Women Veteran's Survey

How do you describe your military status?

What branch of service do/did you serve in?

Air Force

Army

Coast Guard

Marine Corps

National Guard/Reserves

Navy

Check all that apply

How long did you serve/have you served in the military?

What era did you serve in the military?

WWII Era (1941-1945)

Korea Era (1950-1953)

Vietnam Era (1964-1973)

Cold War Era (1985-1991)

Gulf War Era (pre 9/11; 1991-2001)

Gulf War Era (post 9/11; 2001 to present)

Any other era not listed above

Check all that apply

What is your current rank or your rank upon separation?

What was your occupational specialty/job classification upon separation?

If not implied, please give brief description.

Are you a combat veteran or have you ever been deployed?

Do you self-identify as a Veteran?

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What is your age?

What is your marital status?

Have you ever had a veteran spouse/partner?

How many children under 18 do you have living at home?

What is your highest level of education?

Have you used Federal or State VA educational benefits?

How do you describe where you live?

When you separated, was your Home of Record in Illinois?

Did you give permission for your discharge papers (DD 214) to be sent to your Home State?

How often do you interact with IDVA?

If you have not used any of the services/benefits listed above, which of the following best describes why?

I am not eligible for services/benefits

I am not sure if I am eligible

I was unaware of the services available

I do not know how to apply

The application process is too complicated or confusing

My local VSO is too far away

N/A

Please select all that apply.

Have you used community veteran service organizations for assistance/resources?

Such as American Legion, VFW, AMVETS, etc.

Are you currently employed?

Have you used veteran services and resources available through the Illinois Department of Employment Security (IDES)?

Since your separation, have you had any problems with housing?

Given your means of transportation, what would you consider the closest Federal VA medical facility to be?

How far do you live from the closest Federal VA medical facility or community based outpatient clinic?

Which of the following best describes your health care insurance status?

Please rate your current general health status:

Are any of the above Medical Conditions Service Related?

Do you currently have a disability rating from the VA?

What disability rating have you received from the VA?

While serving in the military, did you experience sexual harassment?

While serving in the military, did you experience any sexual assault or trauma?

If you sought treatment for this trauma, how long after the first incident did you seek treatment and where?

Did you feel you received the services you needed?

Outside of your military service, did you experience emotional or physical neglect or abuse, or sexual assault/abuse?

If you have ever used the services of the federal Veterans Administration (VA) hospitals or clinics, please rate (in general) your experience of the services you received.

Have you ever been treated or are you currently being treated for any mental health disorders such as Post Traumatic Stress Disorder (PTSD) or Traumatic Brain Injury (TBI)?

If you sought treatment for mental health, do you feel you received the services you needed?

Have you ever been treated for or are you currently being treated for alcohol or substance abuse?

If you sought treatment for alcohol or substance abuse, do you feel you received the services you needed?

What challenges have you had making the transition from Active Duty?

What information or services do you wish you had available to you when you separated/transitioned from Active Duty?

What services do you need? What services or benefits should be provided to address the needs of women veterans?

Are you interested in learning more about starting your own business, with help from experts on business ownership and veteran resources?