Question Title

* 1. Enter Today's Date

Date / Time

Question Title

* 2. What is the reason for your most recent contact with the Blue Earth County Veterans Office?

Question Title

* 3. I am currently:

Question Title

* 4. How did you find out about services at the Blue Earth County Veterans Office?

Question Title

* 5. What is your most recent service era?

Question Title

* 6. Currently, what is your biggest concern or challenge?

Question Title

* 7. Select the services you have utilized in the last year.

Question Title

* 8. To what extent do you agree or disagree with the following statements?

  Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree
The Blue Earth County Veterans Office staff was able to answer my questions and/or respond to my concerns.
I would recommend the Blue Earth County Veterans Office to another veteran.
I was satisfied with the service I received during my most recent contact with the Blue County Veterans Office.
The Blue Earth County Veterans Office has had an impact on my quality of life.

Question Title

* 9. Please provide any additional feedback or comments about the Blue Earth County Veterans Office. (Optional)

T