Exit this survey * 1. Are you male or female? Male Female * 2. Which category below includes your age? 17 or younger 18-23 24-29 30-35 36-41 42-47 47 or older * 3. What is the highest level of school you have completed or the highest degree you have received? Less than high school degree High school degree or equivalent (e.g., GED) Some college but no degree Associate degree Bachelor degree Advanced degree * 4. Which of the following categories best describes your employment status? Employed, working 40 or more hours per week Employed, working 1-39 hours per week Not employed, looking for work Not employed, NOT looking for work Retired Disabled, not able to work * 5. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305) * 6. Do you own a drivable automobile? Yes No * 7. How many children are you parent or guardian for and live in your household (aged 17 or younger only)? None 1 2 3 4 More than 4 * 8. Are you currently enrolled as a student? Yes, full time in graduate school Yes, part time in graduate school Yes, full time at a four year undergraduate college/university Yes, part time at a four year undergraduate college/university Yes, full time at a two year undergraduate college/university Yes, part time at a two year undergraduate college/university Yes, at a high school or equivalent No, I am not currently enrolled as a student * 9. In which branch (or branches) of the United States military have you served? (Check all that apply) Navy Army Marine Corps Air Force Coast Guard * 10. During your time in the military, did you serve in a reserve status, active duty, or both? (Not including deployments or basic training) Active Duty Reserve Both * 11. Are you currently serving in the United States military, or not? Yes, I am No, I am not * 12. How many years have you served in the military, either active duty or reserve? 0 40 Clear i We adjusted the number you entered based on the slider’s scale. * 13. How many months have you spent deployed to a combat zone? 0 100 Clear i We adjusted the number you entered based on the slider’s scale. * 14. Have you been diagnosed with PTSD? Yes No Self-Diagnosed * 15. In an average week, how many hours do you spend leisure time with your family? 0 100 Clear i We adjusted the number you entered based on the slider’s scale. * 16. In an average week, how many hours do you spend with other Veterans (outside of working hours)? 0 100 Clear i We adjusted the number you entered based on the slider’s scale. * 17. In an average week, how many days do you feel like you have at least 3 straight hours to do something that you enjoy? 0 7 Clear i We adjusted the number you entered based on the slider’s scale. * 18. Do you have a quiet place to read, study, or watch television at home? Yes No * 19. Do you have any of these items at home? (Check all that apply) Pool Table Ping Pong Table Card Table Dart Board None of the Above I don't enjoy these activities * 20. Do you enjoy cooking and have a suitable kitchen at home? (check all that apply) Enjoy cooking Don't enjoy cooking Suitable kitchen Not a suitable kitchen * 21. In an average week, how many times do you exercise for at least 30 minutes? 0 7 Clear i We adjusted the number you entered based on the slider’s scale. * 22. Do you have a local Gym membership? Yes No, there isn't a suitable gym option No, I don't want a gym membership Other (please specify) * 23. Do you enjoy group exercise such as yoga, boot camp, or spinning? Yes No * 24. How many days a week do you meditate? No desire to meditate 0 1-2 3-4 5-7 * 25. Are you actively seeking mental health counseling, or would you be interested in the near future? No, not interested No, interested Yes * 26. Are you currently seeing a chiropractor? No, not interested No, interested Yes * 27. Do you receive massage therapy? No, not interested No, interested Yes * 28. Do you receive any form of complementary healing modalities? (i.e. Aromatherapy, Healing Touch, Reflexology, Reiki, etc.) No, not interested No, interested Yes * 29. Have you heard of Josh's House? Yes No * 30. Would you be interested in a multi-use facility for Veterans that would provide a quiet space, entertainment options, exercise options, cooking, etc.? Yes No * 31. How many miles would you be willing to travel to visit such a space on a regular basis? 0 100 Clear i We adjusted the number you entered based on the slider’s scale. * 32. How many days in an average month do you believe that you would visit such a facility? 0 30 Clear i We adjusted the number you entered based on the slider’s scale. * 33. How many hours do you think you would spend at such a facility on an average visit? 0 8 Clear i We adjusted the number you entered based on the slider’s scale. * 34. If you were a member of a multi-use facility (as described in question 30), who would you feel comfortable having access to the space? Service members and staff only Service members + family Service members + any guests Service members + family/guests at social events only * 35. Would you be willing to pay for a membership at a facility like this? Yes No, unable No, not interested * 36. If yes to question 36, how much would you be willing to pay (per month)? $0 $100 Clear i We adjusted the number you entered based on the slider’s scale. * 37. Are there any specific events, services, or needs you would like to see a facility like this address/include? * 38. Do you have any other comments, questions, or concerns? Done