Veterans QUICK Survey

This survey should take approximately 3- 5 minutes. Most questions are check offs. Your responses will help us know what you and other veterans needs are. This survey can be completed by a veteran or by his/her family or friend, please indicate in question 1. This survey is anonymous, unless you choose to identify yourself. Thank you.
1.In which branch (or branches) of the United States military have you served? (Check all that apply)
2.During what decades have you served? (Check all that apply)
3.Are you a veteran of a war and/ or conflict? (Check all that apply)
4.What type of assistance have you received from the VA? (Check all that apply)
5.If any, please tell us what are your unmet needs? (Check all that apply)
6.Are you interested in any of the following programs or services on a local (greater Ware/ Palmer) basis? (Check all that apply)
7.If you checked "Drop- in center" above, please give us your preferences. (Check all that apply)
8.Are there currently any barriers in your life that restrict you from seeking assistance from the VA or other organizations? (Check all that apply)
9.In what community do you live?
10.If you would like to be on our mailing list please provide your name and email.