Minority Veterans and Mental Health Pulse Survey

Question Title

* 1. Do you go to the VA for your mental health care?

Yes

Question Title

* 2. If yes, what is your quality of care?

Very high quality

High quality

Neither high nor low quality

Low quality

Very low quality

Question Title

* 3. If no, why not?

Question Title

* 4. What is/are your greatest mental health challenge(s)? (Select all that apply)

PTSD

Anxiety

Depression

Isolation

Insomnia

Other (please specify)

Demographic information is completely voluntary and is collected in order to best understand trends and challenges faced by unique demographics within our community. Please only complete if you are comfortable and know that your privacy and anonymity is our top concern.

Question Title

* 5. What state are you located in?

Question Title

* 6. What is your racial identity?

Black or African American

Hispanic or Latin(x/o/a)

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

White or Caucasian

Other (please self-describe)

Question Title

* 7. What is your gender identity? (Select all that apply)

Woman

Nonbinary

Man

Transgender

Other (please self-describe)

Question Title

* 8. What is your sexual orientation?

Heterosexual or straight

Lesbian

Gay

Bisexual

Pansexual

Asexual

Other (please self-describe)

Question Title

* 9. Are you a veteran or have you served in the US Armed Forces?

Yes

Other (please specify - military family, spouse, child, etc.)