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Have you ever severed in the military?
 
Yes
 
No
 
 
 
If you answered yes, what branch did you serve in?
   
 
 
 
How many years did you serve in the military?
   
 
 
 
Number of children
 
1
 
2
 
3
 
4
 
5
 
6
 
Other
 
 
 
 
Do you have children?
 
Yes
 
No
 
 
 
How long have you been married to your spouse?
   
 
 
 
How long has your spouse served in the military?
   
 
 
 
Number of times your spouse has deployed for 3 months or longer?
 
1
 
2
 
3
 
4
 
5
 
Other
 
 
 
 
What military base is located closest your home?
   
 
 
 
How many miles is the closest base from your home?
 
1-10 milies
 
11-20 milies
 
21-30 milies
 
31-40 miles
 
Other
 
 
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