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  2. 2013
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  5. VA Survey
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Exit Survey
 
 
Hello:
You are invited to participate in our survey about the perception that Veterans have towards the Department of Veterans Affairs. This survey will take approximately 15 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Roscoe Hall or Shawn Gorski at (916) 217-2769 or (708) 254-9517.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

 
 
 
 
For this series of questions, please indicate your level of satsifaction with the VA. If the question does not apply to you, please check N/A for Not Applicable.
 
 
How satisfied are you with the following:
Extremely Dissatisfied Dissatisfied Neutral Satisfied Extremely Satisfied N/A
The helpfulness of the VA Representative that contacted you upon separation
The amount of time it took for the VA representative to contact you upon separation
The quality of customer service you received from the VA representative that contacted you
The ability of the VA representative to thoroughly discuss services available to you
The amount of time it took for the VA to provide you with the services that you needed
The accessibility of your VA representative
The quality of mental health treatment you have received from the VA
The quality of the VA's medical staff
The quality of the VA's Medical facilities
The ability of the VA Staff to provide you with services locally
Your overall satisfaction with the VA's ability to meet your needs
 
 
 
Please answer the next group of questions in a Yes or No format. If the question does not apply, please select N/A for Not Applicable
 
 
 
After receiving VA services, do you feel like you are financially stable enough to provide for your family?
 
Yes
 
No
 
N/A
 
 
 
After receiving VA services, do you feel physically stable enough to provide for you family?
 
Yes
 
No
 
N/A
 
 
 
After receiving receiving VA services, do you feel mentally stable enough to provide for you family?
 
Yes
 
No
 
N/A
 
 
 
After receiving VA services, do you fee like you are a positive member of your community?
 
Yes
 
No
 
N/A