Service Members, Veterans, and Family Survey (SMVF)

The purpose of this survey is to collect information to give Montana Military State Resource Coalition (MMSRC) Stakeholders an understanding of comprehensive military community resource support accessibility. In the event names and personal information is shared they will not go outside the scope of MT Department of Public Health and Human Services Veterans Health Access Program Project Director, and will only be used to personally contact the identified individual to discuss their interest in getting involved in a Community Military Support Coalition (CMSC)

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* 1. Are you or a member of your immediate family (spouse, parent, child, and sibling) one of the following:

Former member of the United States military or National Guard?

Currently in the Montana National Guard (Army or Air)?

Currently a member of one of the US Military Reserve Branches (Army, Air, Navy, Marines, or Coast Guard)?

An individual who has been deployed to a theatre of operations during wartime as a member of the United States military or Reserves/National Guard?

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* 2. Are you or the family member currently enrolled in the VA Health Care System:

Yes

If yes, where do you receive your services?

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* 3. Are you or the family member aware of the benefits offered by the VA and other agencies (Federal, State, and Private Organizations) as part of the military service?

Yes

If no, would you like more information

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* 4. Are you or the family member currently receiving financial benefits from the VA (as part of a service-connected disability)?

Yes