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* 1. Name:

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* 2. Email

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* 3. Age:

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* 4. How long have you been married?

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* 5. What branch is your spouse?

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* 6. Where & When will you be moving to your first duty station?

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* 7. We would love to know a little about YOU!  What are your interests?
(You can share as much or as little as you would like)

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* 8. How would you describe your knowledge when it comes to benefits, programs, and resources available to you and your family?

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* 9. Where do you go for information on programs and benefits? (Check all that apply)

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* 10. How beneficial do you think it would be to provide training classes for new military spouses before they PCS for the first time?

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* 11. Would you like us to assign you a New Military Spouse Mentor to answer your questions and link you with your next installtion's Readiness Centers or volunteers for additional support?

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* 12. Which MilSpouse topics are you interested in receiving more information about? (Check all that apply)

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* 13. How did you hear about us?

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* 14. Do you have a language preference?

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* 15. We would love to know a little about YOU!  What are your interests?
(You can share as much or as little as you would like)

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* 16. Do you have any other comments, questions, or concerns?

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