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Survey VA Benefits 101
1. Have you filed a claim for VA compensation or pension?*

YesNo
2. Do you understand what it means to be "service-connected" or to receive VA disability?*

YesNo
3. Have you worked with a Veteran Service Organization for representation through the VA claims process?*

YesNo
4. What you're the most unclear about is...? (Select all that apply)*

Select AllVoc RehabVA Home LoanState benefitsCaregiver supportBurial benefitsVA disabilityGI BillVA HealthcareRetirement benefitsDependent benefitsOther
5. In regards to VA Compensation, I understand how to apply for the following:*

Select AllSecondary service connectionPresumptive service connectionSpecial Monthly CompensationChapter 35, Dependent's Educational AssistanceIncreased EvaluationPermanent and TotalNone of the aboveDirect service connectionService connection based on aggravationGulf War SyndromeDependent StatusAppealsReconsiderationPensionOther
6.If you had a reliable source of FREE information to navigate the complexities of your benefits, would you utilize it?*

YesNo
7. Which method is the most effective for you to learn?*

Explainer VideoContent to ReadVirtual ClassroomIn-Person TrainingTeleconferenceOther
8. Which social media site do you spend the most time on?*

FacebookLinkedInInstagramPinterestTwitterYouTubeSnapchatOther
What is the most frustrating thing you have encountered in going through the process of learning about your benefits?*
Name*
First
Last
Email*
Separation/Retirement Date*

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Survey VA Benefits 101