TVC-Survey

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The Veterans Collective is seeking your input on how to create a supportive community for Veterans and their families on the West LA VA North Campus.

Please take a moment to fill out this quick 3-5 minute survey and share your feedback. To stay up-to-date on our efforts to create a Veteran-serving community, sign up for our newsletter and follow us on social media. Thank you!
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Name
First Name
Last Name
3
E-mail
example@example.com
4
Zip Code
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
5
What kind of amenities should be available to Veterans and their families at the West LA VA North Campus?* This field is required.Select the top 5 amenities you'd like to see on campus and/or would benefit you as a Veteran.
Arts, Crafts, and Maker Studios
Sports and Recreation
Gym and Fitness Center
Social Hall and Gathering Spaces
Parks and Nature
Community Kitchen and Gardens
Walking, Biking, and Jogging Paths
History Museum
Transit Hub
Pet Facility (Central Dog Park, Dog Run)
Playground
6
Are there other amenities not included in the previous question that should be considered?
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Large
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Small
Ok
Ok
7
What kind of services should this neighborhood have? * This field is required.Select the top 5 services you'd like to see on campus and/or would benefit you as a Veteran.
Health Services
Mental and Emotional Health
Holistic Wellbeing Services
Job Training and Assistance
Women Veterans Services
Peer Support
Life and Living Skills Training
Benefits and Disability Assistance
Legal Guidance
Financial Literacy and Independence
Education
Family Services
Veteran Service Organizations
8
Are there other services not included in the previous question that should be considered?
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Large
Normal
Small
Ok
Ok
9
Please select or enter an option:
Patriots Center
Liberty Village
Veterans Village
Baker Hill
Valor Park
Arroyo Stearns
Park Baker
Park Bandini
Bonsall Heights
Arroyo West
Vetwood
Arroyo Pacific
Other
10
What additional names would you like to see for the community?
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Normal
Small
Ok
Ok
11
What additional improvements can we make to this historic landmark that will make it an even better place for Veterans to visit, receive services, and call home?
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Small
Ok
Ok
12
Tell us more about yourself. Please check the boxes that best describe you:* This field is required.
Veteran
Veteran family member
Active duty military
VA staff
Government staff
Local community resident
Donor
Corporate partner
Volunteer
Other
13
What branch of the military do you serve or have you served?If you are an active duty servicemember or Veteran
Air Force
Army
Coast Guard
Marines
Navy
Space Force
Did not serve
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What years did you serve (if applicable)?
15
Are you or were you a combat Veteran (if applicable)?
YESNO
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Additional feedback, thoughts, or questions?
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Ok
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