Veterans Community Survey
Exit this survey
33%
1
. Current military status
Current military status
Veteran
Active
Guard/Reserve
Family Memeber
2
. Gender
Gender
Male
Female
3
. Current Age
Current Age
My current age is
4
. Area where I live
Area where I live
Ashton
Barnesville
Beallsville
Bethesda
Boyds
Brinklow
Brookeville
Burtonsville
Cabin John
Chevy Chase
Clarksburg
Damascus
Derwood
Dickerson
Gaithersburg
Garrett Park
Germantown
Glen Echo
Kensington
Montgomery Village
Olney
Poolesville
Potomac
Rockville
Sandy Spring
Silver Spring
Spencerville
Takoma Park
Washington Grove
Other (please specify)
5
. Marital Status
Marital Status
Single
Married
Divorced
Widowed
6
. Children
Children
Yes
No
7
. If yes you have children,
If yes you have children,
How many?
8
. VA Disability Status?
VA Disability Status?
Yes
No
9
. If disabled what is the VA rating?
If disabled what is the VA rating?
VA rating percentage is
10
. Branch served/serving
Branch served/serving
Army
Marines
Air Force
Navy
Coast Guard
National Guard
Reserves
Public Health
NOAA
11
. What year did you transition from the military?
What year did you transition from the military?
Year
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