[Skip this page if interviewee is not a veteran] Head of Household Person 2 Person 3 Person 4 Person 5 What year did you enter active military service? Doesn’t Know Doesn’t Know Doesn’t Know Doesn’t Know Doesn’t Know ⃝ ⃝ ⃝ ⃝ ⃝ Refused Refused Refused Refused Refused ⃝ ⃝ ⃝ ⃝ ⃝ Head of Household Person 2 Person 3 Person 4 Person 5 What year were you discharged from active military service? Doesn’t Know Doesn’t Know Doesn’t Know Know Know ⃝ ⃝ ⃝ ⃝ ⃝ Refused Refused Refused Refused Refused ⃝ ⃝ ⃝ ⃝ ⃝ Head of Household Person 2 Person 3 Person 4 Person 5 What was your Honorable Honorable Honorable Honorable Honorable ⃝ ⃝ ⃝ ⃝ ⃝ discharge status? General General General under General under General under ⃝ ⃝ ⃝ ⃝ ⃝ [Please select one] honorable conditions honorable conditions honorable conditions honorable conditions honorable conditions other than Under other than other than Under other than Under other than ⃝ ⃝ ⃝ ⃝ ⃝ honorable conditions honorable conditions honorable conditions honorable conditions honorable conditions Dishonorable Dishonorable Dishonorable Dishonorable Dishonorable ⃝ ⃝ ⃝ ⃝ ⃝ Bad Conduct Bad Conduct Bad Conduct Bad Conduct Bad Conduct ⃝ ⃝ ⃝ ⃝ ⃝ Uncharacterized Uncharacterized Uncharacterized Uncharacterized Uncharacterized ⃝ ⃝ ⃝ ⃝ ⃝ Doesn’t Know Doesn’t Know Doesn’t Know Know Doesn’t Know ⃝ ⃝ ⃝ ⃝ ⃝ Refused Refused Refused Refused Refused ⃝ ⃝ ⃝ ⃝ ⃝ Head of Household Person 2 Person 3 Person 4 Person 5 Do you receive any Yes Yes Yes Yes Yes ⃝ ⃝ ⃝ ⃝ ⃝ VA Compensation or No No No No No ⃝ ⃝ ⃝ ⃝ ⃝ Pension? Doesn’t Know Doesn’t Know Know Doesn’t Know Doesn’t Know ⃝ ⃝ ⃝ ⃝ ⃝ Refused Refused Refused Refused Refused ⃝ ⃝ ⃝ ⃝ ⃝
Head of Household Person 2 Person 3 Person 4 Person 5 What year did you enter active military service? ⃝ Doesn’t Know ⃝ Refused ⃝ Doesn’t Know ⃝ Refused ⃝ Doesn’t Know ⃝ Refused ⃝ Doesn’t Know ⃝ Refused ⃝ Doesn’t Know ⃝ Refused Head of Household Person 2 Person 3 Person 4 Person 5 What year were you discharged from active military service? ⃝ Doesn’t Know ⃝ Refused ⃝ Doesn’t Know ⃝ Refused ⃝ Doesn’t Know ⃝ Refused ⃝ Know ⃝ Refused ⃝ Know ⃝ Refused Head of Household Person 2 Person 3 Person 4 Person 5 What was your discharge status? [Please select one] ⃝ Honorable ⃝ General honorable conditions ⃝ other than honorable conditions ⃝ Dishonorable ⃝ Bad Conduct ⃝ Uncharacterized ⃝ Doesn’t Know ⃝ Refused ⃝ Honorable ⃝ General honorable conditions ⃝ Under other than honorable conditions ⃝ Dishonorable ⃝ Bad Conduct ⃝ Uncharacterized ⃝ Doesn’t Know ⃝ Refused ⃝ Honorable ⃝ General under honorable conditions ⃝ other than honorable conditions ⃝ Dishonorable ⃝ Bad Conduct ⃝ Uncharacterized ⃝ Doesn’t Know ⃝ Refused ⃝ Honorable ⃝ General under honorable conditions ⃝ Under other than honorable conditions ⃝ Dishonorable ⃝ Bad Conduct ⃝ Uncharacterized ⃝ Know ⃝ Refused ⃝ Honorable ⃝ General under honorable conditions ⃝ Under other than honorable conditions ⃝ Dishonorable ⃝ Bad Conduct ⃝ Uncharacterized ⃝ Doesn’t Know ⃝ Refused Head of Household Person 2 Person 3 Person 4 Person 5 Do you receive any VA Compensation or Pension? ⃝ Yes ⃝ No ⃝ Doesn’t Know ⃝ Refused ⃝ Yes ⃝ No ⃝ Doesn’t Know ⃝ Refused ⃝ Yes ⃝ No ⃝ Know ⃝ Refused ⃝ Yes ⃝ No ⃝ Doesn’t Know ⃝ Refused ⃝ Yes ⃝ No ⃝ Doesn’t Know ⃝ Refused [Skip this page if interviewee is not a veteran]
2018-Working-Survey-1.docx