring Freedom/Operation Iraqi Freedom
Desert Storm
Vietnam
9
. If you are a family member of a combat veteran of GWOT to include Operation Enduring Freedom/Operation Iraqi Freedom, how many deployments has the person you cared for experienced?
If you are a family member of a combat veteran of GWOT to include Operation Enduring Freedom/Operation Iraqi Freedom, how many deployments has the person you cared for experienced?
10
. Are you aware of mental health and addiction service resources available in Tennessee to veterans and their families?
Are you aware of mental health and addiction service resources available in Tennessee to veterans and their families?
Yes
No
11
. How prepared are you to effectively address the potential mental health or substance abuse needs of yourself and your family members?
How prepared are you to effectively address the potential mental health or substance abuse needs of yourself and your family members?
Prepared
Somewhat Prepared
Somewhat Unprepared
Unprepared
12
. Rate your understanding of the following items on a scale of 1-5 with 5 being the greatest amount of understanding and 1 being the least amount of understanding:
1
2
3
4
5
Child rearing during deployment
*
Rate your understanding of the following items on a scale of 1-5 with 5 being the greatest amount of understanding and 1 being the least amount of understanding: Child rearing during deployment 1
Child rearing during deployment 2
Child rearing during deployment 3
Child rearing during deployment 4
Child rearing during deployment 5
Soldier expectations upon returning home
Soldier expectations upon returning home 1
Soldier expectations upon returning home 2
Soldier expectations upon returning home 3
Soldier expectations upon returning home 4
Soldier expectations upon returning home 5
Effective communication skills
Effective communication skills 1
Effective communication skills 2
Effective communication skills 3
Effective communication skills 4
Effective communication skills 5
Signs of depression
Signs of depression 1
Signs of depression 2
Signs of depression 3
Signs of depression 4
Signs of depression 5
Signs of suicide risk
Signs of suicide risk 1
Signs of suicide risk 2
Signs of suicide risk 3
Signs of suicide risk 4
Signs of suicide risk 5
Post Traumatic Stress Disorder (PTSD)
Post Traumatic Stress Disorder (PTSD) 1
Post Traumatic Stress Disorder (PTSD) 2
Post Traumatic Stress Disorder (PTSD) 3
Post Traumatic Stress Disorder (PTSD) 4
Post Traumatic Stress Disorder (PTSD) 5
Traumatic Brain Injury (TBI)
Traumatic Brain Injury (TBI) 1
Traumatic Brain Injury (TBI) 2
Traumatic Brain Injury (TBI) 3
Traumatic Brain Injury (TBI) 4
Traumatic Brain Injury (TBI) 5
13
. Would you be interested in attending a 1-day seminar about the substance abuse and mental health needs of returning veterans and their families if there was no cost to you and childcare was provided?
Would you be interested in attending a 1-day seminar about the substance abuse and mental health needs of returning veterans and their families if there was no cost to you and childcare was provided?
Yes
No
14
. Are there other training areas of interest? If yes, please list:
Are there other training areas of interest? If yes, please list:
15
. It would be most convenient to attend training in:
It would be most convenient to attend training in:
Knoxville
Nashville
Memphis
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