RVCP Veteran Intake Assessment Question Title * 1. Which county in Nebraska do you live? Question Title * 2. Please identify the type of assistance you want help with. If you are not currently in search of services, which of the resources below would help you in your day-to-day life (check all that apply): Health Care (excluding Mental Health) - includes doctors’ offices, emergency rooms, outpatient clinics, Family Health Centers, etc. Mental Health Services - includes individual or group counseling, psychiatrist or psychologist offices, psychiatric inpatient services, Community Mental Health Centers, etc. Substance Abuse Programs - includes Alcoholics Anonymous (AA) or Narcotics Anonymous (NA) meetings, hospital “detox” programs, outpatient substances abuse programs, Alcohol and Drug Treatment Centers, etc. Education - includes continuing adult education, programs to obtain GED, community college courses, college courses, on-line educational courses, etc. Training - includes job training, apprenticeships, mentoring programs, training grant programs, etc. Transportation - includes buses, trains, Veteran Service Organization, e.g., Disabled American Veterans, vans, etc. Employment/Job - includes services for job search, filling out applications, creating resumes, etc. Family support - includes nutrition programs, food banks, State and local government income assistance, Support Groups, respite care, etc. Child care - includes daycare, after school programs, summer camps, etc. Housing Assistance - includes utility assistance programs, subsidized housing programs, Veterans Home Loan Guaranty benefit, etc. Marital Counseling - includes individual, couples or group settings to alleviate problems in the home Financial Management - includes debt reduction or consolidation services, budget planning, tax preparation, etc. Recreational Services - includes community sport teams, libraries, theatre, golf courses, swimming pool, etc. Other (please specify) Question Title * 3. When was your approximate date of discharge from military service? (month and year) Next