Spirit of Christ Veterans Survey
ALL responses are private and will be respected and protected. Whether you are a veteran or a family member of a veteran, we would like to hear from you.
Are you?:
*
Veteran
Family member of a veteran
Your Name
First Name
Last Name
Veteran's Name
*
First Name
Last Name
Veteran is:
Living
Deceased
Your Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Veteran's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Your Email
example@example.com
Veteran's Email
example@example.com
How are you or were you related to the veteran?
Check branch/branches of service:
Army
Air Force
Navy
Marines
Coast Guard
Space Force
Veteran's age:
20-29
30-39
40-49
50-59
60-69
70-79
80-89
90+
Did veteran serve in a conflict/war?
Yes
No
Check all that apply:
Korean War
Vietnam War
Operation Desert Shield/Desert Storm
Operation Enduring Freedom/Freedom's Sentinel
Operation Iraqi freedom/New Dawn
Operation Inherent Resolve
Other (e.g. Cold War)
Which years did veteran serve?
Check any needs that you have:
Applying for disability
Spiritual: prayers
Physical: such as rides to appointments
Social: someone to talk to or have a cup of coffee
Emotional: getting through a hard time
Mental: dealing with things like PTSD and/or addiction
What would you like a Spirit of Christ Catholic Community Veterans ministry to do or to offer?
Would you be interested in joining the ministry?
Yes
No
Please share why or why not:
Is there anything else you'd like to add that you think would contribute to the success of an SOC Veterans ministry?
AMDG – “Ad Majorem Dei Gloriam” – “To the Greater Glory of God!”
Please click Submit below.
Submit
Should be Empty: