Boston Veterans' Service Survey

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Please take a few minutes to fill out this survey to help our office gather metrics to provide better services and identify new methods of support to our Boston veterans. This survey is completely anonymous, unless you would like our office to reach out to you, and all answers provided will only be used for generalized data.

Please provide your zip code *

Have you served in the U.S. Armed Forces? (If no, please do not continue) *

Yes

Which branch of service did you serve in? *

US Army

US Marine Corps

US Navy

US Air Force

US Space Force

US Coast Guard

National Guard

Air National Guard

What is your military services status? (Most recent or current status) *

Active Duty

Army/Air National Guard

Retired/Discharged

Reserve

What is your discharge status? *

Honorable

General

Bad Conduct

Other than Honorable

Dishonorable

Prefer not to answer

What was your Service era? (Select all that apply)

Post-9/11 era (September 11, 2001 - Present)

Persian Gulf era (August 1991 - September 2001)

Post-Vietnam era (May 1975 - July 1991)

Vietnam era (August 1964 - April 1975)

Between Korea and Vietnam era (February 1955 - July 1964)

Korean War era (June 1950 - January 1955)

Between WWII and Korean War era (August 1947- May 1950)

WWII era (September 1940 - July 1947)

Pre WWII era (before September 1940)

What is your age group? *

18-30

30-45

46-60

61-75

76 and above

Race/ethnicity:

What is the best way to describe your race and ethnicity?

Please check all that apply.

White

Black , or African American

American Indian and Alaska Native

Asian

Native Hawailian and other Pacific Islander

Latino / Hispanic

Biracial or Multiracial

I don't want to answer this question

Other: ________________________________________________

What is your gender identity?

Female

Male

Transgender Female

Transgender Male

Gender variant / Non-conforming

Not listed

Prefer not to answer

Clear selection

What veteran services, if any, have you used from our office? *

M.G.L. Chapter 115

Disability Compensation

Housing Resources/ HUD VASH

Careers Employment Resources

Burial and Memorial Benefits

Healthcare Benefits

Dependency And Idemnity Compensation

Other:

Required

What is your employment status? *

Full-time

Part-time

Full-time student

Part-time Student

Unemployed and seeking work

Unable to work due to disability

Retired

What is your housing status? *

Own

Rent

Living with family or friends

Participating in a VA Housing Program (e.g. HUD VASH, SSVF)

Currently experiencing homelessness

At risk of becoming homeless

Temporary of Transitional housing

Disability status:

What is your VA disability rating?

N/A

10% - 30%

40% - 60%

70% - 100%

Clear selection

How long ago did you transition from the service?

Less than 1 year

1-3 years

3-5 years

More than 5 years ago

Clear selection

What was the most challenging experience you faced during your period of transition?

Please provide your email address below, if you would like information on OVS and other Veteran-related news, events & activities.

Please specify any assistance you are seeking or if there is anything else you would like us to know.

Submit

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