> APPENDIX a
>
> APPENDIX A\
> \
> NSV 2001 RDD HOUSEHOLD SCREENING QUESTIONNAIRE

# SCREENER MODULE

**SCRN.SHHQUEX1**

SINTRO_1.

> Hello, I'm calling for a study that is being conducted for the U.S.
> Department of Veterans Affairs. We're interested in talking to
> veterans about their program and benefit needs.
>
> Are you a member of this household and at least 18 years old?

######## YES 1

######## NO 2

######## PROBABLE BUSINESS 3

######## ANSWERING MACHINE AM

######## RETRY AUTODIALER RT

> NONWORKING,

########  DISCONNECTED, CHANGED NW

######## GO TO RESULT GT

**SCRN.SFONEUSE**

SINTRO_3.

> Is this phone number used for...
>
> Home use, 4 GO TO SC4
>
> Home and business use, or 5 GO TO SC4
>
> Business use only? 6 GO TO THANK01
>
> GO TO RESULT GT GO TO RESULT
>
> HOME USE EXCLUDES GROUP QUARTERS \[I.E., 10 OR MORE UNRELATED
> ADULTS\], VACATION HOMES, NURSING HOMES, DORMITORIES, FRATERNITIES,
> AND SORORITIES.
>
> \[HHM'S INCLUDE PEOPLE WHO THINK OF THIS HH AS THEIR PRIMARY PLACE OF
> RESIDENCE. IT INCLUDES PERSONS WHO USUALLY STAY IN THE HH BUT ARE
> TEMPORARILY AWAY ON BUSINESS, VACATION, IN A HOSPITAL, OR LIVING AT
> SCHOOL IN A DORM, FRATERNITY, OR SORORITY.\]

***We will determine that we have a household member who is at least 18
years old on the phone before continuing to SC4***

**PROGRAMMER NOTE:**

**DISPLAY SC4 IF = YES GO TO S6 (MATRIX), COLLECT FNAME/AGE/SEX/SCRESP
AND AUTOCODE VETERAN STATUS = 1 (DISPLAY "ARMED FORCES" IN MATRIX, ELSE
GO TO SC5.**

**DISPLAY SC5 IF = YES GO TO S6 (MATRIX), COLLECT FNAME/AGE/SEX/SCRESP
AND AUTOCODE VETERAN STATUS = 2 (DISPLAY "MERCHANT MARINE" IN MATRIX,
ELSE GO TO SC6.**

**DISPLAY SC6 IF = YES GO TO S6 (MATRIX), COLLECT FNAME/AGE/SEX/SCRESP
AND AUTOCODE VETERAN STATUS = 3 (DISPLAY "WOMEN'S SERVICES" IN MATRIX,
ELSE GO TO SC7.**

**DISPLAY SC7 IF = YES GO TO S6 (MATRIX), COLLECT FNAME/AGE/SEX/SCRESP
AND AUTOCODE VETERAN STATUS = 4 (DISPLAY "PUBLIC SERVICES" IN MATRIX,
ELSE GO TO SC11.**

**DISPLAY SC11 IF = YES GO TO S6 (MATRIX), COLLECT FNAME/AGE/SEX/SCRESP
AND AUTOCODE VETERAN STATUS = 5 (DISPLAY "RESERVES/NAT'L GUARD" IN
MATRIX, ELSE GO TO S6VER.**

**SCRN.ACTDUTY**

SC4. This study is being conducted for the Department of Veterans
Affairs to assess future program and benefit needs. Your participation
is voluntary. Your answers will be kept confidential and used only for
the purpose of this study. My name is (INTERVIEWER NAME) and I'll be
conducting the interview.

Including yourself, has anyone in your household ever served on [active
duty]{.underline} in the U. S. Armed Forces?

> **\[ARMY, NAVY, MARINES, AIR FORCE, COAST GUARD, NURSING CORPS,
> WOMEN'S ARMED FORCES BRANCHES\]**
>
> YES 1 GO TO S6
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**SCRN.MERCHMAR**

SC5. Has anyone in your household ever served in the U.S. Merchant
Marine on a ship under U.S. flag, between December 1941 and August 1945?

> YES 1 GO TO S6
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**SCRN.WOMSVC**

SC6. Has anyone in your household ever served in the nursing corps, air
transport corps, or any of the women's armed forces branches?

> YES 1 GO TO S6
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**SCRN.COMOFF**

SC7. Has anyone in your household ever served as a commissioned officer
in the Public Health Service, the Environmental Services Administration,
or the National Oceanic and Atmospheric Administration?

> YES 1 GO TO S6
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**SCRN.RESVNAT**

SC11. Not counting the {person/people} you've already mentioned, has
anyone in your household ever served in the Reserves or National Guard?

> YES 1 GO TO S6
>
> NO 2

**SCRN.VERLIST**

**S6VER.** I have recorded {N} {person/people}.

> Have we missed anyone else who usually lives in this household who has
> ever served in the U.S. Armed Forces, including the National Guard,
> Reserves, on a U.S. Merchant Marine Ship, in the women's armed forces,
> or as a commissioned officer in the Public Health Service, the
> Environmental Services Administration or the National Oceanic and
> Atmospheric Administration?
>
> YES, RETURN TO MATRIX 1 RETURN TO MATRIX
>
> NO, NUMBER OF HHMS IN MATRIX CORRECT 2

**PROGRAMMER NOTE:**

**AT THE TOP OF S6 DISPLAY THE QUESTION CURRENTLY BEING REFERRED TO
(SC4-SC11).**

**WHEN THE CURSOR IS IN THE CURRENT ACTIVE COLUMN REPLACE THE SC4-SC11
QUESTION AT THE TOP OF THE SCREEN WITH "Is {FNAME/AGE/SEX} CURRENTLY ON
ACTIVE DUTY?"**

**AFTER ALL ENTRIES HAVE BEEN MADE FOR EACH QUESTION INTERVIEWERS MUST
BE REQUIRED TO ESCAPE OUT OF THE MATRIX AND CATI SHOULD DISPLAY THE NEXT
QUESTION IN THE SERIES.**

**ALLOW INTERVIEWERS TO CHANGE ALL INFORMATION IN MATRIX.**

S6. {INSERT QUESTION SC4 -- SC11 AS APPROPRIATE.}

{Is {FNAME/AGE/SEX} CURRENTLY ON ACTIVE DUTY?}

Please give me the first name, age and sex of this person/these people.

> **ENUM. ENUM. ENUM. ENUM. ENUM. ENUM.**
>
> **FNAME AGE SEX SR VETERAN STATUS CURRENT ACTIVE**

1.  ARMED FORCES

2.  MERCHANT MARINES

3.  WOMEN'S SERVICES

4.  RESERVE/NAT'L GUARD

5.  PUBLIC SERVICES

**S6VERF1.** OVERLAY: 1. CONTINUE 2. RETURN TO MATRIX 3. GO TO RESULT

+-----------------------------------------------------------------------+
| > PROGRAMMER NOTE:                                                    |
|                                                                       |
| **WE WILL COME INTO THE MATRIX AS A RESULT OF AN ENTRY OF 1 (YES) ON  |
| SC4 -- SC11 OR 1 ON S6VER. THE CURSOR WILL BE IN AN EMPTY FIRST NAME  |
| FIELD AND THE VET STATUS FIELD WILL BE BLANK. WHEN A FIRST NAME IS    |
| ENTERED, THE VET STATUS WILL BE AUTOCODED AND THE COLUMN FILLED IN AS |
| FOLLOWS.**                                                            |
|                                                                       |
| **IF WE CAME TO THE MATRIX AS A RESULT OF:**                          |
|                                                                       |
| **SC4 = 1, AUTOCODE 1 AND SHOW "ARMED FORCES"**                       |
|                                                                       |
| **SC5 = 1, AUTOCODE 2 AND SHOW "MERCHANT MARINES"**                   |
|                                                                       |
| **SC6 = 1, AUTOCODE 3 AND SHOW "WOMEN'S SERVICES"**                   |
|                                                                       |
| **SC7 = 1, AUTOCODE 4 AND SHOW "PUBLIC SERVICES"**                    |
|                                                                       |
| **SC11 = 1, AUTOCODE 5 AND SHOW "RESERVE/NAT'L GUARD"**               |
|                                                                       |
| **ELSE, DO NOT AUTOCODE; ALLOW INTERVIEWER TO MAKE AN ENTRY.**        |
|                                                                       |
| **THE CURSOR WILL MOVE THROUGH EACH OF THE FIELDS A THROUGH F. WHEN   |
| THE CURSOR IS IN FIELDS A THROUGH D, THE QUESTION SHOWN IN DISPLAY i  |
| WILL BE HIGHLIGHTED. WHEN THE CURSOR IS IN FIELD E OR F, THE          |
| APPROPRIATE QUESTION AS SHOWN IN DISPLAY ii WILL BE HIGHLIGHTED.      |
| AFTER AN ENTRY IS MADE IN FIELD F, GO TO THE FIRST NAME FIELD OF THE  |
| NEXT EMPTY PERSON LINE. DISPLAY ii SHOULD NO LONGER APPEAR. AGAIN     |
| HIGHLIGHT THE QUESTION IN DISPLAY i.**                                |
|                                                                       |
| **FIELD D (SCRESP) DOES NOT REQUIRE AN ENTRY. ALLOW INTERVIEWER TO    |
| PRESS ENTER.**                                                        |
|                                                                       |
| **ESC/ESC WILL GO TO S6VERF1.**                                       |
|                                                                       |
| **IF ENUM.VETSTAT = 1, 2, 3, OR 4 AND ENUM.ACTVDUTY = 2 OR**          |
|                                                                       |
| > **ENUM.VETSTAT = 1, 2, 3, OR 4 AND ENUM.ACTVDUTY = -7, -8 AND       |
| > ENUM.SCRESP DOES NOT = X**                                          |
|                                                                       |
| **SELECT THAT PERSNUM FOR EXTENDED INTERVIEW.**                       |
|                                                                       |
| **ELSE IF ENUM.VETSTAT = 5 SELECT PERSNUM FOR EXTENDED INTERVIEW.**   |
|                                                                       |
| **OTHERWISE CODE ENUM.SELECTFG = 2 (PERSON IS INELIGIBLE).**          |
|                                                                       |
| **ASK SCD9, SCD10, SCD11 OF ALL SELECTED RESPONDENTS.**               |
+-----------------------------------------------------------------------+

**ENUM.ETHNIC**

SCD9. {Are you/Is NAME} Spanish, Hispanic, or Latino?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE:**

**IN SCD10 ALLOW 8 RESPONSE FIELDS.**

**ENUM.RACE01-RACE08**

**ENUM.RACEOS**

**ENUM.RACEARRY \[1\]-\[8\]**

SCD10. I'm going to read a list of racial categories. Please select one
or more to describe {your/NAME'S} race. {Are you/Is NAME}...

**\[CODE UP TO 8 RESPONSES. CTRL/P TO EXIT.\]**

> White, 1
>
> Black or African American, 2
>
> American Indian or Alaska Native, 3
>
> Asian, 4
>
> Native Hawaiian, or 5
>
> Other Pacific Islander? 6
>
> HISPANIC/MEXICAN 7
>
> OTHER \[SPECIFY **RACEOS**\] 91
>
> REFUSED -7
>
> DON\'T KNOW -8

**ENUM.GRADE**

SCD11. What is the highest grade or year of school {you have/NAME has}
[ever]{.underline} completed?

> NO FORMAL SCHOOLING 0
>
> NURSERY SCHOOL TO 4th GRADE 1
>
> 5th, 6th, or 7th GRADE 2
>
> 8th GRADE 3
>
> 9th, 10th, or 11th GRADE 4
>
> 12th GRADE, NO DIPLOMA 5
>
> GED 6
>
> HIGH SCHOOL GRADUATE 7
>
> TRADE/TECHNICAL/VOCATIONAL AFTER HIGH SCHOOL 8
>
> SOME COLLEGE BUT NO DEGREE 9
>
> ASSOCIATE\'S DEGREE IN COLLEGE 10
>
> BACHELOR\'S DEGREE 11
>
> MASTER\'S DEGREE 12
>
> PROFESSIONAL SCHOOL DEGREE \[MD, DDS, DVM, LLB, JD\] 13
>
> DOCTORAL DEGREE \[PHD, EDD\] 14
>
> REFUSED -7
>
> DON\'T KNOW -8

**SCRN.SADDPHON**

SC1b. Are there any telephone numbers in your household in addition to
{TELEPHONE NUMBER}?

> YES 1
>
> NO 2

***[TERMINATIONS:]{.underline}***

READMSG **\[PLEASE READ THE FOLLOWING MESSAGE INTO THE ANSWERING
MACHINE\]**

> This is {INTERVIEWER'S NAME} calling for an important research study
> that is being conducted by the U.S. Department of Veterans Affairs.
> We're interested in talking to veterans about their program and
> benefit needs. Your participation is extremely important to the
> success of this study. We will try to reach you again in the next few
> days.

THANK01. Thank you very much, but we are only interested in interviewing
in private residences.

APPENDIX B

**APPENDIX B**

**NSV 2001 LIST SAMPLE VERIFICATION QUESTION**

Hello, my name is (display i). We are conducting a study for the United
States Department of Veterans Affairs as part of its ongoing effort to
improve services provided to American veterans. Your participation is
voluntary and your answers to the questions will be kept confidential
and will be used for the purpose of this study or as required by law.

Your name is (display ii) and your date of birth is (display iii). Is
that correct?

GENDER: (display iv)

ADDRESS: (display v)

CITY: (display vi) STATE: (display vii) ZIP: (display viii)

1.  YES, CORRECT -- EXACT MATCH

2.  YES, CORRECT -- MATCH WITH QUALIFICATION

3.  NO, INCORRECT -- DOES NOT MATCH

> APPENDIX C
>
> APPENDIX c\
> \
> nsv 2001 extended interview questionnaire and cati specifications
>
> table of contents

**Section Page**

INTRODUCTIOn C-2

military background module C-3

health background module C-27

health care benefits module C-35

disability module C-43

mortgage loan module C-48

life insurance module C-50

education and training module C-52

burial benefits module C-56

communication module C-59

socio-demographic information module C-61

# INTRODUCTION

INTRO2. Hello, may I speak to {SELECTED RESPONDENT}?

\[My name is {INTERVIEWER}. I\'m calling from Westat on behalf of the
Department of Veterans Affairs. We\'re conducting a study that will
provide information for the Department of Veterans Affairs as part of
its ongoing efforts to improve services it provides to America's
veterans.\]

\[We are conducting this study for the Department of Veterans Affairs to
obtain information about veterans, their families and their use of VA
benefits and programs.\]

1.  SUBJECT SPEAKING/COMING TO PHONE

2.  SUBJECT LIVES HERE -- NEEDS APPOINTMENT

3.  SUBJECT KNOWN LIVES AT ANOTHER NUMBER

4.  NEVER HEARD OF SUBJECT

5.  TELEPHONE COMPANY RECORDING

> AM. ANSWERING MACHINE
>
> RT. RETRY DIALING
>
> GT. GO TO RESULT

INFO. Your response to any question is voluntary, and you may ask us to
skip any question that you do not wish to answer. You can stop this
discussion at any time.

The information that you provide is protected under the Privacy Act and
section 5701 of Title 38 U. S. Code. The VA will use the information you
provide to evaluate current VA policies, programs and services for
veterans and in deciding how to help veterans in the future. The VA will
[not]{.underline} use any information that you give us in any VA claim
that you have applied for or are receiving.

\[IF R WANTS COPY OF PRIVACY ACT NOTICE, COMPLETE ADDRESS FORM.\]

\[PRESS RETURN TO CONTINUE.\]

DISCL. This survey was reviewed and approved by the Office of Management
and Budget (OMB). The survey is estimated to take about 30 minutes of
your time. This may vary as some interviews will take more time and some
will take less time. You may send comments regarding this estimate or
any other aspect of this collection of information, including
suggestions for reducing the length, to the Federal Government.

DID R REQUEST ADDRESS OF GOVERNMENT OFFICE TO CONTACT?

\[OMB \# 2900-0615\]

> YES.....................1
>
> NO .....................2 (GO TO MB0)

DISC1. The address is...

Department of Veterans Affairs

Office of Policy and Planning (008A)

810 Vermont Avenue, NW

Washington, D.C. 20420.

\[PRESS RETURN TO CONTINUE\]

# MILITARY BACKGROUND MODULE

**VETS.EXTSEX**

MB0.

\[IF NOT OBVIOUS ASK:\] Are you male or female?

> MALE 1
>
> FEMALE 2
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 1:**

**IN ALL MONTH FIELDS, HARD RANGE = 1 -- 12.**

**IN ALL INSTANCES WHERE 91 = 1 PROVIDE 30 CHARACTER OTHER SPECIFY
FIELD.**

**IN MB0a, RANGE FOR YEAR = 1885 -- (CURRENT YEAR -- 18).**

**VETS.DOBMM, VETS.DOBYYYY**

MB0a. First, I'd like to ask you for the month and year you were born.

> \|\_\_\|\_\_\| MONTH
>
> \|\_\_\|\_\_\|\_\_\|\_\_\| YEAR
>
> REFUSED -7
>
> DON\'T KNOW -8
>
> 1\. JANUARY 7. JULY
>
> 2\. FEBRUARY 8. AUGUST
>
> 3\. MARCH 9. SEPTEMBER
>
> 4\. APRIL 10. OCTOBER
>
> 5\. MAY 11. NOVEMBER
>
> 6\. JUNE 12. DECEMBER

\[A2a.\]

**VETS.ACTEVER**

MB1. I'd like to start with some questions about your military service.

> Not counting a call to active duty as a result of your National Guard
> or military reserve service, did you ever serve on [active
> duty]{.underline} in the United States Armed Forces?

**\[ARMY, NAVY, MARINES, AIR FORCE, COAST GUARD, NURSING CORPS, WOMEN'S
ARMED FORCES BRANCHES\]**

> YES 1 (GO TO MB4)
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 2:**

**VETS.VETSAGE**

**COMPUTE R AGE (CURRENT MONTH AND YEAR -- \[MB0a MONTH AND YEAR\] DOBMM
AND DOBYYYY). IF CURRENT MONTH =DOBMM, ASSUME BIRTHDAY HAS OCCURRED. IF
R IS MALE AND 65 YEARS OF AGE OR OLDER, OR AGE = -7 OR --8, CONTINUE
WITH MB2, ELSE GO TO MB3a.**

**IF R IS FEMALE GO TO MB3.**

\[A2b.\]

**VETS.MERCMAR**

MB2. Did you serve in the U.S. Merchant Marine on a ship under U.S. Flag
at any time between December 1941 through August 1945?

> YES 1 (GO TO MB4)
>
> NO 2 (GO TO MB3a)
>
> REFUSED -7 (GO TO MB3a)
>
> DON'T KNOW -8 (GO TO MB3a)

\[A2c.\]

**VETS.WAF**

MB3. Did you ever serve in the nursing corps, air transport corps, or
any of the women's armed forces branches?

> YES 1 (GO TO MB4)
>
> NO 2 (GO TO MB3a)
>
> REFUSED -7 (GO TO MB3a)
>
> DON'T KNOW -8 (GO TO MB3a)

**VETS.COMMOFF**

MB3a. Have you ever served as a commissioned officer in the Public
Health Service, the Environmental Services Administration, or the
National Oceanic and Atmospheric Administration?

YES 1 (GO TO MB4)

NO 2 (GO TO MB5)

REFUSED -7 (GO TO MB5)

DON'T KNOW -8 (GO TO MB5)

\[A3.\]

**VETS.ACTNOW**

MB4. Are you currently on full-time active duty?

> YES 1 (END INTERVIEW-CODE IA)
>
> NO 2 (GO TO MB14)
>
> REFUSED -7 (END INTERVIEW-CODE NU)
>
> DON'T KNOW -8

**NATIONAL GUARD AND RESERVE SERVICE**

\[A12.\]

**VETS.RENGEVER**

MB5. Have you ever served in the National Guard or Military Reserves?

> YES 1
>
> NO 2 (END INTERVIEW-CODE IA)
>
> REFUSED -7 (END INTERVIEW-CODE NU)
>
> DON'T KNOW -8 (END INTERVIEW-CODE NU)

\[A13.\]

**VETS.RESTOACT**

MB6. While you were in the National Guard or Military Reserves, were you
ever called into the regular armed forces for active duty, [not
counting]{.underline} the 4 to 6 months duty for initial basic training
or yearly summer camp?

> YES 1
>
> NO 2 (GO TO MB13)
>
> REFUSED -7 (GO TO MB13)
>
> DON'T KNOW -8 (GO TO MB13)

**PROGRAMMER NOTE 3:**

**IN (MB7) RYRACT, (MB9) RRELYR, (MB9A) RYRACTNW AND (MB9B) RYRRLNEW,
HARD RANGE = 1885 THROUGH CURRENT YEAR. IN MB7 AND MB9a SOFT RANGE =
1903 THROUGH CURRENT YEAR AND DATE \> DOB. IN MB9 AND MB9b SOFT RANGE =
1903 THROUGH CURRENT YEAR.**

\[A14.\]

**VETS.RMTHACT, VETS.RDAYACT, VETS.RYRACT**

MB7. What is the date you were first called-up for active duty?

> \|\_\_\|\_\_\| MONTH
>
> \|\_\_\|\_\_\| DAY
>
> \|\_\_\|\_\_\|\_\_\|\_\_\| YEAR
>
> REFUSED -7
>
> DON\'T KNOW -8
>
> 1\. JANUARY 7. JULY
>
> 2\. FEBRUARY 8. AUGUST
>
> 3\. MARCH 9. SEPTEMBER
>
> 4\. APRIL 10. OCTOBER
>
> 5\. MAY 11. NOVEMBER
>
> 6\. JUNE 12. DECEMBER

**PROGRAMMER NOTE 4:**

**IF RYRACT = -7, -8 or RMTHACT and RYRACT \< DOBMM AND DOBYYYY END
INTERVIEW AND CODE NU**

**ELSE IF RYRACT = 1955 AND RMTHACT IS NOT MISSING GO TO MB8**

**ELSE IF RYRACT AND RMTHACT = YEAR AND MONTH IN BOX AND RDAYACT IS
MISSING**

**OR IF RYRACT = YEAR IN BOX AND RMTHACT IS MISSING, GO TO MB7a AND
DISPLAY THE APPROPRIATE DATE.**

**OTHERWISE GO TO MB8 (RYRACT NOT IN BOX AND RMTHACT NOT IN BOX)**

**[IF RYRACT = : DISPLAY:]{.underline}**

**1917 April 6^th"^**

**1918 November 12^th^**

**1940 September 16^th^**

**1947 July 26^th^**

**1950 June 27^th^**

**1955 February 1^st^**

**1964 August 5^th^**

**1975 May 8^th^**

**1980 September 8^th\ ^**

**1990 August 2^nd^**

**VETS. *SEE CHART***

MB7A. Were you called up for active duty [before]{.underline} {DATE FROM
ABOVE BOX}?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

\[A14a.\]

**VETS.RACTSTIL**

MB8. Are you still on full-time active duty?

> YES 1 (END INTERVIEW-CODE IA)
>
> NO 2
>
> REFUSED -7 (END INTERVIEW-CODE NU)
>
> DON'T KNOW -8 (END INTERVIEW-CODE NU)

\[A5 & A15.\]

**VETS.RRELMTH, VETS.RRELDAY, VETS.RRELYR**

MB9. What was the date you were last released from active duty?

> \|\_\_\|\_\_\| MONTH
>
> \|\_\_\|\_\_\| DAY
>
> \|\_\_\|\_\_\|\_\_\|\_\_\| YEAR
>
> REFUSED -7
>
> DON\'T KNOW -8
>
> 1\. JANUARY 7. JULY
>
> 2\. FEBRUARY 8. AUGUST
>
> 3\. MARCH 9. SEPTEMBER
>
> 4\. APRIL 10. OCTOBER
>
> 5\. MAY 11. NOVEMBER
>
> 6\. JUNE 12. DECEMBER

**PROGRAMMER NOTE 5:**

**IF RRELYR = -7, -8 END INTERVIEW AND CODE NU**

**ELSE IF RRELYR = 1955 AND RRELMTH IS NOT MISSING GO TO PROGRAMMER NOTE
6**

**ELSE IF RRELYR AND RRELMTH = YEAR AND MONTH IN BOX AND RRELDAY IS
MISSING**

**OR IF RRELYR = YEAR IN BOX AND RRELMTH IS MISSING, GO TO MB7b AND
DISPLAY THE APPROPRIATE DATE.**

**OTHERWISE GO TO PROGRAMMER NOTE 6 (RRELYR NOT IN BOX AND RRELMTH NOT
IN BOX)**

**[IF RRELYR = : DISPLAY:]{.underline}**

**1917 April 6^th"^**

**1918 November 12^th^**

**1940 September 16^th^**

**1947 July 26^th^**

**1950 June 27^th^**

**1955 February 1^st^**

**1964 August 5^th^**

**1975 May 8^th^**

**1980 September 8^th^**

**1990 August 2^nd^**

**VETS.*SEE CHART***

MB7B. Were you released from active duty [before]{.underline} {DATE FROM
ABOVE BOX}?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 6:**

**(MB9) RRELMTH, RRELDAY AND RRELYR MUST BE \> (MB7) RMTHACT, RDAYACT
AND RYRACT. IF NOT GO TO MB9a, ELSE GO TO MB10.**

**PROGRAMMER NOTE: IF (MB7A) IS NOT MISSING AUTOCODE (MB18) AS DETAILED
BELOW.**

<table style="width:100%;">
<colgroup>
<col style="width: 8%" />
<col style="width: 7%" />
<col style="width: 6%" />
<col style="width: 6%" />
<col style="width: 9%" />
<col style="width: 6%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 8%" />
<col style="width: 7%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 5%" />
</colgroup>
<tbody>
<tr class="odd">
<td>ACTIVE…</td>
<td>MB7A =</td>
<td>PREWWI</td>
<td>INWWI</td>
<td>BWW1_WW2</td>
<td>INWWII</td>
<td>WW2KOR</td>
<td>KOREAN</td>
<td>KOR_NAM</td>
<td>VIETNAM</td>
<td>PNAM1980</td>
<td>PNAM1990</td>
<td>GULF</td>
</tr>
<tr class="even">
<td rowspan="3"><p>BEFORE 4/6/17</p>
<p id="act4_6" class="heading">ACT4_6</p></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>NO</td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>-7 OR -8</td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td rowspan="3"><p>BEFORE 11/12/18</p>
<p><strong>ACT11_12</strong></p></td>
<td>YES</td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>NO</td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>-7 OR -8</td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td rowspan="3"><p>BEFORE 9/16/40</p>
<p><strong>ACT9_16</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td rowspan="3"><p>BEFORE 7/26/47</p>
<p><strong>ACT7_26</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td rowspan="3"><p>BEFORE 6/27/50</p>
<p><strong>ACT6_27</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td rowspan="3"><p>BEFORE 2/1/55</p>
<p><strong>ACT2_1</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td rowspan="3"><p>BEFORE 8/5/64</p>
<p><strong>ACT8_5</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td rowspan="3"><p>BEFORE 5/8/75</p>
<p><strong>ACT5_8</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td rowspan="3"><p>BEFORE 9/8/80</p>
<p><strong>ACT9_8</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
</tr>
<tr class="even">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
</tr>
<tr class="odd">
<td rowspan="3"><p>BEFORE 8/2/90</p>
<p><strong>ACT8_2</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
</tr>
<tr class="even">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
</tr>
<tr class="odd">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
</tr>
</tbody>
</table>

**PROGRAMMER NOTE: IF (MB7B) IS NOT MISSING AUTOCODE (MB18) AS DETAILED
BELOW.**

<table style="width:100%;">
<colgroup>
<col style="width: 8%" />
<col style="width: 7%" />
<col style="width: 6%" />
<col style="width: 6%" />
<col style="width: 9%" />
<col style="width: 6%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 8%" />
<col style="width: 7%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 5%" />
</colgroup>
<tbody>
<tr class="odd">
<td>RELEASED</td>
<td>MB7B =</td>
<td>PREWWI</td>
<td>INWWI</td>
<td>BWW1_WW2</td>
<td>INWWII</td>
<td>WW2KOR</td>
<td>KOREAN</td>
<td>KOR_NAM</td>
<td>VIETNAM</td>
<td>PNAM1980</td>
<td>PNAM1990</td>
<td>GULF</td>
</tr>
<tr class="even">
<td rowspan="3"><p>BEFORE 4/6/17</p>
<p id="rel4_6" class="heading">REL4_6</p></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>NO</td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>-7 OR -8</td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td rowspan="3"><p>BEFORE 11/12/18</p>
<p><strong>REL11_12</strong></p></td>
<td>YES</td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>NO</td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>-7 OR -8</td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td rowspan="3"><p>BEFORE 9/16/40</p>
<p><strong>REL9_16</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td rowspan="3"><p>BEFORE 7/26/47</p>
<p><strong>REL7_26</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td rowspan="3"><p>BEFORE 6/27/50</p>
<p><strong>REL6_27</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td rowspan="3"><p>BEFORE 2/1/55</p>
<p><strong>REL2_1</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td rowspan="3"><p>BEFORE 8/5/64</p>
<p><strong>REL8_5</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td rowspan="3"><p>BEFORE 5/8/75</p>
<p><strong>REL5_8</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td rowspan="3"><p>BEFORE 9/8/80</p>
<p><strong>REL9_8</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
</tr>
<tr class="even">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
</tr>
<tr class="odd">
<td rowspan="3"><p>BEFORE 8/2/90</p>
<p><strong>REL8_2</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
</tr>
<tr class="even">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
</tr>
<tr class="odd">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
</tr>
</tbody>
</table>

**VETS.RMHACTNW, VETS. RDYACTNW, VETS.RYRACTNW**

MB9a. I have recorded that you were released from active duty {RRELMTH,
RRELDAY, RRELYR}. That date is earlier than the date you began active
duty. Please tell me the date you [began]{.underline} your active duty.

> \|\_\_\|\_\_\| MONTH
>
> \|\_\_\|\_\_\| DAY
>
> \|\_\_\|\_\_\|\_\_\|\_\_\| YEAR

REFUSED -7

> DON\'T KNOW -8
>
> 1\. JANUARY 7. JULY
>
> 2\. FEBRUARY 8. AUGUST
>
> 3\. MARCH 9. SEPTEMBER
>
> 4\. APRIL 10. OCTOBER
>
> 5\. MAY 11. NOVEMBER
>
> 6\. JUNE 12. DECEMBER

**PROGRAMMER NOTE 7:**

**STORE ORIGINAL VALUES OF MB7 AS FOLLOWS:**

**RMTHACT AS RMTHACT1;**

**RDAYACT AS RDAYACT1;**

**RYRACT AS RYRACT1.**

**NEXT, STORE THE VALUES ENTERED IN (MB9a) AS FOLLOWS:**

**RMHACTNW AS RMTHACT;**

**RDYACTNW AS RDAYACT;**

**RYRACTNW AS RYRACT.**

**IF RYRACTNW = -7, -8 OR RMHACTNW AND RYRACTNW\<DOBMM AND DOBYYYY END
INTERVIEW AND CODE NU**

**ELSE IF RYRACTNW = 1955 AND RMHACTNW IS NOT MISSING GO TO MB9b**

**ELSE, IF RYRACTNW AND RMHACTNW = YEAR AND MONTH IN BOX AND RDYACTNW IS
MISSING**

**OR IF RYRACTNW = YEAR IN BOX AND RMHACTNW IS MISSING GO TO MB7a AND
DISPLAY THE APPROPRIATE DATE.**

**OTHERWISE GO TO MB9b (RYRACTNW NOT IN BOX AND RMHACTNW NOT IN BOX)**

**[IF RYRACT = : DISPLAY:]{.underline}**

**1917 April 6^th"^**

**1918 November 12^th^**

**1940 September 16^th^**

**1947 July 26^th^**

**1950 June 27^th^**

**1955 February 1^st^**

**1964 August 5^th^**

**1975 May 8^th^**

**1980 September 8^th\ ^**

**1990 August 2^nd^**

**VETS. *SEE CHART***

MB7A. Were you called up for active duty [before]{.underline} {DATE FROM
ABOVE BOX}?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**VETS.RMTHRLNW, VET.RDAYRLNW, VETS.RYRRLNEW**

MB9b. And again, what was the date you were [released]{.underline} from
active duty?

> \|\_\_\|\_\_\| MONTH
>
> \|\_\_\|\_\_\| DAY
>
> \|\_\_\|\_\_\|\_\_\|\_\_\| YEAR
>
> REFUSED -7
>
> DON\'T KNOW -8
>
> 1\. JANUARY 7. JULY
>
> 2\. FEBRUARY 8. AUGUST
>
> 3\. MARCH 9. SEPTEMBER
>
> 4\. APRIL 10. OCTOBER
>
> 5\. MAY 11. NOVEMBER
>
> 6\. JUNE 12. DECEMBER

**PROGRAMMER NOTE 8:**

**STORE ORIGINAL VALUES OF MB9 AS FOLLOWS:**

**RRELMTH AS RRELMTH1;**

**RRELDAY AS RRELDAY1; AND**

**RRELYR AS RRELYR1.**

**NEXT, STORE THE VALUES ENTERED IN (MB9b) AS FOLLOWS:**

**RMTHRLNW AS RRELMTH;**

**RDAYRLNW AS RRELDAY; AND**

**RYRRLNEW AS RRELYR.**

**IF RYRRLNEW = -7, -8 END INTERVIEW AND CODE NU**

**ELSE IF RYRRLNEW = 1955 AND RMTHRLNW IS NOT MISSING GO TO PROGRAMMER
NOTE 9**

**ELSE IF RYRRLNEW AND RMTHRLNW = YEAR AND MONTH IN BOX AND RDAYRLNW IS
MISSING**

**OR IF RYRRLNEW = YEAR IN BOX AND RMTHRLNW IS MISSING GO TO MB7b AND
DISPLAY THE APPROPRIATE DATE.**

**OTHERWISE GO TO PROGRAMMER NOTE 9 (RYRRLNEW NOT IN BOX AND RMTHRLNW
NOT IN BOX)**

**[IF RYRACT = : DISPLAY:]{.underline}**

**1917 April 6^th"^**

**1918 November 12^th^**

**1940 September 16^th^**

**1947 July 26^th^**

**1950 June 27^th^**

**1955 February 1^st^**

**1964 August 5^th^**

**1975 May 8^th^**

**1980 September 8^th\ ^**

**1990 August 2^nd^**

**VETS.*SEE CHART***

MB7B. Were you released from active duty [before]{.underline} {DATE FROM
ABOVE BOX}?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 9:**

**(MB9a) RRELMTH, RRELDAY AND RRELYR MUST BE \> (MB9b) RMTHACT, RDAYACT
AND RYRACT. IF NOT END INTERVIEW AND CODE NU, ELSE GO TO MB10.**

\[A17.\]

**VETS.RACT2YRS**

MB10. Excluding the 4 to 6 months for initial basic training or yearly
summer camp, did you serve at least 2 consecutive years of active duty?

> YES 1 (GO TO PROGRAMMER NOTE 18)
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

\[A8b & A18.\]

**VETS.RACTFULL**

MB11. Did you serve the full period for which you were called or ordered
to active duty?

> YES 1 (GO TO PROGRAMMER NOTE 18)
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

\[A9 & A19a.\]

**VETS.RRIFDISC**

MB12. Were you discharged early for a medical condition, for hardship
reasons, for reduction in force, or at the convenience of the
government?

> YES 1 (GO TO PROGRAMMER NOTE 18)
>
> NO 2 (END INTERVIEW-CODE IA)
>
> REFUSED -7 (END INTERVIEW-CODE NU)
>
> DON'T KNOW -8 (END INTERVIEW-CODE NU)

\[A19b.\]

**VETS.RMEDDISC**

MB13. Did you ever receive a Medical Discharge?

> YES 1 (GO TO HB1)
>
> NO 2 (END INTERVIEW-CODE IA)
>
> REFUSED -7 (END INTERVIEW-CODE IA)
>
> DON'T KNOW -8 (END INTERVIEW-CODE IA)

**ACTIVE DUTY**

**PROGRAMMER NOTE 10:**

**IN MB14, MB15, MB15a AND MB15b HARD RANGE = 1885 -- CURRENT YEAR. IN
MB14 AND MB14a SOFT RANGE = 1903 -- CURRENT YEAR AND DATE GREATER THAN
OR EQUAL TO DOB. IN MB15 AND MB15b SOFT RANGE = 1903 THROUGH CURRENT
YEAR.**

**VETS.MTHACT, VETS.DAYACT, VETS.YRACT**

MB14. What was the date you first entered active duty?

> \|\_\_\|\_\_\| MONTH
>
> \|\_\_\|\_\_\| DAY
>
> \|\_\_\|\_\_\|\_\_\|\_\_\| YEAR
>
> REFUSED -7
>
> DON\'T KNOW -8
>
> 1\. JANUARY 7. JULY
>
> 2\. FEBRUARY 8. AUGUST
>
> 3\. MARCH 9. SEPTEMBER
>
> 4\. APRIL 10. OCTOBER
>
> 5\. MAY 11. NOVEMBER
>
> 6\. JUNE 12. DECEMBER

**PROGRAMMER NOTE 11:**

**IF YRACT = -7, -8 OR MTHACT AND YRACT \< DOBMM AND DOBYYYY END
INTERVIEW -- CODE NU**

**ELSE IF YRACT = 1955 AND MTHACT IS NOT MISSING GO TO MB15**

**ELSE IF YRACT AND MTHACT = YEAR AND MONTH IN BOX AND DAYACT IS
MISSING**

**OR IF YRACT = YEAR IN BOX AND MTHACT IS MISSING GO TO MB14a AND
DISPLAY THE APPROPRIATE DATE.**

**OTHERWISE GO TO MB15 (YRACT NOT IN BOX AND MTHACT NOT IN BOX)**

**[IF RYRACT = : DISPLAY:]{.underline}**

**1917 April 6^th"^**

**1918 November 12^th^**

**1940 September 16^th^**

**1947 July 26^th^**

**1950 June 27^th^**

**1955 February 1^st^**

**1964 August 5^th^**

**1975 May 8^th^**

**1980 September 8^th\ ^**

**1990 August 2^nd^**

**VETS *SEE CHART***

MB14a. Were you called up for active duty [before]{.underline} {DATE
FROM ABOVE BOX}?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**VETS.RELMTH, VETS.RELDAY, VETS.RELYR**

MB15. What was the date you were last released from active duty?

> \|\_\_\|\_\_\| MONTH
>
> \|\_\_\|\_\_\| DAY
>
> \|\_\_\|\_\_\|\_\_\|\_\_\| YEAR
>
> REFUSED -7
>
> DON\'T KNOW -8
>
> 1\. JANUARY 7. JULY
>
> 2\. FEBRUARY 8. AUGUST
>
> 3\. MARCH 9. SEPTEMBER
>
> 4\. APRIL 10. OCTOBER
>
> 5\. MAY 11. NOVEMBER
>
> 6\. JUNE 12. DECEMBER

**PROGRAMMER NOTE 12:**

**IF RELYR = -7, -8 END INTERVIEW - CODE NU**

**ELSE IF RELYR = 1955 AND RELMTH IS NOT MISSING GO TO PROGRAMMER NOTE
13**

**ELSE IF RELYR AND RELMTH = YEAR AND MONTH IN BOX AND RELDAY IS
MISSING**

**OR IF RELYR = YEAR IN BOX AND RELMTH IS MISSING GO TO M14b AND DISPLAY
THE APPROPRIATE DATE.**

**OTHERWISE GO TO PROGRAMMER NOTE 13 (RELYR NOT IN BOX AND RELMTH NOT IN
BOX)**

**[IF RRELYR = : DISPLAY:]{.underline}**

**1917 April 6^th"^**

**1918 November 12^th^**

**1940 September 16^th^**

**1947 July 26^th^**

**1950 June 27^th^**

**1955 February 1^st^**

**1964 August 5^th^**

**1975 May 8^th^**

**1980 September 8^th^**

**1990 August 2^nd^**

**VETS.*SEE CHART***

MB14b. Were you released from active duty [before]{.underline} {DATE
FROM ABOVE BOX}?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE: IF (MB14A) IS NOT MISSING AUTOCODE (MB18) AS DETAILED
BELOW.**

<table style="width:100%;">
<colgroup>
<col style="width: 8%" />
<col style="width: 7%" />
<col style="width: 6%" />
<col style="width: 6%" />
<col style="width: 9%" />
<col style="width: 6%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 8%" />
<col style="width: 7%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 5%" />
</colgroup>
<tbody>
<tr class="odd">
<td>ACTIVE…</td>
<td>MB14A =</td>
<td>PREWWI</td>
<td>INWWI</td>
<td>BWW1_WW2</td>
<td>INWWII</td>
<td>WW2KOR</td>
<td>KOREAN</td>
<td>KOR_NAM</td>
<td>VIETNAM</td>
<td>PNAM1980</td>
<td>PNAM1990</td>
<td>GULF</td>
</tr>
<tr class="even">
<td rowspan="3"><p>BEFORE 4/6/17</p>
<p id="act4_6-1" class="heading">ACT4_6</p></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>NO</td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>-7 OR -8</td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td rowspan="3"><p>BEFORE 11/12/18</p>
<p><strong>ACT11_12</strong></p></td>
<td>YES</td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>NO</td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>-7 OR -8</td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td rowspan="3"><p>BEFORE 9/16/40</p>
<p><strong>ACT9_16</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td rowspan="3"><p>BEFORE 7/26/47</p>
<p><strong>ACT7_26</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td rowspan="3"><p>BEFORE 6/27/50</p>
<p><strong>ACT6_27</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td rowspan="3"><p>BEFORE 2/1/55</p>
<p><strong>ACT2_1</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td rowspan="3"><p>BEFORE 8/5/64</p>
<p><strong>ACT8_5</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td rowspan="3"><p>BEFORE 5/8/75</p>
<p><strong>ACT5_8</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td rowspan="3"><p>BEFORE 9/8/80</p>
<p><strong>ACT9_8</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
</tr>
<tr class="even">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
</tr>
<tr class="odd">
<td rowspan="3"><p>BEFORE 8/2/90</p>
<p><strong>ACT8_2</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
</tr>
<tr class="even">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
</tr>
<tr class="odd">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
</tr>
</tbody>
</table>

**PROGRAMMER NOTE: IF (MB14B) IS NOT MISSING AUTOCODE (MB18) AS DETAILED
BELOW.**

<table style="width:100%;">
<colgroup>
<col style="width: 8%" />
<col style="width: 7%" />
<col style="width: 6%" />
<col style="width: 6%" />
<col style="width: 9%" />
<col style="width: 6%" />
<col style="width: 7%" />
<col style="width: 7%" />
<col style="width: 8%" />
<col style="width: 7%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 5%" />
</colgroup>
<tbody>
<tr class="odd">
<td>RELEASED</td>
<td>MB14B =</td>
<td>PREWWI</td>
<td>INWWI</td>
<td>BWW1_WW2</td>
<td>INWWII</td>
<td>WW2KOR</td>
<td>KOREAN</td>
<td>KOR_NAM</td>
<td>VIETNAM</td>
<td>PNAM1980</td>
<td>PNAM1990</td>
<td>GULF</td>
</tr>
<tr class="even">
<td rowspan="3"><p>BEFORE 4/6/17</p>
<p id="rel4_6-1" class="heading">REL4_6</p></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>NO</td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>-7 OR -8</td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td rowspan="3"><p>BEFORE 11/12/18</p>
<p><strong>REL11_12</strong></p></td>
<td>YES</td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>NO</td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>-7 OR -8</td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td rowspan="3"><p>BEFORE 9/16/40</p>
<p><strong>REL9_16</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td rowspan="3"><p>BEFORE 7/26/47</p>
<p><strong>REL7_26</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td rowspan="3"><p>BEFORE 6/27/50</p>
<p><strong>REL6_27</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td rowspan="3"><p>BEFORE 2/1/55</p>
<p><strong>REL2_1</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td rowspan="3"><p>BEFORE 8/5/64</p>
<p><strong>REL8_5</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td rowspan="3"><p>BEFORE 5/8/75</p>
<p><strong>REL5_8</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td rowspan="3"><p>BEFORE 9/8/80</p>
<p><strong>REL9_8</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
</tr>
<tr class="even">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
<td></td>
</tr>
<tr class="odd">
<td rowspan="3"><p>BEFORE 8/2/90</p>
<p><strong>REL8_2</strong></p></td>
<td>YES</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td></td>
</tr>
<tr class="even">
<td>NO</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
</tr>
<tr class="odd">
<td>-7 OR -8</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>YES</td>
<td>YES</td>
</tr>
</tbody>
</table>

**PROGRAMMER NOTE 13:**

**(MB15) RELMTH, RELDAY AND RELYR MUST BE \> (MB14) MTHACT, DAYACT AND
YRACT. IF NOT GO TO MB15a, ELSE GO TO MB16.**

**VETS.MTHACTNW, VETS.DAYACTNW, VETS.YRACTNEW**

MB15a. I have recorded that you were released from active duty {RELMTH,
RELDAY, RELYR}. That date is earlier than the date you began active
duty. Please tell me the date you [began]{.underline} your active duty.

> \|\_\_\|\_\_\| MONTH
>
> \|\_\_\|\_\_\| DAY
>
> \|\_\_\|\_\_\|\_\_\|\_\_\| YEAR
>
> REFUSED -7
>
> DON\'T KNOW -8
>
> 1\. JANUARY 7. JULY
>
> 2\. FEBRUARY 8. AUGUST
>
> 3\. MARCH 9. SEPTEMBER
>
> 4\. APRIL 10. OCTOBER
>
> 5\. MAY 11. NOVEMBER
>
> 6\. JUNE 12. DECEMBER

**PROGRAMMER NOTE 14:**

**STORE ORIGINAL VALUES OF MB14 AS FOLLOWS:**

**MTHACT AS MTHACT1;**

**DAYACT AS DAYACT1;**

**YRACT AS YRACT1.**

**NEXT, STORE THE VALUES ENTERED MB15a AS FOLLOWS:**

**MTHACTNW AS MTHACT;**

**DAYACTNW AS DAYACT;**

**YRACTNEW AS YRACT.**

**IF YRACTNEW = -7, -8 OR MTHACTNW AND YRACTNEW \< DOBMM AND DOBYYYY END
INTERVIEW - CODE NU**

**ELSE IF YRACTNEW = 1955 AND MTHACTNW IS NOT MISSING GO TO MB15b**

**ELSE IF YRACTNEW AND MTHACTNW = YEAR AND MONTH IN BOX AND DAYACTNW IS
MISSING**

**OR IF YRACTNEW = YEAR IN BOX AND MTHACTNW IS MISSING GO TO MB14a AND
DISPLAY THE APPROPRIATE DATE.**

**OTHERWISE GO TO MB15b (YRACTNEW NOT IN BOX AND MTHACTNW NOT IN BOX)**

**[IF RYRACT = : DISPLAY:]{.underline}**

**1917 April 6^th"^**

**1918 November 12^th^**

**1940 September 16^th^**

**1947 July 26^th^**

**1950 June 27^th^**

**1955 February 1^st^**

**1964 August 5^th^**

**1975 May 8^th^**

**1980 September 8^th\ ^**

**1990 August 2^nd^**

**VETS.SEE CHART**

MB14a. Were you called up for active duty [before]{.underline} {DATE
FROM ABOVE BOX}?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**VETS.MTHRLNEW, VETS.DAYRLNEW, VETS.YRRLNEW**

MB15b. And again, what was the date you were [released]{.underline} from
active duty?

> \|\_\_\|\_\_\| MONTH
>
> \|\_\_\|\_\_\| DAY
>
> \|\_\_\|\_\_\|\_\_\|\_\_\| YEAR
>
> REFUSED -7
>
> DON\'T KNOW -8
>
> 1\. JANUARY 7. JULY
>
> 2\. FEBRUARY 8. AUGUST
>
> 3\. MARCH 9. SEPTEMBER
>
> 4\. APRIL 10. OCTOBER
>
> 5\. MAY 11. NOVEMBER
>
> 6\. JUNE 12. DECEMBER

**PROGRAMMER NOTE 15:**

**STORE ORIGINAL VALUES OF MB15 AS FOLLOWS:**

**RELMTH AS RELMTH1;**

**RELDAY AS RELDAY1; AND**

**RELYR AS RELYR1.**

**NEXT, STORE THE VALUES ENTERED IN (MB15b) AS FOLLOWS:**

**MTHRLNEW AS RELMTH;**

**DAYRLNEW AS RELDAY; AND**

**YRRLNEW AS RELYR.**

**IF YRRLNEW = -7, -8 END INTERVIEW - CODE NU**

**ELSE IF YRRLNEW = 1955 AND MTHRLNEW IS NOT MISSING GO TO PROGRAMMER
NOTE 16**

**ELSE IF YRRLNEW AND MTHRLNEW = YEAR AND MONTH IN BOX AND DAY RLNEW IS
MISSING**

**OR IF YRRLNEW = YEAR IN BOX AND MTHRLNEW IS MISSING GO TO MB14b AND
DISPLAY APPROPRIATE DATE.**

**ELSE GO TO PROGRAMMER NOTE 16 (YRRLNEW NOT IN BOX AND MTHRLNEW NOT IN
BOX)**

**[IF RYRACT = : DISPLAY:]{.underline}**

**1917 April 6^th"^**

**1918 November 12^th^**

**1940 September 16^th^**

**1947 July 26^th^**

**1950 June 27^th^**

**1955 February 1^st^**

**1964 August 5^th^**

**1975 May 8^th^**

**1980 September 8^th\ ^**

**1990 August 2^nd^**

**VETS.*SEE CHART***

MB14b. Were you released from active duty [before]{.underline} {DATE
FROM ABOVE BOX}?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 16:**

**(MB15) RELMTH, RELDAY AND RELYR MUST BE \> (MB14) MTHACT, DAYACT AND
YRACT. IF NOT END INTERVIEW AND CODE NU, ELSE GO TO MB16.**

\[A6.\]

**VETS.CONACT**

MB16. Did your active duty continue without interruption between {YRACT}
and {RELYR}?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 17:**

**IF BEGIN ACTIVE DUTY DATE IS ON OR AFTER 9/8/1980 OR ACT9_8 = 2, -7,
-8 (FROM MB7a OR MB14a) CONTINUE IN BOX, ELSE GO TO PROGRAMMER NOTE
18.**

**IF (MB16) CONACT = 1 AND VALUE OF RELYR -- YRACT GE 2 AUTOCODE (MB17)
CONT2YRS = 1 THEN GO TO PROGRAMMER NOTE 18, ELSE GO TO MB17.**

\[A8a.\]

**VETS.CONT2YRS**

MB17. Did you serve on continuous active duty for at least 2 years?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 18**

**1. CYCLE THROUGH STEPS A-D FOR THE BEGIN ACTIVE DUTY DATE THEN FOR THE
RELEASE FROM ACTIVE DUTY DATE.**

**A. IF DATE (RMTHACT/MTHACT, RDAYACT/DAYACT, RYRACT/YRACT OR
RRELMTH/RELMTH, RRELDAY/RELDAY, RRELYR/RELYR HAS NO MISSING VALUES,
CONTINUE. ELSE GO TO B.**

**IF DATE FALLS ON OR BETWEEN BEGIN DATE AND END DATE CODE VARIABLE
FOLLOWING**

**MONTH DAY YEAR MONTH DAY YEAR VARIABLE**

**1 1 1885 4 5 1917 PREWWI=1**

**4 6 1917 11 11 1918 INWWI=1**

**11 12 1918 9 15 1940 BWW1_WW2=1**

**9 16 1940 7 25 1947 INWWII=1**

**7 26 1947 6 26 1950 WW2KOR=1**

**6 27 1950 1 31 1955 KOREAN=1**

**2 1 1955 8 4 1964 KOR_NAM=1**

**8 5 1964 5 7 1975 VIETNAM=1**

**5 8 1975 9 7 1980 PNAM1980=1**

**9 8 1980 8 1 1990 PNAM1990=1**

**8 2 1990 CURRENT DATE GULF=1**

**IF FIRST TIME THROUGH GO TO 1, OTHERWISE GO TO 2.**

**B. IF YEAR (RYRACT/YRACT, RRELYR/RELYR) APPEARS IN LIST, CONTINUE.
ELSE GO TO C.**

**IF YEAR = 1885 -- 1916, PREWWI = 1;**

**PROGRAMMER NOTE 18 CONT'**

**IF YEAR = 1919 -- 1939, BWW1_WW2 = 1;**

**IF YEAR = 1941 -- 1946, INWWII = 1;**

**IF YEAR = 1948 -- 1949, WW2KOR = 1;**

**IF YEAR = 1951 -- 1954, KOREAN = 1;**

**IF YEAR = 1956 -- 1963, KOR_NAM = 1;**

**IF YEAR = 1965 -- 1974, VIETNAM = 1;**

**IF YEAR = 1976 -- 1979, PR PNAM1980 = 1;**

**IF YEAR = 1981 -- 1989, PNAM1990 = 1;**

**IF YEAR = 1991 -- CURRENT YEAR, GULF = 1.**

**IF FIRST TIME THROUGH GO TO 1, OTHERWISE GO TO 2.**

**C. IF YEAR (RYRACT/YRACT, RRELYR/RELYR) APPEARS IN LIST AND MONTH
(RMTHACT/MTHACT, RRELMTH/RELMTH) NE --7, -8 AND MONTH APPEARS IN LIST,
CONTINUE. ELSE GO TO D.**

**IF MONTH/YEAR = 1/1917 -- 3/1917, PREWWI = 1;**

**IF MONTH/YEAR = 5/1917 -- 12/1917, INWWI = 1;**

**IF MONTH/YEAR = 1/1918 -- 10/1918, INWWI = 1;**

**IF MONTH/YEAR = 12/1918, BWW1_WW2 = 1;**

**IF MONTH/YEAR = 1/1940 -- 8/1940, BWW1_WW2 = 1;**

**IF MONTH/YEAR = 10/1940 -- 12/1940, INWWII = 1;**

**IF MONTH/YEAR = 1/1947 -- 6/1947, INWWII = 1;**

**IF MONTH/YEAR = 8/1947 -- 12/1947, WW2KOR = 1;**

**IF MONTH/YEAR = 1/1950 -- 5/1950, WW2KOR = 1;**

**IF MONTH/YEAR = 7/1950 -- 12/1950, KOREAN = 1;**

**IF MONTH/YEAR = 1/1955, KOREAN = 1;**

**IF MONTH/YEAR = 2/1955 -- 12/1955, KOR_NAM = 1;**

**IF MONTH/YEAR = 1/1964 -- 7/1964, KOR_NAM = 1;**

**IF MONTH/YEAR = 9/1964 -- 12/1964, VIETNAM = 1;**

**IF MONTH/YEAR = 1/1975 -- 4/1975, VIETNAM = 1;**

**IF MONTH/YEAR = 6/1975 -- 12/1975, PNAM1980 = 1;**

**IF MONTH/YEAR = 1/1980 -- 8/1980, PNAM1980 = 1;**

**IF MONTH/YEAR = 10/1980 -- 12/1980, PNAM1990 = 1;**

**IF MONTH/YEAR = 1/1990 -- 7/1990, PNAM1990 = 1;**

**IF MONTH/YEAR = 9/1990 - 12/1990, GULF = 1**

**IF FIRST TIME THROUGH GO TO 1, OTHERWISE GO TO 2.**

**D. USE CHART FOLLOWING MB7a/MB14a to code appropriate variables for
ryract/yract. use chart following mb7b/mb14b to code appropriate
variables for rrelyr/relyr.**

**IF FIRST TIME THROUGH GO TO 1, OTHERWISE GO TO 2.**

**2. CODE ALL VARIABLES BETWEEN FIRST SERVICE ERA AND LAST SERVICE ERA
IF MORE THAN ONE ERA IS SPANNED.**

**MILITARY SERVICE**

\[A7 & A16.\]

**VETS.**

MB18. CODE ALL SERVICE ERAS BASED ON DATES GIVEN PREVIOUSLY.

> [YES]{.underline} [NA]{.underline}
>
> a\. Prior to World War I, before April 6, 1917? 1 -1
>
> b\. During World War I, from April 6, 1917 through
>
> November 11, 1918? 1 -1
>
> c\. Between World War I and II from November 12, 1918
>
> through September 15, 1940? 1 -1
>
> d\. During World War II, from September 16, 1940
>
> through July 25, 1947? 1 -1
>
> e\. Between World War II and the Korean Conflict, from
>
> July 26, 1947 through June 26, 1950? 1 -1
>
> f\. During the Korean Conflict, from June 27, 1950 through
>
> January 31, 1955? 1 -1
>
> g\. Between the Korean Conflict and the Vietnam Era, from
>
> February 1, 1955 through August 4, 1964? 1 -1
>
> h\. During the Vietnam Era, from August 5, 1964 through
>
> May 7, 1975? 1 -1
>
> i\. During the Post-Vietnam Era from May 8, 1975
>
> through September 7, 1980? 1 -1
>
> j\. During the Post-Vietnam Era from September 8, 1980
>
> through August 1, 1990? 1 -1
>
> k\. During the Persian Gulf War Era from August 2, 1990
>
> through the present? 1 -1

\[B1.\]

**VETS.ONLY48**

MB19. While on active duty, did you serve [only]{.underline} within the
48 continental United States?

**\[DO NOT INCLUDE SERVICE IN ALASKA OR HAWAII.\]**

> YES 1 (GO TO MB21)
>
> NO 2
>
> REFUSED -7
>
> DON\'T KNOW -8

**PROGRAMMER NOTE 19:**

**IF INWWII OR VIETNAM = 1 DISPLAY "Now I'm going...", ELSE DISPLAY
"Please tell me...".**

**IF (MB18c) BWW1_WW2 = 1, (MB18e) WW2KOR = 1, (MB18g) KOR_NAM = 1 OR
(MB18i) PNAM1980 = 1 AND NO OTHER MB18 VARIABLES = 1 GO TO MB21, ELSE GO
TO MB20 AND DISPLAY RESPONSE CATEGORIES AS OUTLINED BELOW. ONLY DISPLAY
EACH CATEGORY ONCE.**

**IF PREWWI = 1 DISPLAY c, k AND s;**

**IF INWWI = 1 DISPLAY d, p AND s;**

**IF INWWII = 1 DISPLAY b, c, d, e, f, g, i, j, k, l, m, p, q, r AND
s;**

**IF KOREAN = 1 DISPLAY b, f, g AND s;**

**IF VIETNAM = 1 DISPLAY f, h, k, l, n, o AND s;**

**IF PNAM1990 = 1 DISPLAY a AND s;**

**IF GULF = 1 DISPLAY d, p AND s.**

\[B2.\]

**VETS.**

MB20. {Now I'm going to read a list of places. Please tell me if you
served in, sailed in, or flew missions over each while on active
duty./Please tell me if you served in, sailed in, or flew missions over
each of the following while on active duty.} Did you serve in...

> **\[IF ON BOARD SHIP IN SURROUNDING WATERS, MARK THE NEAREST
> GEOGRAPHIC AREA.\]**
>
> DON'T
>
> [YES]{.underline} [NO]{.underline} [REFUSED]{.underline}
> [KNOW]{.underline}
>
> a\. the Canal Zone \[PANAMA\]? 1 2 -7 -8
>
> b\. China, Burma, India? 1 2 -7 -8
>
> c\. Cuba? 1 2 -7 -8
>
> d\. Europe including Sicily, Turkey and the Mediterranean? 1 2 -7 -8
>
> e\. the Indian Ocean? 1 2 -7 -8
>
> f\. Japan or Okinawa? 1 2 -7 -8
>
> g\. Korea? 1 2 -7 -8
>
> h\. Laos or Cambodia? 1 2 -7 -8
>
> i\. Midway, or some other N. Pacific Island? 1 2 -7 -8
>
> j\. North Africa? 1 2 -7 -8
>
> k\. the Philippines or Guam? 1 2 -7 -8
>
> l\. the South China Sea? 1 2 -7 -8
>
> m\. the South Pacific including Australia or New Guinea? 1 2 -7 -8
>
> n\. Thailand? 1 2 -7 -8
>
> o\. Vietnam? 1 2 -7 -8
>
> p\. the Persian Gulf Area? 1 2 -7 -8
>
> q\. Hawaii? 1 2 -7 -8
>
> r\. Alaska? 1 2 -7 -8
>
> s\. Any other place outside of the continental U.S.? 1 2 -7 -8
>
> \[SPECIFY\] **(ZONEOS)**

**VETS.DISC_AS**

MB21. At your [most recent]{.underline} discharge were you...

> A commissioned officer, 1
>
> A warrant officer, or 2
>
> An enlisted person? 3
>
> REFUSED -7
>
> DON'T KNOW -8

\[A10 & A20 (reservist).\]

**VETS.DIS_FOR**

MB22. What type of discharge did you receive? Were you discharged...

At the end of a normal term of service with less than 20\
years of service \[NOT MEDICAL OR DISABILITY\], 1

> For military retirement for length of service
>
> \[USUALLY 20 YEARS OR MORE\], 2
>
> For military retirement due to disability, 3
>
> For medical release, 4
>
> Due to marriage, pregnancy, or children, 5
>
> On a dishonorable discharge, or 6
>
> On some other kind of discharge? 91
>
> \[SPECIFY **DISFOROS**\]
>
> REFUSED -7 (END-CODE NU)
>
> DON'T KNOW -8 (END-CODE NU)

**PROGRAMMER NOTE 19A:**

**IF CASE IS FROM RDD SAMPLE AND RESPONSE TO MB22 IS "6", END
INTERVIEW - CODE IA. OTHERWISE, GO TO PROGRAMMER NOTE 20.**

**PROGRAMMER NOTE 20:**

**IN MB23, IF R IS MALE AND AGE IS \< 65 DISPLAY A -- E AND M, THEN
MB23A. IF R IS MALE AND AGE IS GE 65 OR UNKNOWN, DISPLAY A -- E, M AND
N, THEN MB23A.**

**IF R IS FEMALE DISPLAY A -- M, AND MB23A.**

**IF AGE AND SEX MISSING/UNKNOWN, DISPLAY ALL.**

\[A11.\]

**VETS.**

MB23. In which branch or branches of the U.S. Military did you serve on
[active duty]{.underline}? Did you serve in the...

> DON'T
>
> [YES]{.underline} [NO]{.underline} [REFUSED]{.underline}
> [KNOW]{.underline}
>
> a\. Army? 1 2 -7 -8
>
> b\. Navy? 1 2 -7 -8
>
> c\. Air Force? 1 2 -7 -8
>
> d\. Marine Corps? 1 2 -7 -8
>
> e\. Coast Guard? 1 2 -7 -8
>
> f\. Women's Army Auxiliary Corps \[WAAC\]? 1 2 -7 -8
>
> g\. Women's Army Corps \[WACs\]? 1 2 -7 -8
>
> h\. Women Accepted for Voluntary Emergency\
> Services \[WAVES\]? 1 2 -7 -8
>
> i\. Navy Nursing Corps \[NNC\]? 1 2 -7 -8
>
> j\. Air Force Nursing Corps \[AFNC\]? 1 2 -7 -8
>
> k\. Women's Air Force Service Pilots \[WASPS\]? 1 2 -7 -8
>
> l\. Coast Guard Women's Reserve \[SPARS\]? 1 2 -7 -8
>
> m\. The Public Health Service, the Environmental\
> Services Administration, or the National Oceanic\
> and Atmospheric Administration? 1 2 -7 -8
>
> n\. U.S. Merchant Marine, Dec. 7, 1941-Aug. 5, 1945\
> on ships under U.S. Flag during WWII only? 1 2 -7 -8

**VETS.ACTOTH**

MB23A. Did you serve in any other branch?

> YES 1 (GO TO MB23OV)
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 21:**

**IF (MB23A) ACTOTH = 1 DISPLAY 30 CHARACTER OTHER SPECIFY FIELD (IN
MB23OV) ACTOS.**

**VETS.ACTOS**

MB23OV. Which branch was that?

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**PROGRAMMER NOTE 22:**

**IF ALL MB23 QUESTIONS ASKED = 2, -7, -8 AND MB23A = 2, -7, -8 END
INTERVIEW -- CODE IA.**

**OTHERWISE CONTINUE.**

**COMBAT AND OTHER MILITARY EXPERIENCES**

\[B3.\]

**VETS.COMBAT**

MB24. Next, I'm going to ask about combat and other military
experiences.

> Did you ever serve in a combat or war zone?
>
> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**VETS.EXP_DEAD**

MB25. Were you ever exposed to dead, dying, or wounded people?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**VETS.POW**

MB26. Were you ever a prisoner of war?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**VETS.CHEMS**

MB27. During your military service, were you ever exposed to
environmental hazards such as Agent Orange, chemical warfare agents,
ionizing radiation, or other potentially toxic substances?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

PROGRAMMER NOTE 22A:

IF INTERVIEW HAS A PROXY SEGMENT ASSOCIATED WITH THE CASE, SKIP TO
QUESTION HB13.

ELSE, CONTINUE WITH HB1.

# HEALTH BACKGROUND MODULE

**HEALTH STATUS**

**VETS.HEATLH**

HB1. Now I'm going to ask some general questions about your health and
your health insurance.

> In general, would you say your health is...
>
> Excellent, 1
>
> Very good, 2
>
> Good, 3
>
> Fair, or 4
>
> Poor? 5
>
> REFUSED -7
>
> DON'T KNOW -8

**VETS.MODACTS**

HB2. Now I'm going to read a list of activities that you might do during
a typical day. As I read each item, please tell me if your health now
limits you a lot, limits you a little, or does not limit you at all in
these activities.

> Moderate activities, such as moving a table, pushing a vacuum cleaner,
> bowling or playing golf, would you say your health currently...
>
> Yes, limited a lot, 1
>
> Yes, limited a little, or 2
>
> No, not limited at all? 3
>
> REFUSED -7
>
> DON'T KNOW -8

**VETS.CLIMBING**

HB3. What about climbing several flights of stairs, would you say your
health currently...

> Yes, limited a lot, 1
>
> Yes, limited a little, or 2
>
> No, not limited at all? 3
>
> REFUSED -7
>
> DON'T KNOW -8

**VETS.PHYACCOM**

HB4. During the past 4 weeks, have you accomplished less than you would
like as a result of your physical health? Would you say...

> No, none of the time, 1
>
> Yes, a little of the time, 2
>
> Yes, some of the time, 3
>
> Yes, most of the time, or 4
>
> Yes, all of the time? 5
>
> REFUSED -7
>
> DON'T KNOW -8

**VETS.LTDWORK**

HB5. During the past 4 weeks, were you limited in the kind of work or
other regular daily activities you do as a result of your physical
health? Would you say...

> No, none of the time, 1
>
> Yes, a little of the time, 2
>
> Yes, some of the time, 3
>
> Yes, most of the time, or 4
>
> Yes, all of the time? 5
>
> REFUSED -7
>
> DON'T KNOW -8

**VETS.EMOACCOM**

HB6. During the past 4 weeks, have you accomplished less than you would
like as a result of any emotional problems such as feeling depressed or
anxious?

> No, none of the time, 1
>
> Yes, a little of the time, 2
>
> Yes, some of the time, 3
>
> Yes, most of the time, or 4
>
> Yes, all of the time? 5
>
> REFUSED -7
>
> DON'T KNOW -8

**VETS.LESSCARE**

HB7. During the past 4 weeks, did you not do work or other regular daily
activities as carefully as usual as a result of any emotional problems,
such as feeling depressed or anxious?

> No, none of the time, 1
>
> Yes, a little of the time, 2
>
> Yes, some of the time, 3
>
> Yes, most of the time, or 4
>
> Yes, all of the time? 5
>
> REFUSED -7
>
> DON'T KNOW -8

**VETS.WORKPAIN**

HB8. During the past 4 weeks, how much did pain interfere with your
normal work, including both work outside the home and housework? Did it
interfere...

> Not at all, 1
>
> A little bit, 2
>
> Moderately, 3
>
> Quite a bit, or 4
>
> Extremely? 5
>
> REFUSED -7
>
> DON'T KNOW -8

**VETS.SOCINTER**

HB9. During the past 4 weeks, how much of the time has your physical
health or emotional problems interfered with your social activities like
visiting with friends or relatives? Has it interfered...

> All of the time, 1
>
> Most of the time, 2
>
> Some of the time, 3
>
> A little of the time, or 4
>
> None of the time? 5
>
> REFUSED -7
>
> DON'T KNOW -8

**VETS.CALM**

HB10. How much of the time during the past 4 weeks have you felt calm
and peaceful? Would you say...

> All of the time, 1
>
> Most of the time, 2
>
> A good bit of the time, 3
>
> Some of the time, 4
>
> A little of the time, or 5
>
> None of the time? 6
>
> REFUSED -7
>
> DON'T KNOW -8

**VETS.ENERGY**

HB11. How much of the time during the past 4 weeks did you have a lot of
energy? Would you say...

> All of the time, 1
>
> Most of the time, 2
>
> A good bit of the time, 3
>
> Some of the time, 4
>
> A little of the time, or 5
>
> None of the time? 6
>
> REFUSED -7
>
> DON'T KNOW -8

**VETS.BLUE**

HB12. How much of the time during the past 4 weeks have you felt
downhearted and blue? Would you say...

> All of the time, 1
>
> Most of the time, 2
>
> A good bit of the time, 3
>
> Some of the time, 4
>
> A little of the time, or 5
>
> None of the time? 6
>
> REFUSED -7
>
> DON'T KNOW -8

**VETS.DISACOND**

HB13. Do you have a disabling condition?

> YES 1
>
> NO 2 (GO TO HB15)
>
> REFUSED -7 (GO TO HB15)
>
> DON'T KNOW -8 (GO TO HB15)

**VETS.SVCREL**

HB14. Is this condition service-related?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

\[C8.\]

**VETS.HAVERATE**

HB15. Do you have a service-connected disability rating?

**\[IF R SAYS ZERO RATING CODE YES.\]**

> YES 1
>
> NO 2 (GO TO HB18)
>
> REFUSED -7 (GO TO HB18)
>
> DON'T KNOW -8 (GO TO HB18)

**PROGRAMMER NOTE 23:**

**IN HB16 HARD RANGE = 0 -- 100.**

\[C9.\]

**VETS.DISARATE**

HB16. What is your service-connected percent disability rating?

> \|\_\_\|\_\_\|\_\_\| % (GO TO HB18)
>
> REFUSED -7 (GO TO HB17)
>
> DON'T KNOW -8 (GO TO HB17)

**VETS.DRATING**

HB17. Is your service-connected disability rating...

> 50 percent or higher, 1
>
> 30 to 40 percent, 2
>
> 10 to 20 percent, or 3
>
> Zero percent? 4
>
> REFUSED -7
>
> DON'T KNOW -8

**DAILY ACTIVITIES**

**PROGRAMMER NOTE 24:**

**IN HB18 FILL DISPLAY WITH CURRENT DAY OF THE WEEK.**

\[E9. & E11.\]

**VETS.**

HB18. The next questions concern difficulties people may have because of
health problems.

> During the past week, that is since last {FILL DAY OF WEEK}, because
> of health problems, did
>
> you have any difficulty...
>
> \[PROBE: IF R ANSWERS "DON'T DO", ASK "Is this because of a health
> problem?"
>
> IF NO, CODE 3. IF YES, CODE 1.\]
>
> DON'T DON'T
>
> [YES]{.underline} [NO]{.underline} [DO]{.underline} [REF]{.underline}
> [KNOW]{.underline}
>
> a\. Bathing or showering 1 2 3 -7 -8
>
> b\. Getting dressed? 1 2 3 -7 -8
>
> c\. Getting in or out of chairs or bed? 1 2 3 -7 -8
>
> d\. Walking across a room? 1 2 3 -7 -8
>
> e\. Eating? 1 2 3 -7 -8
>
> f\. Using the toilet or getting to it? 1 2 3 -7 -8
>
> g\. Controlling your bladder or bowels? 1 2 3 -7 -8
>
> h\. Preparing meals? 1 2 3 -7 -8
>
> i\. Doing light housework? 1 2 3 -7 -8
>
> j\. Managing money, such as paying bills? 1 2 3 -7 -8
>
> k\. Using the telephone? 1 2 3 -7 -8
>
> l\. Going places within walking distance? 1 2 3 -7 -8
>
> m\. Shopping for groceries? 1 2 3 -7 -8
>
> n\. Shopping for personal items? 1 2 3 -7 -8
>
> o\. Getting to places out of walking distance? 1 2 3 -7 -8

**HEALTH CONDITIONS**

**VETS.**

HB20. In the past year, have you received medical treatment for...

> DON'T
>
> [YES]{.underline} [NO]{.underline} [REFUSED]{.underline}
> [KNOW]{.underline}
>
> a\. High blood pressure? 1 2 -7 -8
>
> b\. Lung trouble? 1 2 -7 -8
>
> c\. A hearing condition that requires a hearing aid? 1 2 -7 -8
>
> d\. Any other ear, nose, or throat condition? 1 2 -7 -8
>
> e\. Any eye or vision problem, including needing glasses? 1 2 -7 -8
>
> f\. Cancer? 1 2 -7 -8
>
> g\. Heart trouble? 1 2 -7 -8
>
> h\. A stroke? 1 2 -7 -8
>
> i\. Kidney or bladder trouble? 1 2 -7 -8
>
> j\. Arthritis or rheumatism? 1 2 -7 -8
>
> k\. Hepatitis C or other liver disease? 1 2 -7 -8
>
> l\. An immune deficiency disease like HIV/AIDS? 1 2 -7 -8
>
> m\. Diabetes requiring insulin or diet treatment? 1 2 -7 -8
>
> n\. Stomach or digestive disorder? 1 2 -7 -8
>
> o\. Severe chronic pain? 1 2 -7 -8
>
> p\. Drug abuse or alcoholism? 1 2 -7 -8
>
> q\. Post-traumatic stress disorder \[P.T.S.D.\]? 1 2 -7 -8
>
> r\. Other mental or emotional problems? 1 2 -7 -8
>
> s\. An accident-related injury? 1 2 -7 -8
>
> t\. Any other serious condition? 1 2 -7 -8
>
> \[SPECIFY **TXOTHOS**\]

**HEALTH INSURANCE**

\[F1a.\]

**VETS.MEDICARE**

HB21. My next questions are about health insurance plans or programs
that you currently have, or are covered by.

> Medicare is a health insurance program for people 65 years and older
> and people under age 65 who have certain disabilities. Are you
> currently covered by the Medicare program?
>
> YES 1
>
> NO 2 (GO TO PROGRAMMER NOTE 25)
>
> REFUSED -7
>
> DON'T KNOW -8

**VETS.MEDICHMO**

HB22. Are you currently enrolled in Medicare managed care or a Medicare
HMO?

> YES 1 (GO TO HB25)
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**VETS.PARTA**

HB23. Medicare Part A pays for hospital care. Are you currently covered
by Medicare Part A for hospital care?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

\[F1b revised.\]

**VETS.PARTB**

HB24. Medicare Part B pays for visits to doctor offices. Are you
currently covered by Medicare Part B for visits to doctor offices?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**VETS.MEDIGAP**

HB25. Some people who are eligible for Medicare have additional health
insurance coverage through a private insurance company. This is
sometimes referred to as Medigap or Medicare Supplement, and it is
different from insurance you might have through an employer or former
employer. Are you currently covered by a Medigap or Medicare Supplement
health insurance plan?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 25:**

**IN HB26, IF STATE = CALIFORNIA DISPLAY "Medi-Cal", ELSE DISPLAY
"Medicaid".**

\[F2b.\]

**VETS.MEDICAID**

HB26. {Medicaid/Medi-Cal} is a program that pays for health care for
persons in need. It is different from Medicare, the program for persons
65 and older and persons under 65 with certain disabilities. Are you
currently covered by {Medicaid/Medi-Cal}?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**VETS.TRICARE**

HB27. Are you currently covered by CHAMPUS or TRICARE?

> **\[IF NEEDED: CHAMPUS is the Civilian Health and Medical Program of
> the Uniformed Services and covers both active duty and retired career
> military persons, dependents and survivors.\]**
>
> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**VETS.OTHGOVHC**

HB28. Excluding VA health care benefits and Federal employee health
benefits, are you currently covered by any other government-provided
health insurance or health service plan? For example, Indian Health
Service or military health care?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**VETS.PRIVATE**

HB29. Excluding the programs we've already talked about, are you
currently covered by private health insurance that you or someone else
provides for you? For example, private insurance from an employer or
union, Federal employee health benefits, or private insurance that
someone bought directly from an insurance company?

> Please remember to include plans obtained through someone who does not
> live in your household. Do not include plans provided by military
> employers.
>
> YES 1
>
> NO 2 (GO TO HC1)
>
> REFUSED -7
>
> DON'T KNOW -8

**VETS.PRIVHMO**

HB30. Is your private health insurance plan an HMO?

**\[IF NEEDED: An HMO is a Health Maintenance Organization.\]**

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

# HEALTH CARE BENEFITS MODULE

**SERVICE USE**

**BENS.ERYOU**

HC1. My next questions are about your use of health care benefits in the
[last 12 months]{.underline}.

> In the last 12 months, did you go to an emergency room to get care for
> yourself?
>
> YES 1
>
> NO 2 (GO TO HC5)
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 26:**

**IN (HC2) ER_VA AND (HC3) ER_OTH HARD RANGE = 0 -- 365. SOFT RANGE = 0
-- 10.**

**BENS.ER_VA**

HC2. How many times did you go to the emergency room in a VA hospital
\[in the last 12 months\]?

> \|\_\_\|\_\_\|\_\_\| NUMBER OF TIMES
>
> REFUSED -7
>
> DON'T KNOW -8

**BENS.ER_OTH**

HC3. How many times did you go to some other hospital emergency room
\[in the last 12 months\]?

> \|\_\_\|\_\_\|\_\_\| NUMBER OF TIMES
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 27:**

**IF (HC3) ER_OTH = 0, GO TO HC5, ELSE GO TO HC4.**

**IN HC4, IF STATE = CALIFORNIA DISPLAY "Medi-Cal" IN E, ELSE DISPLAY
"Medicaid".**

**BENS.**

HC4. Who paid for your emergency room care in these other, non-VA
hospitals? Was it...

> DON'T
>
> [YES]{.underline} [NO]{.underline} [REFUSED]{.underline}
> [KNOW]{.underline}
>
> a\. The VA? 1 2 -7 -8
>
> b\. CHAMPUS, TRICARE, or the military? 1 2 -7 -8
>
> c\. Medicare? 1 2 -7 -8
>
> d\. Medigap insurance \[MEDICARE SUPPLEMENT\]? 1 2 -7 -8
>
> e\. {Medicaid/STATE NAME FOR MEDICAID}? 1 2 -7 -8
>
> f\. Some other government program? 1 2 -7 -8
>
> g\. Private insurance from an employer, union, or directly? 1 2 -7 -8
>
> h\. You or your family? 1 2 -7 -8
>
> i\. Anyone else? 1 2 -7 -8
>
> \[SPECIFY **ELSEOS**\]

**BENS.OUTCARE**

HC5. In the last 12 months, did you get any outpatient care for
yourself? For example, doctor visits, urgent care, routine exams,
medical tests, or shots.

> YES 1
>
> NO 2 (GO TO HC9)
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 28:**

**IN HC6 AND HC7 HARD RANGE = 0 -- 365. SOFT RANGE = 0 -- 10.**

**BENS.NUMVAOUT**

HC6. How many times did you go to a VA facility for outpatient care \[in
the last 12 months\]?

> \|\_\_\|\_\_\|\_\_\| NUMBER OF TIMES
>
> REFUSED -7
>
> DON'T KNOW -8

**BENS.NUMOTH**

HC7. How many times did you go somewhere else to get outpatient care
\[in the last 12 months\]? For example, a doctor's office, clinic, HMO,
or medical facility run by someone other than the VA.

> \|\_\_\|\_\_\|\_\_\| NUMBER OF TIMES
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 29:**

**IF (HC7) NUMOTH=0, GO TO HC9, ELSE GO TO HC8.**

**IN HC8, IF STATE = CALIFORNIA DISPLAY "Medi-Cal" IN E, ELSE DISPLAY
"Medicaid".**

**BENS.**

HC8. Who paid for the outpatient care you received at these other,
non-VA locations? Was it...

> DON'T
>
> [YES]{.underline} [NO]{.underline} [REFUSED]{.underline}
> [KNOW]{.underline}
>
> a\. The VA? 1 2 -7 -8
>
> b\. CHAMPUS, TRICARE, or the military? 1 2 -7 -8
>
> c\. Medicare? 1 2 -7 -8
>
> d\. Medigap insurance \[MEDICARE SUPPLEMENT\]? 1 2 -7 -8
>
> e\. {Medicaid/STATE NAME FOR MEDICAID}? 1 2 -7 -8
>
> f\. Some other government program? 1 2 -7 -8
>
> g\. Private insurance from an employer, union, or directly? 1 2 -7 -8
>
> h\. You or your family? 1 2 -7 -8
>
> i\. Anyone else? 1 2 -7 -8
>
> \[SPECIFY **ELSE1OS**\]

**BENS.VAOVNITE**

HC9. In the last 12 months, were you hospitalized overnight in a VA
hospital?

> YES 1
>
> NO 2 (GO TO HC11)
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 30:**

**IN (HC10) VANITES HARD RANGE = 1 -- 365. SOFT RANGE = 1 --10.**

\[X2.\]

**BENS.VANITES**

HC10. How many nights did you spend in a VA hospital \[in the last 12
months\]?

> \|\_\_\|\_\_\|\_\_\| NUMBER OF NIGHTS
>
> REFUSED -7
>
> DON'T KNOW -8

**BENS.HOSPOTH**

HC11. In the last 12 months, were you hospitalized somewhere else
overnight?

> YES 1
>
> NO 2 (GO TO HC14)
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 31:**

**IN HC12 HARD RANGE = 1 -- 365. SOFT RANGE = 1 -- 10.**

**BENS.OTHNITES**

HC12. How many nights did you spend in other, non-VA hospitals \[in the
last 12 months\]?

> \|\_\_\|\_\_\|\_\_\| NUMBER OF NIGHTS
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 32:**

**IN HC13, IF STATE = CALIFORNIA DISPLAY "Medi-Cal" IN E, ELSE DISPLAY
"Medicaid".**

**BENS.**

HC13. Who paid for your night(s) in these other, non-VA hospitals? Was
it...

> DON'T
>
> [YES]{.underline} [NO]{.underline} [REFUSED]{.underline}
> [KNOW]{.underline}
>
> a\. The VA? 1 2 -7 -8
>
> b\. CHAMPUS, TRICARE, or the military? 1 2 -7 -8
>
> c\. Medicare? 1 2 -7 -8
>
> d\. Medigap insurance \[MEDICARE SUPPLEMENT\]? 1 2 -7 -8
>
> e\. {Medicaid/ STATE NAME FOR MEDICAID}? 1 2 -7 -8
>
> f\. Some other government program? 1 2 -7 -8
>
> g\. Private insurance from an employer, union, or directly? 1 2 -7 -8
>
> h\. You or your family? 1 2 -7 -8
>
> i\. Anyone else? 1 2 -7 -8
>
> \[SPECIFY **ELSE2OS**\]

**BENS.RXVA**

HC14. In the last 12 months, did you get prescription medications from
the VA or paid for by the VA?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**BENS.RXOTHER**

HC15. Did you get any other prescription medications from any other
source \[in the last 12 months\]?

> YES 1 (GO TO PROGRAMMER NOTE 32A)
>
> NO 2 (GO TO HC16)
>
> REFUSED -7 (GO TO HC16)
>
> DON'T KNOW -8 (GO TO HC 16)

**PROGRAMMER NOTE 32a:**

**IN HC15a HARD RANGE = 1-100. SOFT RANGE = 1-50.**

**BENS.RXQUAN**

HC15a. Altogether, how many prescription medications, not counting
refills, did you get from these other sources \[in the last 12 months\]?

I\_\_I\_\_I\_\_I NUMBER OF PRESCRIPTIONS

REFUSED.......................................-7

DON'T KNOW..................................-8

**BENS.VAENVIR**

HC16. In the last 12 months, did you get medical care from the VA or
paid for by the VA because you were exposed to environmental hazards
while you were in the military?

**\[IF NEEDED: Examples of environmental hazards are Agent Orange or
ionizing radiation.\]**

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**BENS.OTHENVIR**

HC17. \[In the last 12 months,\] Did you receive any other medical care
for exposure to environmental hazards while you were in the military?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**BENS.VAPSYC**

HC18. In the last 12 months, did you receive psychological counseling,
therapy, alcohol or drug treatment for yourself from the VA or paid for
by the VA?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**BENS.OTHPSYC**

HC19. Did you receive any other psychological counseling, therapy,
alcohol or drug treatment \[in the last 12 months\]?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**BENS.VAHOME**

HC20. In the last 12 months, did you receive in-home health care for
yourself from the VA or paid for by the VA?

> **\[HOME HEALTH CARE INCLUDES HAVING A NURSE OR OTHER HEALTH CARE
> WORKER COME TO YOUR HOME TO HELP YOU.\]**
>
> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**BENS.OTHHOME**

HC21. Did you receive in-home health care from any other sources \[in
the last 12 months\]?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**BENS.VAPROS**

HC22. In the last 12 months, did you receive care for any prosthetics,
including hearing aids, eye glasses or home oxygen, from the VA or paid
for by the VA?

> **\[PROSTHETICS ARE JOINT REPLACEMENTS, ARTIFICIAL ARMS OR LEGS, OR
> ARTIFICIAL EYES AND INCLUDES HEARING AIDS, EYE GLASSES AND HOME
> OXYGEN.\]**
>
> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**BENS.OTHPROS**

HC23. Did you receive any other care for prosthetics \[in the last 12
months\]?

> **\[PROSTHETICS ARE JOINT REPLACEMENTS, ARTIFICIAL ARMS OR LEGS, OR
> ARTIFICIAL EYES AND INCLUDES HEARING AIDS, EYE GLASSES AND HOME
> OXYGEN.\]**
>
> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 33:**

**\[IF NO TO ALL VA HEALTH CARE SERVICES USE QUESTIONS (HC9, HC14, HC16,
HC18, HC20, HC22) OR IF 0 OR --1 TO HC2 OR HC6 GO TO HC24. OTHERWISE GO
TO PROGRAMMER NOTE 35.\]**

**IN HC24 ALLOW 6 RESPONSE FIELDS.**

**BENS.HC24ARRY \[1\] -- \[6\]**

HC24. You told me you have not used any of these health care services
from the VA in the last 12 months. What were the main reasons you didn't
use the VA health care services? \[Any other reasons?\]

**\[CODE UP TO 6 RESPONSES. CTRL/P TO EXIT.\]**

> DID NOT NEED ANY CARE 1
>
> NOT AWARE OF THE VA HEALTH CARE BENEFITS 2
>
> DID NOT BELIEVE SELF ENTITLED OR ELIGIBLE FOR HEALTH CARE BENEFITS 3
>
> TREATED RUDELY IN PAST 4
>
> DID NOT KNOW HOW TO APPLY FOR HEALTH CARE BENEFITS 5
>
> DID NOT NEED OR WANT ASSISTANCE FROM THE VA 6
>
> APPLYING FOR HEALTH CARE BENEFITS TOO MUCH TROUBLE OR RED TAPE 7
>
> NEVER CONSIDERED GETTING ANY HEALTH CARE FROM THE VA 8
>
> DIDN'T THINK VA HEALTH CARE WOULD BE AS GOOD AS THAT AVAILABLE\
> ELSEWHERE 9
>
> USES OTHER SOURCES FOR HEALTH CARE 10
>
> VA CARE IS INCONVENIENT 11
>
> OTHER \[SPECIFY **NOVAOS**\] 91
>
> REFUSED -7
>
> DON'T KNOW -8

**BENS.HTHEVER**

HC25. Have you [ever]{.underline} used [any]{.underline} VA health care
benefits that you're entitled to because of your military service?

> YES 1 (GO TO PROGRAMMER NOTE 35)
>
> NO 2 (GO TO HC26)
>
> REFUSED -7 (GO TO PROGRAMMER NOTE 35)
>
> DON'T KNOW -8 (GO TO PROGRAMMER NOTE 35)

**PROGRAMMER NOTE 34:**

**IN HC26 ALLOW 6 RESPONSE FIELDS.**

**BENS.HC26ARRY \[1\] -- \[6\]**

HC26. What are the main reasons you haven't used any VA health care
benefits? \[Any other reasons?\]

**\[CODE UP TO 6 RESPONSES CTRL/P TO EXIT.\]**

> DID NOT NEED ANY CARE 1
>
> NOT AWARE OF THE VA HEALTH CARE BENEFITS 2
>
> DID NOT BELIEVE SELF ENTITLED OR ELIGIBLE FOR HEALTH CARE BENEFITS 3
>
> DID NOT KNOW HOW TO APPLY FOR HEALTH CARE BENEFITS 4
>
> DID NOT NEED OR WANT ASSISTANCE FROM THE VA 5
>
> APPLYING FOR HEALTH CARE BENEFITS TOO MUCH TROUBLE OR RED TAPE 6
>
> NEVER CONSIDERED GETTING ANY HEALTH CARE FROM THE VA 7
>
> DIDN'T THINK VA HEALTH CARE WOULD BE AS GOOD AS THAT AVAILABLE\
> ELSEWHERE 8
>
> USES OTHER SOURCES FOR HEALTH CARE 9
>
> VA CARE IS INCONVENIENT 10
>
> OTHER \[SPECIFY **NOVAOS1**\] 91
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 35:**

**IF HB13 (DISACOND) AND HB15 (HAVERATE) = 2, GO TO ML1.**

**OTHERWISE GO TO DIS1.**

# DISABILITY MODULE

PROGRAMMER NOTE #36 HAS BEEN DELETED.

**ELIGIBILITY FOR BENEFITS**

**BENS.APPLIED**

DIS1. Have you ever applied for VA disability benefits?

> YES 1
>
> NO 2 (GO TO DIS3)
>
> REFUSED -7 (GO TO DIS4)
>
> DON'T KNOW -8 (GO TO DIS4)

**BENS.APSTATUS**

DIS2. What is the status of your most recent claim application? Is it...

> Approved, 1 (GO TO DIS4)
>
> Waiting for decision from VA regional office, 2 (GO TO DIS4)
>
> Waiting for decision about appeal, or 3 (GO TO DIS4)
>
> Denied? 4 (GO TO DIS4)
>
> REFUSED -7 (GO TO DIS4)
>
> DON\'T KNOW -8 (GO TO DIS4)

**PROGRAMMER NOTE 37:**

**IN DIS3 ALLOW 6 RESPONSE FIELDS.**

**BENS.DIS3ARRY \[1\] -- \[6\]**

DIS3. What are the main reasons you haven't applied for any VA
disability benefits? \[Any other reasons?\]

**\[CODE UP TO 6 RESPONSES. CTRL/P TO EXIT.\]**

> NOT AWARE OF VA SERVICE-CONNECTED DISABILITY PROGRAM 1
>
> DIDN'T THINK WAS ENTITLED OR ELIGIBLE 2
>
> GETTING MILITARY DISABILITY PAY 3
>
> GETTING DISABILITY INCOME FROM ANOTHER SOURCE 4
>
> DIDN'T THINK DISABILITY SEVERE ENOUGH 5
>
> DIDN'T KNOW HOW TO APPLY 6
>
> DIDN'T WANT ANY ASSISTANCE 7
>
> DIDN'T NEED ASSISTANCE 8
>
> APPLYING TOO MUCH TROUBLE OR RED TAPE 9
>
> NEVER THOUGHT ABOUT IT 10
>
> OTHER \[SPECIFY **APPLYOS**\] 91
>
> REFUSED -7
>
> DON'T KNOW -8

**DISABILITY COMPENSATION AND PENSION**

**BENS.DISPYMTS**

DIS4. My next questions are about disability payments from the VA.

> Are you currently receiving regular payments from the VA?
>
> YES 1
>
> NO 2 (GO TO DIS8)
>
> REFUSED -7
>
> DON\'T KNOW -8

**BENS.**

DIS5. Are you receiving...

> DON'T
>
> [YES]{.underline} [NO]{.underline} [REFUSED]{.underline}
> [KNOW]{.underline}
>
> a\. Service-connected disability compensation? 1 2 -7 -8
>
> b\. Non-service-connected disability pension? 1 2 -7 -8
>
> c\. Anything else? 1 2 -7 -8

**PROGRAMMER NOTE 38:**

**IF (DIS5b) NONSVC =1, GO TO DIS6.**

**IF (DIS5a) SVC =1 AND (DIS5b) NONSVC =2, GO TO DIS7.**

**IF (DIS5a) SVC AND (DIS5b) NONSVC =2, GO TO DIS8.**

**BENS.HHAID**

DIS6. Does your pension include either aid and attendance, or
household-bound benefits?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON\'T KNOW -8

**PROGRAMMER NOTE 39:**

**IF (DIS5a) SVC = 2 GO TO DIS8, ELSE GO TO DIS7.**

**BENS.PYMTIMP**

DIS7. During the past year, how important was the disability payment
benefit you received from the VA in helping you meet your financial
needs? Was it...

> Extremely important, 1
>
> Very important, 2
>
> Moderately important, 3
>
> Slightly important, or 4
>
> Not at all important 5
>
> REFUSED -7
>
> DON'T KNOW -8

**BENS.REGBENS**

DIS8. Have you ever received regular monetary benefits from any other
source due to your disability?

> YES 1
>
> NO 2 (GO TO DIS10)
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 40:**

**IN DIS9 ALLOW 7 RESPONSE FIELDS.**

**BENS.DIS9ARRY \[1\] -- \[7\]**

DIS9. From whom have you received these benefits? \[Any others?\]

> **\[CODE UP TO 7 RESPONSES. CTRL/P TO EXIT.\]**
>
> MILITARY DISABILITY 1
>
> MILITARY RETIREMENT 2
>
> SOCIAL SECURITY 3
>
> STATE, MEDICAID, SSI 4
>
> WORKERS COMPENSATION 5
>
> LONG-TERM DISABILITY INSURANCE\
> \[FROM EMPLOYER OR SELF-PURCHASED\] 6
>
> OTHER 91
>
> \[SPECIFY **WHOBENOS**\]
>
> REFUSED -7
>
> DON'T KNOW -8

**VOCATIONAL REHABILITATION BENEFITS**

\[C12.\]

**BENS.VOCREHAB**

DIS10. Have you [ever]{.underline} used vocational rehabilitation
services from the VA?

> YES 1 (GO TO DIS12)
>
> NO 2
>
> REFUSED -7 (GO TO DIS13)
>
> DON'T KNOW -8 (GO TO DIS13)

**PROGRAMMER NOTE 41:**

**IN DIS11 ALLOW 6 RESPONSE FIELDS.**

**BENS.DIS11ARR \[1\] -- \[6\]**

DIS11. What are the main reasons you haven't used any VA vocational
rehabilitation services? \[Any other reasons?\]

**\[CODE UP TO 6 RESPONSES. CTRL/P TO EXIT.\]**

> DIDN'T THINK DISABILITY WAS SEVERE ENOUGH 1 (GO TO DIS13)
>
> DIDN'T KNOW HOW TO APPLY FOR OR GET NEEDED BENEFITS 2 (GO TO DIS13)
>
> DIDN'T WANT FINANCIAL ASSISTANCE FROM THE VA 3 (GO TO DIS13)
>
> DIDN'T NEED FINANCIAL ASSISTANCE FROM THE VA 4 (GO TO DIS13)
>
> APPLYING WAS TOO MUCH TROUBLE OR RED TAPE 5 (GO TO DIS13)
>
> NEVER CONSIDERED APPLYING 6 (GO TO DIS13)
>
> GOT ASSISTANCE FROM SOMEWHERE ELSE 7 (GO TO DIS13)
>
> GOT BETTER/DIDN'T NEED ASSISTANCE ANY MORE 8 (GO TO DIS13)
>
> JUST HAD CLAIM APPROVED 9 (GO TO DIS13)
>
> OTHER \[SPECIFY **VOCREAOS**\] 91 (GO TO DIS13)
>
> REFUSED -7 (GO TO DIS13)
>
> DON'T KNOW -8 (GO TO DIS13)

**BENS.VOCIMP**

DIS12. How important were these services in helping you meet your
educational goals or in helping you get a job? Were they...

> Extremely important, 1
>
> Very important, 2
>
> Moderately important, 3
>
> Slightly important, or 4
>
> Not at all important 5
>
> REFUSED -7
>
> DON'T KNOW -8

**BENS.VOCOTH**

DIS13. In the past 5 years, have you received vocational rehabilitation
from any other source due to your disability?

> YES 1
>
> NO 2 (GO TO DIS15)
>
> REFUSED -7 (GO TO DIS15)
>
> DON'T KNOW -8 (GO TO DIS15)

**PROGRAMMER NOTE 42:**

**IN DIS14 ALLOW 6 RESPONSE FIELDS.**

**BENS.DIS14ARR \[1\] -- \[6\]**

DIS14. Who provided the vocational rehabilitation you received during
the past 5 years? \[Any others?\]

**\[CODE UP TO 6 RESPONSES. CTRL/P TO EXIT.\]**

> STATE EMPLOYMENT OFFICE 1
>
> STATE REHABILITATION 2
>
> DISABLED VETERANS OUTREACH PROGRAM \[DVOP\] 3
>
> PRIVATE ORGANIZATIONS \[E.G., EASTER SEALS, GOODWILL\] 4
>
> VHA OR VETERANS HOSPITAL 5
>
> DoD, MILITARY, OR TRICARE 6
>
> OTHER STATE OR FEDERAL AGENCY 7
>
> OTHER PRIVATE INSURANCE COMPANY 8
>
> REFUSED -7
>
> DON'T KNOW -8

**ACCESS AND BARRIERS**

**BENS.DISBENS**

DIS15. Now, I would like to know, how much you agree or disagree with
the following statements about Veteran disability benefits.

> I thoroughly understand the Veterans disability benefits I'm entitled
> to. Would you say you...
>
> Strongly agree, 1
>
> Agree, 2
>
> Neither agree nor disagree, 3
>
> Disagree, or 4
>
> Strongly disagree? 5
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 42A:**

**IF (DIS1) APPLIED = 2, -7, -8, DISPLAY "It would be..."**

**ELSE DISPLAY "It was..."**

**BENS.EASYBENS**

DIS16. {It would be/It was} easy for me to get the Veterans disability
benefits I'm entitled to. Would you say you...

> Strongly agree, 1
>
> Agree, 2
>
> Neither agree nor disagree, 3
>
> Disagree, or 4
>
> Strongly disagree? 5
>
> REFUSED -7
>
> DON'T KNOW -8

# MORTGAGE LOAN MODULE

\[M1.\]

**BENS.HOME**

ML1. The next questions ask about the VA home loan program.

> Do you own your current living quarters, rent them, or occupy them
> without paying cash rent?
>
> Owned or being bought by you or someone\
> in your household 1
>
> Rented for cash 2
>
> Occupied without payment of cash rent 3
>
> REFUSED -7
>
> DON'T KNOW -8

**BENEFIT USE**

**BENS.LOANS**

ML2. Since you left the military, have you gotten any loans to purchase
a home, make home improvements, or refinance a home loan?

> YES 1
>
> NO 2 (GO TO LIF1)
>
> REFUSED -7
>
> DON'T KNOW -8

\[M2.\]

**BENS.**

ML3. Have you ever used the VA loan program to...

> [YES]{.underline} [NO]{.underline} [REF]{.underline} [DK]{.underline}

a\. Purchase a home? 1 2 -7 -8

b\. Make home improvements? 1 2 -7 -8

c\. Refinance a home loan? 1 2 -7 -8

**PROGRAMMER NOTE 43:**

**IF (ML3a) PURCHASE, (ML3b) IMPROVE OR (ML3c) REFINANC = 1, -7 OR --8,
GO TO LIF1, ELSE GO TO ML4.**

\[M6.\]

**BENS.ML4ARRY \[1\] -- \[10\]**

ML4. What were the main reasons you didn't use the VA loan program?
\[Any other reasons?\]

**\[CODE UP TO 10 RESPONSES. CTRL/P TO EXIT.\]**

> NOT AWARE OF THE VA LOAN PROGRAM 1
>
> THINKS NOT ELIGIBLE FOR VA LOAN 2
>
> DID NOT KNOW HOW TO APPLY FOR VA LOAN 3
>
> DID NOT NEED OR WANT LOAN ASSISTANCE FROM THE VA 4
>
> THINKS APPLYING FOR VA LOAN TOO MUCH TROUBLE OR RED TAPE 5
>
> NEVER CONSIDERED GETTING A LOAN FROM THE VA 6
>
> THINKS AMOUNT NEEDED LARGER THAN VA MAXIMUM 7
>
> THINKS VA INSPECTION OR APPRAISAL REQUIREMENTS TOO STRINGENT 8
>
> THINKS VA FUNDING FEE TOO HIGH 9
>
> THINKS OTHER FEES OR COSTS TOO HIGH \[E.G., CLOSING COSTS\] 10
>
> THINKS NO ADJUSTABLE RATES AVAILABLE 11
>
> THINKS SELLER WOULD NOT SELL IF USED VA LOAN 12

THINKS WOULDN'T QUALIFY FOR VA LOAN 13

> APPLIED BUT NOT APPROVED FOR VA LOAN 14
>
> OTHER \[SPECIFY\] **(NOLOANOS)** 91
>
> REFUSED -7
>
> DON'T KNOW -8

# LIFE INSURANCE MODULE

**BENEFIT USE**

**BENS.VAINS**

LIF1. Are you currently covered by life insurance from the VA?

> YES 1 (GO TO LIF3)
>
> NO 2
>
> REFUSED -7 (GO TO LIF3)
>
> DON'T KNOW -8 (GO TO LIF3)

**PROGRAMMER NOTE 44:**

**IN LIF2 ALLOW 6 RESPONSE FIELDS.**

**BENS.LIF2ARRY \[1\] -- \[6\]**

LIF2. What are the main reasons you don't have VA life insurance
coverage? \[Any other reasons?\]

**\[CODE UP TO 6 RESPONSES. CTRL/P TO EXIT.\]**

> NOT AWARE OF VA INSURANCE BENEFITS 1

DIDN'T BELIEVE ENTITLED OR ELIGIBLE 2

> DID NOT KNOW HOW TO APPLY FOR BENEFITS 3
>
> DID NOT NEED ANY INSURANCE 4
>
> DID NOT NEED OR WANT ASSISTANCE FROM THE VA 5
>
> TOO MUCH TROUBLE OR RED TAPE 6
>
> NEVER CONSIDERED GETTING ANY INSURANCE FROM THE VA 7
>
> ELECTED TO FORGO COVERAGE WHILE ON ACTIVE DUTY 8

NEVER CONVERTED ACTIVE DUTY LIFE INSURANCE POLICY

TO VETERANS POLICY 9

> ALLOWED POLICY TO LAPSE 10
>
> OTHER \[SPECIFY **INSREAOS**\] 91
>
> REFUSED -7
>
> DON'T KNOW -8

**NON-VA BENEFIT USE**

**PROGRAMMER NOTE 45:**

**IF (LIF1) VAINS = 1 DISPLAY "Excluding your VA life insurance policy,
do" IN LIF3, ELSE DISPLAY "Do".**

**BENS.INSOTH**

LIF3. {Excluding your VA life insurance policy, do/Do} you currently
have life insurance from any other source?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**ACCESS AND BARRIERS**

**BENS.KNOWING**

LIF4. How much do you agree or disagree with the following statement
about life insurance benefits from the VA?

> I thoroughly understand the life insurance I'm entitled to from the
> VA. Would you say you...
>
> Strongly agree, 1
>
> Agree, 2
>
> Neither agree nor disagree, 3
>
> Disagree, or 4
>
> Strongly disagree? 5
>
> REFUSED -7
>
> DON'T KNOW -8

# EDUCATION AND TRAINING MODULE

**BENEFIT USE**

\[L3.\]

**BENS.EDUCTRG**

ET1. These next few questions ask about your experience with education
and training benefits provided by the Department of Veterans Affairs.

> Excluding vocational rehabilitation, have you received any education
> or training benefits from the VA since you left the military?
>
> YES 1
>
> NO 2 (GO TO ET4)
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 46:**

**IF ET2h = 1 PROVIDE OTHER SPECIFY FIELD.**

**BENS.**

ET2. How did you use the VA educational benefit? Did you...

> DON'T
>
> [YES]{.underline} [NO]{.underline} [REFUSED]{.underline}
> [KNOW]{.underline}
>
> a\. Take college or university coursework leading to a
>
> bachelor or graduate degree? 1 2 -7 -8
>
> b\. Attend business, technical or vocational school training
>
> leading to a certificate or diploma? 1 2 -7 -8
>
> c\. Participate in an apprenticeship or on-job training program? 1 2
> -7 -8
>
> d\. Take correspondence courses? 1 2 -7 -8
>
> e\. Take flight training? 1 2 -7 -8
>
> f\. Get tutorial assistance, refresher courses, or deficiency
> training? 1 2 -7 -8
>
> g\. Attend a teacher certification program? 1 2 -7 -8
>
> h\. Do something else? \[SPECIFY **EDUCOS**\] 1 2 -7 -8

**BENS.GOALSIMP**

ET3. How important were your VA education benefits in helping you meet
your educational goals or preparing you to get a better job? Would you
say they were...

> Extremely important, 1 (GO TO ET5)
>
> Very important, 2 (GO TO ET5)
>
> Moderately important, 3 (GO TO ET5)
>
> Slightly important, or 4 (GO TO ET5)
>
> Not at all important 5 (GO TO ET5)
>
> REFUSED -7 (GO TO ET5)
>
> DON'T KNOW -8 (GO TO ET5)

**PROGRAMMER NOTE 47:**

**IN ET4 ALLOW 6 RESPONSE FIELDS.**

**BENS.ET4ARRY \[1\] -- \[6\]**

ET4. What are the main reasons you haven't used any of the VA
educational or training benefits? \[Any other reasons?\]

**\[CODE UP TO 6 RESPONSES. CTRL/P TO EXIT.\]**

> NOT AWARE OF VA EDUCATION OR TRAINING BENEFITS 1
>
> DIDN'T BELIEVE ENTITLED OR ELIGIBLE FOR EDUCATION OR
>
> TRAINING BENEFITS 2
>
> TIME RAN OUT 3
>
> DID NOT KNOW HOW TO APPLY FOR EDUCATION OR TRAINING BENEFITS 4
>
> DID NOT NEED ANY EDUCATION OR TRAINING 5
>
> DID NOT NEED OR WANT ASSISTANCE FROM THE VA 6
>
> TOO MUCH TROUBLE OR RED TAPE 7
>
> NEVER CONSIDERED GETTING ANY EDUCATION OR TRAINING
>
> FROM THE VA 8

DID NOT PAY INTO TRAINING FUNDS DURING ACTIVE DUTY 9

> OTHER \[SPECIFY **EDUCREOS**\] 91
>
> REFUSED -7
>
> DON'T KNOW -8

**NON-VA SERVICE USE**

**BENS.EDUCAID**

ET5. Since you left the military, have you received financial assistance
for education or training from any other source?

> YES 1
>
> NO 2 (GO TO ET7)
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 48:**

**IN ET6 ALLOW 6 RESPONSE FIELDS.**

**BENS.ET6ARRY \[1\] -- \[6\]**

ET6. What kinds of assistance did you receive? \[Any others?\]

**\[CODE UP TO 6 RESPONSES. CTRL/P TO EXIT.\]**

> EMPLOYER ASSISTANCE 1
>
> PELL GRANT 2
>
> STATE OR FEDERAL STUDENT GRANTS 3
>
> STUDENT LOANS 4
>
> A STATE OR FEDERAL REHABILITATION AGENCY'S ASSISTANCE 5
>
> A VETERANS SERVICE ORGANIZATION ASSISTANCE 6
>
> SOME OTHER ORGANIZATION'S ASSISTANCE 7
>
> SELF OR FAMILY 8
>
> OTHER \[SPECIFY **TYPAIDOS**\] 91
>
> REFUSED -7
>
> DON'T KNOW -8

**ACCESS AND BARRIERS**

**BENS.KNOWEDUC**

ET7. How much do you agree or disagree with the following statements
about your VA education and training benefits?

> I thoroughly understand the education and training benefits I'm
> entitled to from the VA. Would you say you...
>
> Strongly agree, 1
>
> Agree, 2
>
> Neither agree nor disagree, 3
>
> Disagree, or 4
>
> Strongly disagree? 5
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 49:**

**IF CURRENT YEAR -- (MB9/MB9a) RRELYR OR (MB15 / MB15a) RELYR LE 10,
CONTINUE IN BOX. ELSE GO TO BB1.**

**FOR THE FIRST DISPLAY FIELD IN ET8, IF (ET1) EDUCTRG = 1 DISPLAY
"additional", ELSE USE NO DISPLAY.**

**FOR THE SECOND DISPLAY FIELD IN ET8, SUM CURRENT YEAR -- (MB9 / MB9a)
RRELYR OR**

**(MB15/MB15a) RELYR AND SUBTRACT FROM 10. IF THAT VALUE = 0 DISPLAY
"few months". IF THAT VALUE = 1 DISPLAY "year", ELSE DISPLAY THAT VALUE
AND "years".**

**FUTURE USE PLANS**

**BENS.EDUCUSE**

ET8. How likely are you to use {additional} VA benefits for education or
training within the next {few months/year/N years}? Would you say...

> Very likely, 1 (GO TO BB1)
>
> Somewhat likely, or 2 (GO TO BB1)
>
> Not at all likely? 3
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 50:**

**IN ET9 ALLOW 6 RESPONSE FIELDS.**

**BENS.ET9ARRY \[1\] -- \[6\]**

ET9. What are the main reasons you think you won't use any VA
educational or training benefits available to you? \[Any other
reasons?\]

**\[CODE UP TO 6 RESPONSES. CTRL/P TO EXIT.\]**

> NOT AWARE OF VA EDUCATION AND TRAINING BENEFITS 1
>
> DOESN'T BELIEVE ENTITLED OR ELIGIBLE FOR EDUCATION AND
>
> TRAINING BENEFITS 2
>
> DOES NOT KNOW HOW TO APPLY FOR EDUCATION AND
>
> TRAINING BENEFITS 3
>
> DOES NOT NEED ANY EDUCATION OR TRAINING 4
>
> DOES NOT NEED OR WANT ASSISTANCE FROM THE VA 5

TOO MUCH TROUBLE OR RED TAPE 6

> NEVER CONSIDERED GETTING ANY EDUCATION AND TRAINING

FROM THE VA 7

DID NOT PAY INTO TRAINING FUNDS DURING ACTIVE DUTY 8

> OTHER \[SPECIFY **TRGREAOS**\] 91
>
> REFUSED -7
>
> DON'T KNOW -8

# BURIAL BENEFITS MODULE

\[N1.\]

**BENS.**

BB1. The next questions are about burial benefits you may be entitled to
because of your military service.

> I am going read a list of programs relating to the burial of veterans.
> For each one, please tell me whether you had heard about the program
> before this interview.
>
> DON'T
>
> [YES]{.underline} [NO]{.underline} [REFUSED]{.underline}
> [KNOW]{.underline}
>
> a\. VA headstones and burial markers in private\
> cemeteries? 1 2 -7 -8
>
> b\. Burial in a national or state Veterans Cemetery? 1 2 -7 -8
>
> c\. Presidential Memorial Certificates for next of kin\
> of deceased veterans? 1 2 -7 -8

**BURIAL PLANS**

\[N2.\]

**BENS.BURYKIND**

BB2. **The VA is interested in understanding veterans' preferences about
burial. Your answers to these questions are important to us, even if you
haven't given much thought to how you'd like to be buried.**

What kind of burial do you think you'll have? Do you think you'll
have...

> A traditional in-ground burial, 1 (GO TO BB4)
>
> A cremation burial, or 2
>
> Something else? \[SPECIFY **BURYKIOS**\], 3 (GO TO BB4)
>
> UNDECIDED 4 (GO TO BB4)
>
> REFUSED -7
>
> DON'T KNOW -8

**BENS.ASHES**

BB3. What do you want to have done with your ashes? Do you want them...

> Placed in a columbarium, 1
>
> Buried \[INGROUND\], or 2
>
> Scattered? 3 (GO TO BB9)
>
> OTHER 4 (GO TO BB9)
>
> REFUSED -7
>
> DON'T KNOW -8

\[N3.\]

**BENS.VETCEM**

BB4. Do you think you'll be buried in either a National or State
Veterans Cemetery?

> YES 1
>
> NO 2 (GO TO BB6)
>
> REFUSED -7 (GO TO BB7)
>
> DON'T KNOW -8 (GO TO BB7)

**PROGRAMMER NOTE 51:**

**IN BB5 ALLOW 5 RESPONSES.**

**BENS.BB5ARRY \[1\] -- \[5\]**

BB5. What would you say are your main reasons for wanting to be buried
in a Veterans Cemetery? \[Any other reasons?\]

**\[CODE UP TO 5 RESPONSES. CTRL/P TO EXIT.\]**

> COST 1 (GO TO BB7)
>
> FRIENDS OR FAMILY BURIED THERE 2 (GO TO BB7)
>
> QUALITY OF SERVICES 3 (GO TO BB7)
>
> THE HONOR OF BURIAL IN NATIONAL SHRINE 4 (GO TO BB7)
>
> OTHER \[SPECIFY **CEMYESOS**\] 91 (GO TO BB7)
>
> REFUSED -7 (GO TO BB7)
>
> DON'T KNOW -8 (GO TO BB7)

**PROGRAMMER NOTE 52:**

**IN BB6 ALLOW 6 RESPONSE FIELDS.**

**BENS.BB6ARRY \[1\] -- \[6\]**

BB6. What are your main reasons for not planning to be buried in a
Veterans Cemetery? \[Any other reasons?\]

**\[CODE UP TO 6 RESPONSES. CTRL/P TO EXIT.\]**

> DOESN'T KNOW ELIGIBILITY CRITERIA 1

QUALITY OF SERVICE 2

> DIDN'T KNOW HOW TO MAKE ARRANGEMENTS WITH VA 3
>
> MADE OTHER ARRANGEMENTS 4
>
> VA SERVICES DON'T ACCOMMODATE RELIGIOUS PREFERENCES 5
>
> VETERANS CEMETERY TOO FAR AWAY 6
>
> WANTED LOCATION CLOSE TO OTHER FAMILY MEMBERS 7
>
> WANTED SERVICES THAT WEREN'T AVAILABLE AT VETERANS CEMETERY 8
>
> TOO DIFFICULT TO MAKE ARRANGEMENTS WITH VA 9
>
> UNABLE TO MAKE ADVANCE ARRANGEMENTS WITH VA 10

OTHER \[SPECIFY **CEMREAOS**\]
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
91

> REFUSED -7
>
> DON'T KNOW -8

**BENS.VAMARKER**

BB7. Do you think you'll have your burial place marked by a headstone or
marker provided by the VA?

> YES 1 (GO TO BB9)
>
> NO 2
>
> REFUSED -7 (GO TO BB9)
>
> DON'T KNOW -8 (GO TO BB9)

**PROGRAMMER NOTE 53:**

**IN BB8 ALLOW 4 RESPONSE FIELDS.**

**BENS.BB8ARRY \[1\] -- \[4\]**

BB8. What are the main reasons you don't plan to use a headstone or
marker provided by the VA? \[Any other reasons?\]

**\[CODE UP TO 4 RESPONSES. CTRL/P TO EXIT.\]**

> DOESN'T KNOW ABOUT MARKERS AND HEADSTONES FOR VETERANS 1
>
> MADE OTHER ARRANGEMENTS 2
>
> WANTS HEADSTONE SIMILAR TO OTHER FAMILY MEMBERS 3

DOESN'T LIKE VA MARKERS AND HEADSTONES 4

> REFUSED -7
>
> DON'T KNOW -8

**ACCESS AND BARRIERS**

**BENS.KNOWBURY**

BB9. How much do you agree or disagree with this statement about
veterans burial benefits?

> I thoroughly understand the veterans burial benefits available to me.
> Would you say you...
>
> Strongly agree, 1
>
> Agree, 2
>
> Neither agree nor disagree, 3
>
> Disagree, or 4
>
> Strongly disagree? 5
>
> REFUSED -7
>
> DON'T KNOW -8

**BENS.BURYEASY**

BB10. If your family needed to get information about veteran burial
benefits, how easy or difficult do you think it would be for them to
find it? Do you think it would be...

> Very easy, 1
>
> Easy, 2
>
> Neither easy nor difficult, 3
>
> Difficult, or 4
>
> Very difficult? 5
>
> REFUSED -7
>
> DON'T KNOW -8

# COMMUNICATION MODULE

**PROGRAMMER NOTE 54:**

**IN CM1 ALLOW 6 RESPONSE FIELDS.**

CM1INTRO

> Now I would like to talk about the information you need about the
> veterans benefits you are entitled to because of your military
> service.

\[PRESS RETURN TO CONTINUE.\]

**BENS.CM1ARRY \[1\] -- \[6\]**

CM1. If you needed information about VA benefits, where do you think you
would go to get it? \[Anywhere else?\]

**\[CODE UP TO 6 RESPONSES. CTRL/P TO EXIT.\]**

> NOWHERE 1
>
> [VA]{.underline}
>
> THE DEPARTMENT OF VETERANS AFFAIRS \[VA\] 2
>
> VA: TOLL-FREE TELEPHONE NUMBER 3
>
> VA WEB SITE 4
>
> OTHER INTERNET OR WEB SITE 5
>
> VETERANS SERVICE ORGANIZATION \[ VFW, AMERICAN LEGION\] 6
>
> VA BENEFITS HANDBOOK 7
>
> [OTHER GOVERNMENT]{.underline}
>
> SOCIAL SECURITY OFFICE 8
>
> ANOTHER GOVERNMENT AGENCY 9

[OTHER SOURCE]{.underline}

> SENIOR CITIZENS GROUP \[AARP\] 10
>
> HEALTH ADVOCACY GROUP \[MS SOCIETY; AMERICAN
>
> ASSOCIATION FOR THE BLIND; EASTER SEALS; MARCH OF DIMES\] 11
>
> DOCTOR OR DOCTOR'S OFFICE 12
>
> EMPLOYER OR FORMER EMPLOYER 13
>
> ANOTHER VETERAN 14
>
> FAMILY OR FRIENDS 15
>
> NEWSPAPER OR MAGAZINE 16
>
> TV OR RADIO 17
>
> SOME OTHER PERSON OR PLACE \[SPECIFY **NEEDOS**\] 91
>
> REFUSED -7
>
> DON'T KNOW -8

**INFORMATION NEEDS**

**BENS.KNOWBENS**

CM2. How much would you say you know about your VA benefits? Would you
say you know...

> Everything you need to know, 1
>
> Most of what you need to know, 2
>
> Some of what you need to know, 3
>
> A little of what you need to know, or 4
>
> Almost none of what you need to know about your veterans benefits? 5
>
> DON'T NEED TO KNOW ANYTHING 6
>
> REFUSED -7
>
> DON'T KNOW -8

**BENS.INFOSAT**

CM3. How satisfied are you with your ability to get information about
veterans benefits when you need it? Would you say you are...

> Very satisfied, 1
>
> Somewhat satisfied, 2
>
> Neither satisfied nor dissatisfied, 3
>
> Somewhat dissatisfied, or 4
>
> Very dissatisfied? 5
>
> DON'T NEED TO KNOW ANYTHING 6
>
> REFUSED -7
>
> DON'T KNOW -8

**BENS.INFONEED**

CM4. In the past year, have you needed any information about your
veterans benefits?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**Internet Use**

**BENS.WWW**

CM5. Do you have access to the Internet \[THE WORLD WIDE WEB\]?

> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

# SOCIO-DEMOGRAPHIC INFORMATION MODULE

**EMPLOYMENT**

**PROGRAMMER NOTE 55:**

**IN SD1 DISPLAY CURRENT DAY OF THE WEEK.**

\[D1.\]

**VETS.WORK**

SD1. Now, I am going to ask you a few questions about your employment
status. During the last week, that is, since last {SAME DAY AS TODAY},
were you\...

> Working, or on vacation or sick leave from work, 1 (PROG. NOTE 57A)
>
> Not working, but looking for work, or 2 (PROG. NOTE 57A)
>
> Not working and not looking for work? 3
>
> REFUSED -7(PROG. NOTE 57A)
>
> DON\'T KNOW -8(PROG. NOTE 57A)

\[D8.\]

**VETS.LOOKWORK**

SD2. I am going to read you a list of reasons why people may not be
looking for work. Please tell me which is the [main]{.underline} reason
you were not looking for work.

> You are retired, 1
>
> You are disabled, 2
>
> You stopped looking for work because you could not find work, 3
>
> You were [temporarily]{.underline} laid off from work, 4
>
> You were taking care of your home and family, or 5
>
> You were going to school? 6
>
> OTHER \[SPECIFY **LOOKWOOS**\] 91
>
> REFUSED -7
>
> DON\'T KNOW -8

**PROGRAMMER NOTE 56:**

**IN SD3 HARD RANGE = 1885 -- CURRENT YEAR.**

**VETS.WORKLAST**

SD3. In what year did you last work, even for a few days?

> \|\_\_\|\_\_\|\_\_\|\_\_\| YEAR
>
> REFUSED -7
>
> DON\'T KNOW -8

**PROGRAMMER NOTE 57:**

**IF WORKLAST \> 1998 GO TO PROGRAMMER NOTE 57A, ELSE GO TO PROGRAMMER
NOTE 61.**

**PROGRAMMER NOTE 57A:**

**IN SD4 ALLOW RESPONSES 0 -- 52.**

**VETS.WKSWORK**

SD4. During the past year, how many weeks did you work?

> \|\_\_\|\_\_\| WEEKS
>
> REFUSED -7
>
> DON\'T KNOW -8

**PROGRAMMER NOTE 58:**

**IF (SD4) WKSWORK = 0 GO TO PROGRAMMER NOTE 59, ELSE GO TO SD5.**

**IN SD5 HARD RANGE = 0 -- 100. SOFT RANGE = 0 -- 60.**

**VETS.HRSWORK**

SD5. During the weeks you worked last year, how many hours did you
usually work each week?

> \|\_\_\|\_\_\|\_\_\| HOURS
>
> REFUSED -7
>
> DON\'T KNOW -8

**PROGRAMMER NOTE 59:**

**IF (SD1) WORK = 1 GO TO SD6, ELSE GO TO PROGRAMMER NOTE 61.**

**VETS.SMALLBUS**

SD6. Do you own or operate a small business?

> YES 1
>
> NO 2 (GO TO PROGRAMMER NOTE 61)
>
> REFUSED -7 (GO TO PROGRAMMER NOTE 61)
>
> DON'T KNOW -8 (GO TO PROGRAMMER NOTE 61)

**PROGRAMMER NOTE 60:**

**IN (SD7) FEDID, FEDERAL EMPLOYER ID NUMBER MUST CONSIST OF 9 DIGITS,
ELSE PROMPT INTERVIEWERS TO VERIFY THEIR ENTRY BY RETYPING THE
RESPONSE.**

**VETS.FEDID**

SD7. It would be helpful for VA to have your Federal Employer
Identification number in order to obtain data from other federal
agencies to study the growth of veteran-owned small businesses in
specific areas and industries. Giving your Employer Identification
Number is completely voluntary and VA won't take action against you if
you don't provide it to us.

> What is your Federal Employer Identification Number (EIN)?
>
> \|\_\_\|\_\_\| - \|\_\_\|\_\_\|\_\_\|\_\_\|\_\_\|\_\_\|\_\_\|
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 61:**

**IF RESPONDENT IS SCREENER RESPONDENT SKIP TO SD12, ELSE GO TO SD9.**

**BACKGROUND**

\[O1.\]

**VETS.ETHNIC**

SD9. Next I have a few questions about your background.

> Are you Spanish, Hispanic, or Latino?
>
> YES 1
>
> NO 2
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 62:**

**IN SD10 ALLOW 8 RESPONSE FIELDS.**

\[O2.\]

**VETS.SD10ARRY \[1\] -- \[8\]**

SD10. I'm going to read a list of racial categories. Please select one
or more to describe your race. Are you...

**\[CODE UP TO 8 RESPONSES. CTRL/P TO EXIT.\]**

> White, 1
>
> Black or African American, 2
>
> American Indian or Alaska Native, 3
>
> Asian, 4
>
> Native Hawaiian, or 5
>
> Other Pacific Islander? 6
>
> HISPANIC/MEXICAN 7
>
> OTHER \[SPECIFY **RACEOS**\] 91
>
> REFUSED -7
>
> DON\'T KNOW -8

**VETS.GRADE**

SD11. What is the highest grade or year of school you have
[ever]{.underline} completed?

> NO FORMAL SCHOOLING 0
>
> NURSERY SCHOOL TO 4th GRADE 1
>
> 5th, 6th, or 7th GRADE 2
>
> 8th GRADE 3
>
> 9th, 10th, or 11th GRADE 4
>
> 12th GRADE, NO DIPLOMA 5
>
> GED 6
>
> HIGH SCHOOL GRADUATE 7
>
> TRADE/TECHNICAL/VOCATIONAL AFTER HIGH SCHOOL 8
>
> SOME COLLEGE BUT NO DEGREE 9
>
> ASSOCIATE\'S DEGREE IN COLLEGE 10
>
> BACHELOR\'S DEGREE 11
>
> MASTER\'S DEGREE 12
>
> PROFESSIONAL SCHOOL DEGREE \[MD, DDS, DVM, LLB, JD\] 13
>
> DOCTORAL DEGREE \[PHD, EDD\] 14
>
> REFUSED -7
>
> DON\'T KNOW -8

\[O4.\]

**VETS.MARRY**

SD12. What is your marital status? Are you...

> Married, living with your spouse, 1
>
> Married, not living with your spouse, 2
>
> Widowed, 3
>
> Divorced, 4
>
> Legally separated, or 5
>
> Never been married? 6
>
> REFUSED -7
>
> DON\'T KNOW -8

**PROGRAMMER NOTE 63:**

**IN (SD13) DEPEND HARD RANGE = 0 -- 15. SOFT RANGE = 0 -- 10.**

\[O6a.\]

**VETS.DEPEND**

SD13. During the year 2000, how many children depended on you for at
least half of their support?

> NUMBER \|\_\_\|\_\_\|
>
> REFUSED -7
>
> DON\'T KNOW -8

**INCOME**

\[O7.\]

**VETS.**

SD14. I am going to read a list of income sources. Please tell me which
sources are included in [your total family income]{.underline} for the
year 2000. [For 2000]{.underline}, including yourself, your spouse, or
your dependent children, did you receive income from...

> DON'T
>
> [YES]{.underline} [NO]{.underline} [REFUSED]{.underline}
> [KNOW]{.underline}
>
> a\. Wages, salaries, or other employment income,\
> like commissions, bonuses, or tips? 1 2 -7 -8
>
> b\. Your own business? 1 2 -7 -8
>
> c\. Social Security? 1 2 -7 -8
>
> d\. VA service-connected disability compensation? 1 2 -7 -8
>
> e\. VA non-service connected disability pension? 1 2 -7 -8
>
> f\. Any retirement or pension plan \[including U.S. Civil\
> Service Retirement or U.S. Railroad Retirement\]? 1 2 -7 -8
>
> g\. Unemployment insurance? 1 2 -7 -8
>
> h\. Interest and dividends? 1 2 -7 -8
>
> i\. Worker's Compensation or Black Lung benefit? 1 2 -7 -8
>
> j\. Public assistance, such as welfare, AFDC, or\
> SSI payments? 1 2 -7 -8
>
> k\. Any other source? 1 2 -7 -8

**PROGRAMMER NOTE 64:**

**IN SD15 HARD RANGE = 0 -- 9,999,999. SOFT RANGE = 0 -- 250,000.**

\[O8.\]

**VETS.INCOME**

SD15. In studies like these, households are sometimes grouped according
to income. Including any VA payments you receive, and from all of these
sources combined, what was your total family income for 2000, [before
taxes and deductions]{.underline}?

> **\[IF R DOES NOT KNOW EXACT AMOUNT, PROBE FOR BEST ESTIMATE.\]**
>
> \$ \|\_\_\| , \|\_\_\|\_\_\|\_\_\| , \|\_\_\|\_\_\|\_\_\| (GO TO SD17)
>
> REFUSED -7
>
> DON'T KNOW -8

\[O9.\]

**VETS.INCOME1**

SD16. Can you tell me which group best describes an estimate of your
total combined family income in 2000 before taxes and deductions? Would
you say...

> \$10,000 or less, 1
>
> \$10,001 to \$20,000, 2
>
> \$20,001 to \$30,000, 3
>
> \$30,001 to \$40,000, 4
>
> \$40,001 to \$50,000, or 5
>
> Over \$50,000? 6
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 65:**

**IN SD17 HARD RANGE = 0 -- 99,999,999. SOFT RANGE = 0 -- 500,000.**

\[O10a.\]

**VETS.ASSETS**

SD17. Excluding your primary residence, what is the total amount of
assets your family owns? Please include items such as stocks, bonds,
bank deposits, other real estate and property.

**\[IF R DOES NOT KNOW EXACT AMOUNT, PROBE FOR BEST ESTIMATE.\]**

> \$ \|\_\_\|\_\_\| , \|\_\_\|\_\_\|\_\_\| , \|\_\_\|\_\_\|\_\_\| (GO TO
> PROGRAMMER NOTE 66)
>
> REFUSED -7
>
> DON'T KNOW -8

\[O10b.\]

**VETS.ESTASSET**

SD18. Excluding your primary residence, can you tell me which group best
describes an estimate of the total amount of assets your family owns?
Would you say...

> \$10,000 or less, 1
>
> \$10,001 to \$20,000, 2
>
> \$20,001 to \$30,000, 3
>
> \$30,001 to \$40,000, 4
>
> \$40,001 to \$50,000, or 5
>
> Over \$50,000? 6
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 66:**

**IF ML1 IS NE 1, GO TO SD21, ELSE GO TO SD19.**

**IN SD19 HARD RANGE = 5,000 -- 99,999,999. SOFT RANGE = 10,000 --
1,000,000.**

\[O11.\]

**VETS.MKTHOME**

SD19. What is the market value of your primary residence?

**\[IF R DOES NOT KNOW EXACT AMOUNT, PROBE FOR BEST ESTIMATE.\]**

> \$ \|\_\_\|\_\_\| , \|\_\_\|\_\_\|\_\_\| , \|\_\_\|\_\_\|\_\_\|
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 67:**

**IN SD20 HARD RANGE = 0 -- 99,999,999. SOFT RANGE = 0 -- 1,000,000.**

\[O12.\]

**VETS.MORTAMT**

SD20. What is the amount remaining on the mortgage of your primary
residence?

**\[IF R DOES NOT KNOW EXACT AMOUNT, PROBE FOR BEST ESTIMATE.\]**

> \$ \|\_\_\|\_\_\| , \|\_\_\|\_\_\|\_\_\| , \|\_\_\|\_\_\|\_\_\|
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 68:**

**IF (ML1) HOME = 1 AND (SD20) MORTAMT \^= 0, DISPLAY "Excluding the
mortgage...", ELSE DISPLAY "What".**

**IN SD21 HARD RANGE = 0 -- 9,999,999. SOFT RANGE = 0 -- 200,000.**

\[O13a.\]

**VETS.DEBTS**

SD21. {Excluding the mortgage debt on your primary residence, what/What}
is the total amount of outstanding debts [your]{.underline} family has
as of today? Please include such items as car loans, credit cards,
educational expenses, unpaid medical bills, and back taxes.

**\[IF R DOES NOT KNOW EXACT AMOUNT, PROBE FOR BEST ESTIMATE.\]**

> \$ \|\_\_\| , \|\_\_\|\_\_\|\_\_\| , \|\_\_\|\_\_\|\_\_\| (GO TO SD23)
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 69:**

**IF (ML1) HOME = 1 AND (SD20) MORTAMT \^= 0, DISPLAY "Excluding the
mortgage...", ELSE DISPLAY "Which".**

\[O13b.\]

**VETS.ESTDEBTS**

SD22. {Excluding the mortgage debt on your primary residence,
which/Which} of the following best describes an estimate of the total
amount of outstanding debts your family has as of today? Would you
say...

> \$10,000 or less, 1
>
> \$10,001 to \$20,000, 2
>
> \$20,001 to \$30,000, 3
>
> \$30,001 to \$40,000, 4
>
> \$40,001 to \$50,000, or 5
>
> Over \$50,000? 6
>
> REFUSED -7
>
> DON'T KNOW -8

**PROGRAMMER NOTE 70 DELETED.**

\[P1.\]

**VETS.ZIP**

SD23. May I have your ZIP code, please?

> **\[IF NEEDED: We would like to assess the availability of health care
> services. The ZIP code information allows us to estimate the distance
> to the nearest medical care facilities.\]**
>
> ZIP \|\_\_\|\_\_\|\_\_\|\_\_\|\_\_\| GO TO PN70A
>
> REFUSED -7 GO TO PN70A
>
> DON\'T KNOW -8 GO TO PN70A

PROGRAMMER NOTE 70A:

IF LIST SAMPLE VET GO TO THANK2,

ELSE CONTINUE TO THANK1

**THANK1**

Thank you for your cooperation and patience in this study. Finally, we
would like to ask you for your social security number. Giving us your
social security number is completely voluntary, and VA won't take any
action against you if you don't provide it to us.

The Department of Veterans Affairs will use your social security number
for two purposes. First, VA will use it to ensure that each respondent
is interviewed only once. Second, VA will use your social security
number to obtain additional data from the VA files, the Department of
Defense and the Department of Health and Human Services to better
understand your needs. Neither agency will use this information obtained
from VA in connection with this survey for any other purpose.

**\[PRESS ENTER TO CONTINUE\]**

**PROGRAMMER NOTE 71:**

**IN SD24 REQUIRE 9 DIGITS.**

**\[P2.\]**

**VETS.SOCIAL**

SD24. May I please have your social security number?

**VETS.SOCAREA**

**VETS.SOCGRP** SSN \|\_\_\|\_\_\|\_\_\| - \|\_\_\|\_\_\| -
\|\_\_\|\_\_\|\_\_\|\_\_\| HARD RANGE: **SSN LOGIC**

**VETS.SOCEND**

> REFUSED -7
>
> DON\'T KNOW -8

**PROGRAMMER NOTE 72:**

**IF ADDRESS INFORMATION IS KNOWN (LIST SAMPLE) DISPLAY ON SCREEN.**

PROGRAMMER NOTE 72A:

IF RDD SAMPLE GO TO VETS .FUTRPART ,

ELSE GO TO

THANK2

Thank you for your cooperation and patience in this study.

\[PRESS ENTER TO CONTINUE\]

**VETS.FUTRPART**

SD25. The VA wants to know what veterans think. Would you be interested
in participating in future studies or focus groups that will help VA to
better serve America\'s veterans?

> YES 1
>
> NO 2 (GO TO PROGRAMMER NOTE 73)
>
> REFUSED -7 (GO TO PROGRAMMER NOTE 73)
>
> DON'T KNOW -8 (GO TO PROGRAMMER NOTE 73)

**VETS.**

MAILSCRN

Could I please have your name and address so that you may be notified if
you are selected to participate in any future VA studies?

> \[IF ADDRESS INFORMATION IS THE SAME, PRESS RETURN THROUGH FIELD. IF
> ADDRESS INFORMATION IS DIFFERENT, RETYPE ENTIRE FIELD.\]

**VETFNAM** FIRST NAME: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ LAST NAME:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**VETLNAM**

**VETADDR** STREET ADDRESS:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**VETCITY**

**VETSTATE** CITY OR TOWN:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**VETZIP**

STATE:\_\_\_\_\_ ZIP CODE: \_\_\_\_\_\_\_\_\_\_\_

**PROGRAMMER NOTE 73:**

**CODE CASE CE AND GO TO CLOSE1.**

> APPENDIX D

**APPENDIX D**

**2001 NATIONAL SURVEY OF VETERANS**

**FREQUENTLY ASKED QUESTIONS AND ANSWERS**

-   **What is the purpose of this study?/What\'s this survey about?**

> The Department of Veterans Affairs is conducting this study to learn
> more about veterans, what kinds of services they need most, and how
> these services could be improved.

-   **Who do you work for?**

> I work for Westat, an independent research organization that has been
> contracted by the Department of Veterans Affairs to conduct this
> study. We are located in Rockville, Maryland.

-   **How do I know you will keep this information confidential?/How
    will the results be published?**

> We are required by law not to reveal any information other than to
> persons directly involved with the study. Survey results will be
> published only as statistical totals. No information which would
> permit the identification of any individual will be released or
> published.

-   **Do I have to do this?/Do I have to answer your questions?**

> Of course it is not mandatory that you answer our questions, but your
> input and opinions are very important to the success of this survey.
> You represent a lot of other veterans in situations similar to yours,
> and you are actually speaking for them, as well as for yourself.

-   **How will the survey results by used?/What will you do with this
    information?**

> The results will help VA know more about veterans and their needs. It
> will also help the VA learn how to improve VA benefit programs.

-   **Can I get a copy of the results?**

> Yes. However, the results of the study will not be available for
> several months. I\'d be happy to take your name and address and have
> the results sent to you when they become available.

-   **How long will this take? I\'m too busy**.

> The amount of time varies from person to person. I have to ask some
> preliminary questions that are brief and if you are selected for the
> interview, it averages about 35 minutes. We can conduct the interview
> during a time that is convenient for you.

-   **I\'m too busy for your survey now. Call me back next week.**

> I\'d be happy to call back at a time more convenient to you. How about
> (*suggest specific time*)? I\'ll look forward to talking with you
> then.

-   **I\'m not going to answer a lot of questions over the phone!**

Most people find the questions interesting. Let me start and you can see
what they are like.

> IF NECESSARY: If there are any questions in particular that you don\'t
> want to answer, just tell me and we will skip over them.

-   **I think this whole business is stupid. The money for this study
    could be spent more wisely.**

> *Occasionally you will encounter an argumentative respondent. They
> tend to be persons who are really interested in the study, but want to
> tell what they feel before they will consent to be interviewed. Simply
> make short, neutral comments to let them know you are listening. When
> they have finished, make a comment such as,* Your opinions are very
> interesting and your answers will be important for the survey. Let\'s
> start now.

-   **Take me off your list. You cannot call me according to the "No
    Call" law.**

> I'm not trying to sell you anything. I understand that you might think
> I work for a telemarketing company, however, the telephone calls we
> make are not prohibited or regulated by the Federal Trade Commission
> (FTC). Our aim is to have you participate in our study, not to sell
> you anything. The information you provide will be used exclusively for
> research purposes.

## [Questions About the Content of the Survey]{.underline}

-   **What kind of questions will you be asking?**

> \[RDD SCREENER\] We will ask a few questions about possible military
> experience of any household members who are 18 or older.
>
> \[EXTENDED\] (You/People who are selected for the interview) will be
> asked some questions about military service, about veterans benefit
> programs, and about health and the use of medical services. I think
> you\'ll find these questions interesting.

-   **Why do you need the names/ages of veterans who live here?**

> The reason we need the names and ages is because we may be selecting
> some member(s) of your household to participate in this survey. Having
> a first name makes it much easier to identify them. Names will never
> be associated with information that you provide.

-   **Why do you need to know the race of someone in the household/my
    race?**

> In order to understand and interpret the results of the survey, we
> need to have this information, especially when comparing the results
> to previous surveys. The VA wants to be sure that the experience of
> people with different racial backgrounds is represented in this study.

-   **Can you help me with a problem I\'m having with VA benefits?/I
    don\'t know about that benefit you mentioned. How can I apply/how
    can I get information?**

> Westat has been hired by the VA specifically to conduct this survey.
> We cannot represent the VA in any other matters. I can give you a
> telephone number at the VA that you can call for assistance (with your
> problem/to find out more information about that benefit). You can call
> the VA toll free at 1-800-827-1000.

## [Questions That May Be Asked Because You Are Contacting Veterans]{.underline}

-   **Are you trying to sell me \"veterans\" insurance?/Is this a sales
    call?/I don\'t want to buy anything.**

> This is a study for the U.S. Department of Veterans Affairs, who hired
> Westat, a private research firm, to conduct the survey. The only
> purpose of this study is to provide the Department of Veterans Affairs
> with up-to-date information about issues pertaining to veterans.

-   **Will it affect my veterans benefits/disability rating if I
    do/don\'t participate?**

> Your participation in this study will in no way affect your benefits
> or rating. Your answers are confidential and the VA will not know
> whether or not you choose to participate. Westat will provide results
> of this study only in statistical form to the VA.

## [Questions About the Legitimacy of the Survey]{.underline}

-   **What is the authority/sponsor for this study?**

> The U.S. Department of Veterans Affairs, the federal government agency
> responsible for serving the needs of U.S. veterans, has contracted
> with Westat to collect this information. It is authorized by Congress
> under Title 38, United States Code, Section 219.

-   **Who can I call at the VA to verify this study?**

> You may call the Department of Veterans Affairs at 1-800-827-1000.
> This is a toll-free call. You can ask them about the National Survey
> of Veterans and confirm that Westat is authorized by them to conduct
> telephone interviews for it.

-   **How do I know the survey is legitimate?/How do I know that you are
    really an interviewer for this survey?**

> You may call the Department of Veterans Affairs at 1-800-827-1000.
> This is a toll-free call. You can ask them about the National Survey
> of Veterans and confirm that Westat is authorized by them to conduct
> telephone interviews for it.
>
> \[IF RESPONDENT PREFERS TO SPEAK TO SOMEONE AT WESTAT\] If you wish,
> you can speak to my supervisor now, or I can give you a toll-free
> number to call my supervisor. (*Give TRC toll-free number,
> 1-888-258-2194, and study name*. *The respondent may also call the
> Westat Project Director, John Helmick, at (301) 294-2010, but this is
> not a toll-free call.*)

-   **If you\'re really calling for the VA, why don\'t you have this
    information already? They have my records.**

> The VA has hired Westat as an independent organization to conduct this
> survey. To maintain your confidentiality, the VA does not provide
> Westat with access to your personal information. Also, the VA is
> asking questions in this survey about matters that are not covered by
> the VA\'s records.
>
> \[IF NECESSARY\] I can give you a toll-free number at the VA that you
> can call: 1-800-827-1000. You can ask them about the National Survey
> of Veterans and confirm that Westat is authorized by them to conduct
> telephone interviews for it.

-   **Does this survey have approval from the Office of Management and
    Budget (OMB)/What is the OMB number?**

> Yes, the Office of Management and Budget has approved this survey by
> the Department of Veterans Affairs. The OMB number is 2900-0615,
> approved for use through January 31, 2004.

-   **I need more information about the study before I\'ll answer any
    questions. Send me something in writing.**

> The study is a national survey of veterans to find out about veterans
> and their needs. The study is being conducted for the U.S. Department
> of Veterans Affairs. All of your answers will be kept confidential and
> participation is voluntary. Why don\'t we start the interview and you
> can see what the questions are like. (*Without pause, ask the first
> question.*)
>
> \[IF RESPONDENT INSISTS ON SOMETHING IN WRITING\]: We will send you a
> copy of a letter from the VA which will explain the purpose of this
> study. Could you please give me your name and address? Please allow
> two weeks for this letter to arrive.

-   **Is this** **call about that letter I received?**

> \[LIST SAMPLE\] Yes, we did send out a letter to you shortly before we
> started interviewing the veterans selected for this study. \[*IF
> VETERAN HAS FURTHER QUESTIONS ABOUT LETTER, YOU MAY READ APPROPRIATE
> PARTS OF WESTAT\'S OR THE VA\'S LETTER TO HIM/HER*.\]

-   **Why don\'t you call someone else?**

> It is important that we talk with you because the procedures used to
> select you do not allow us to replace you with another person. You
> represent a larger group of veterans in similar circumstances. Your
> answers cannot be replaced with someone else\'s, otherwise we would
> not get an accurate picture of all veterans and how they compare to
> the rest of the population.

-   **Why don\'t you call another number?**

> \[RDD SAMPLE\] It is important that we talk with you because the
> random procedures used to select your number do not allow us to
> replace your number with another one. You and your household represent
> a larger group of people in similar circumstances. Your answers cannot
> be replaced with someone else\'s.

-   **Why did you choose me?/How did you get my (unlisted) phone
    number?**

> \[RDD SAMPLE:\] Your telephone number was randomly selected. We do not
> use telephone directories to identify individual telephone numbers.
> (Your number is still unlisted.) It is important that you help us with
> this survey because, for statistical reasons, we can\'t replace your
> number with someone else\'s.
>
> \[LIST SAMPLE:\] You were randomly selected from all the veterans who
> use VA facilities or receive VA payments. If the veterans list you
> were selected from did not have phone numbers available, we got your
> number using a telephone directory.

-   **There are no veterans here at this number!** \[*STATED BEFORE YOU
    CAN ADMINISTER RDD SCREENER*\]

> In that case, this interview should only take a few minutes. I just
> need to ask you a few questions about your household for statistical
> purposes so that the VA researchers can estimate how many veterans
> live in your area.
>
> \[IF NEEDED:\] One of the purposes of this study is to find out about
> the number of veterans there are all across the United States. Even if
> it turns out there are no veterans in each of the households we are
> contacting, it is still necessary to ask a few questions about the
> people in the household. Your cooperation will help the Department of
> Veterans Affairs develop a more accurate picture of how U.S. veterans
> compare to the overall U.S. population.

-   **I\'m not a veteran, so you don\'t want to talk to me.** \[*BEFORE
    EXTENDED INTERVIEW CAN START*\]

> \[RDD SAMPLE:\] In that case, this interview should only take a few
> minutes. I just need to ask everyone we contact a few questions to
> make sure we don\'t miss anyone who qualifies for veteran status.
>
> \[LIST SAMPLE:\] (*MAKE SURE YOU HAVE VERIFIED RESPONDENT CORRECTLY*.)
> IF THE INFORMATION IS CORRECT, CODE THE CASE \"OTHER PROBLEM.\"

-   **I\'m a veteran, go ahead and ask me your questions!** \[*ASKED
    BEFORE RDD SCREENER COMPLETED*\]

> Before interviewing any individual, I have to ask a few questions
> about each person in the household. These questions will help identify
> all veterans, in every home we call, who might be eligible to
> participate in this survey. We will then conduct an individual
> interview with each likely veteran.

On occasion, a respondent may request that you interview someone in
place of or in addition to him or her. The following are descriptions of
situations in which the respondent makes such a request and appropriate
responses for each sample type.

-   **\[RDD SAMPLE\] Interview someone else in my household who is a
    veteran [instead of me/in addition to me]{.underline}.**

> \[IF OTHER PERSON IS SELECTED FOR AN INTERVIEW\] We are also going to
> interview/we have already interviewed {OTHER PERSON}. At this time we
> would also\
> like to interview you.
>
> \[IF OTHER PERSON NOT SELECTED FOR AN INTERVIEW\] *DO NOT INTERVIEW
> ANYONE WHO IS NOT SELECTED*.
>
> \[IF NEEDED: You were selected through a statistical process as a
> person who represents many other veterans in similar circumstances to
> yours. In order to maintain the integrity of this study we have to
> interview those individuals who were selected. It is not possible to
> replace you with another person. Your participation and cooperation
> are very important to the success of the study.\]

-   **\[[RDD SAMPLE\]]{.underline} I know someone else
    [outside]{.underline} [my]{.underline} [household]{.underline} who
    would like to be interviewed/whom you can interview
    [instead]{.underline} [of]{.underline} [me/in addition to
    me]{.underline}.**

> You were selected through a statistical process as a person who
> represents many other veterans in similar circumstances to yours. In
> order to maintain the integrity of this study we have to interview
> those individuals who were selected. It is not possible to replace you
> with another person. Your participation and cooperation are very
> important to the success of the study.

-   **\[[LIST SAMPLE]{.underline}\] Interview someone else/I know
    someone else who would like to be interviewed (instead of me/in
    addition to me) (in my household/outside my household).**

> You were selected through a statistical process as a person who
> represents many other veterans in similar circumstances to yours. In
> order to maintain the integrity of this study we have to interview
> those individuals who were selected. It is not possible to replace you
> with another person. It is also not possible to interview veterans who
> have not already been selected. Your participation and cooperation are
> very important to the success of the study.

**APPENDIX E**

Appendix E\
\
Response Categories for the 2001 National Survey of Veterans

+-------------+----------------+------------------+-------------------+
| *           | **RDD          | **RDD Extended** | **List Extended** |
| *Category** | Screener**     |                  |                   |
+-------------+----------------+------------------+-------------------+
| **1.        | ***SCRNRSLT*** | ***MAINRSLT*** = | ***MAINRSLT*** =  |
| Eligible    | = CO or        | CE, CX.          | CE, CX.           |
| R           |                |                  |                   |
| espondent** | ***HSF*** = 1. |                  |                   |
+-------------+----------------+------------------+-------------------+
| **2.        | ***SCRNRSLT*** | ***MAINRSLT*** = | ***MAINRSLT*** =  |
| I           | = IM, ID, OD,  | IA, OD, OI, OO,  | OD, OI, OO, OP    |
| neligible** | NR,            | OP,              |                   |
|             |                |                  | OZ, OA            |
| **(out of   | NB, NW, NT.    | OZ, OE, NX.      |                   |
| scope)**    |                |                  |                   |
+-------------+----------------+------------------+-------------------+
| **3.        | N/A            | ***1)            | ***1) MAINRSLT*** |
| Eligible    |                | MAINRSLT*** =    | = IA              |
| Nonr        |                | blank            |                   |
| espondent** |                |                  | 2\) MCURSECT ***= |
|             |                | ***2)            | all but --1 and   |
|             |                | MCURSECT*** =    | MB &***           |
|             |                | all but --1 and  |                   |
|             |                | MB &             | ***MAINRSLT =***  |
|             |                |                  | NO, NP, NS, MR,   |
|             |                | ***MAINRSLT =*** | RB                |
|             |                | NO, NP, NS, MR,  |                   |
|             |                | RB,              | R3, RX, RM, LH,   |
|             |                |                  | LM                |
|             |                | R3, RX, RM, LH,  |                   |
|             |                | LM,              | LP, MC, ML, MP,   |
|             |                |                  | MT                |
|             |                | LP, MC, ML, MP,  |                   |
|             |                | MT,              | NF, NL.           |
|             |                |                  |                   |
|             |                | NF, NL.          |                   |
+-------------+----------------+------------------+-------------------+
| **4.        | ***SCRNRSLT*** | ***1)            | ***1) MAINRSLT*** |
| Eligibility | = LH, LM, LP,  | MAINRSLT*** = NU | = NU or           |
| Unknown**   | MC,            | or               |                   |
|             |                |                  | ***2) MCURSECT*** |
|             | NA, NM, NO,    | ***2)            | = -1 or MB &      |
|             | RB,            | MCURSECT*** = -1 |                   |
|             |                | or MB &          | ***MAINRSLT*** =  |
|             | R3, RX, RM.    |                  | NO, NP, NS, MR,   |
|             |                | ***MAINRSLT*** = | RB                |
|             |                | NO, NP, NS, MR,  |                   |
|             |                | RB,              | R3, RX, RM, LH,   |
|             |                |                  | LM                |
|             |                | R3, RX, RM, LH,  |                   |
|             |                | LM,              | LP, MC, ML, MP,   |
|             |                |                  | MT                |
|             |                | LP, MC, ML, MP,  |                   |
|             |                | MT,              | NF, NL.           |
|             |                |                  |                   |
|             |                | NF, NL.          |                   |
+-------------+----------------+------------------+-------------------+

**APPENDIX F**

APPENDIX F\
\
Chi-squared Automatic Interaction Detector

Chi-squared Automatic Interaction Detector *(CHAID)* is a highly
efficient statistical technique for segmentation, or tree growing,
developed by Kass (1980). The analysis in *CHAID* begins by dividing the
population into two or more groups based on the categories of the "best"
predictor of a dependent variable. It merges values that are judged to
be statistically homogeneous (similar) with respect to the target
variable and maintains all other values that are heterogeneous
(dissimilar). Each of these groups is then divided into smaller
subgroups based on the best available predictor at each level. The
splitting process continues recursively until no more statistically
significant predictors can be found (or until some other stopping rule
is met). The *CHAID* software displays the final subgroups (segments) in
the form of a tree diagram whose branches (nodes) correspond to the
groups. The segments that *CHAID* derives are mutually exclusive and
exhaustive. It also produces a file of associated pseudocode that can be
used in SAS^®^, with minor modifications, to create a SAS^®^ variable
for indicating the groups (i.e., the nonresponse adjustment cells).

A node will *not* be split if any of the following conditions is met:

-   All cases in a node have identical values for all predictors.

-   The node becomes pure; that is, all cases in the node have the same
    value of the target (or dependent) variable.

-   The depth of the tree has reached its prespecified maximum value.

-   The number of cases constituting the node is less than a
    prespecified minimum parent node size.

-   The split at the node results in producing a child node whose number
    of cases is less than a prespecified minimum child node size.

-   No more statistically significant split can be found at the
    specified level of significance.

It should be noted that all but the first two of these rules could be
user specified. *CHAID* is not binary; that is, it can produce more than
two categories at any particular level in the tree. Therefore, it tends
to create a wider tree than do the binary growing methods.

We used the *CHAID* tree growing algorithm to define homogeneous cells
or classes for adjustments due to unknown eligibility and nonresponse.
Data used to form these classes must be available both for respondents
and nonrespondents. In the NSV 2001, the administrative files used to
select the List Sample were good sources of information for forming
nonresponse adjustment classes for List extended interview data. For the
RDD screener nonresponse adjustment, the classes were defined on the
basis of the information from the RDD sampling frame. The nonresponse
adjustment classes for the RDD extended interview were defined on the
basis of the data on the RDD sampling frame and the data collected from
the screener survey.

We also used the *CHAID* software to determine the imputation classes
for the RDD sample overlap/nonoverlap status for the respondents who did
not report Social Security numbers (SSN).

references

Kass, G. (1980). An exploratory technique for investigating large
quantities of categorical data. *Applied Statistics,* Vol. 29, pp.
119-127.

**APPENDIX G**

Appendix G\
\
Raking

The raking procedure was conducted for the combined national and Puerto
Rico RDD Samples. The purpose of the raking procedure was to correct for
undercoverage due to households without telephones and households with
unlisted telephones in the "zero-listed telephone banks." Moreover, the
raking results in improvement in the precision of the survey estimates.
We used a two dimensional raking procedure in which the two raking
dimensions were formed from the cross classification of veterans
according to the demographic/education/region characteristics of the
veterans. The first dimension was formed from the cross classification
of three age categories (under 50, 50-64, over 64) with four education
levels (no high school diploma, high school diploma, some college,
bachelor's degree or higher) and four race categories (Hispanic, Black,
Other, and White), resulting in 48 cells. The second dimension was
formed from the cross classification of gender (male, female) and the
four census regions (Northeast, Midwest, South, West), resulting in 8
cells. By using a set of cross classified variables for each raking
dimension, the internal correlation structure of the data could be
better preserved.

We use the indices r (for row) and c (for column) to denote the cells in
the two dimensional table for the raking procedure. We also denote by
$N_{\text{rc}}$ the number of veterans in the population in the cell
defined by row r and column c. In our case, the population counts
$N_{\text{rc}}$ are unknown, but both sets of marginal veteran
population totals are known. The two sets of marginal veteran population
totals are defined as

![](media/image1.wmf) (G-1)

The cell population counts $N_{\text{rc}}$ can be estimated from the
sample. We start with the nonresponse adjusted survey weights
$W_{i}^{(0)}$ and use the two sets of known marginal population counts
to further adjust the weights by applying the sequence of weight
adjustments as follows.

$\begin{array}{r}
W_{i}^{(1,1)} = \left( \frac{N_{r\text{.}}}{\sum_{c = 1}^{8}{\overset{\sim}{N}}_{\text{rc}}^{(0)}} \right) \times W_{i}^{(0)};\underset{}{}i \in r, \\
 \\
W_{i}^{(1,2)} = \left( \frac{N_{\text{.}c}}{\sum_{r = 1}^{\text{48}}{\overset{\sim}{N}}_{\text{rc}}^{(1,1)}} \right) \times W_{i}^{(1,1)};\underset{}{}i \in c\text{.}
\end{array}$ (G-2)

In the above equations ${\overset{\sim}{N}}_{\text{rc}}^{(0)}$ is an
estimate of the cell population count $N_{\text{rc}}$ using the initial
weights $W_{i}^{(0)}$. The updated weights $W_{i}^{(1,1)}$ are used to
compute ${\overset{\sim}{N}}_{\text{rc}}^{(1,1)}$, which is also an
estimate of the cell population count $N_{\text{rc}}$. At the end of the
first iteration we obtain the adjusted weights given by $W_{i}^{(1,2)}$,
which is used as the input weight for the second iteration. The
iterative process is continued until the specified convergence criteria
described later in this Appendix are satisfied.

In general, let $W_{i}^{(t,1)}$ and $W_{i}^{(t,2)}$ be, respectively,
the weights during $t^{\text{th}}$ iteration after adjusting to the
first marginal and second marginal totals, respectively. Then the
weights during the $t^{\text{th}}$ iteration can be expressed as

![](media/image2.wmf) (G-3)

> In the above equation, the weight
> $W_{i}^{(0,2)} = W_{i}^{(0)}\text{.}$

As before, ${\overset{\sim}{N}}_{\text{rc}}^{(t - 1,2)}$ is an estimate
of the cell population count $N_{\text{rc}}$ based on the weights
$W_{i}^{(t - 1,2)}$, and the estimate
${\overset{\sim}{N}}_{\text{rc}}^{(t,1)}$ is computed in a similar
fashion from the updated weights $W_{i}^{(t,1)}$. If *T* is the total
number of iterations then $W_{i}^{(T,2)}$ are the raked survey weights.
For the sake of simplicity, we will denote the raked weights
$W_{i}^{(T,2)}$ by $W_{i}$.

The iterative process stops when the prespecified number of iterations
is completed or one of the stopping rules (given below) is satisfied.
Two options are available to define convergence or stopping rules. The
percent relative difference value that each relation satisfies,
$\varepsilon\text{\%}$, can be specified and the following convergence
criterion is applied.

![](media/image3.wmf) (G-4)

Alternatively, an absolute value of the difference that each relation
satisfies, *d* can be specified and the following convergence checks are
applied.

![](media/image4.wmf) (G-5)

We applied the convergence criteria in terms of percent absolute
relative difference. We applied the raking procedure for both the full
sample weights and the replicate weights. For the full sample weights,
the raking procedure was stopped when the percent absolute relative
difference was less than 0.01 percent for all marginal population
counts. For the (raked) replicate weights the iterative procedure was
stopped when the percent absolute relative difference was less than 0.1
percent for all marginal population counts.

**APPENDIX H**

appendix H\
\
NSV 2001 Final Result Codes

  ---------- ---------------- ---------------------------------------------------
  **Code**   **Label**        **Description**

  CE         Complete         Complete Extended.
             Extended         

  CO         Complete         Complete screener with at least one person selected
             Screener         for extended interview.
             Interview        

  CX         Complete         Complete Extended with Proxy.
             Extended         

  IA         Ineligible       Ineligible Section A.
             Extended         
             Interview        

  ID         Ineligible       All people in matrix are on active duty.
             Screener         

  LH         Final Language   Two calls to this respondent resulted in a hearing
             Problem -        or speech communication problem.
             Hearing/Speech   

  LM         Max Call         Questionnaire had an additional language problem
             Language         and has reached the maximum calling algorithm.

  LP         Final Language   Two calls to this respondent resulted in a
             Problem          nonEnglish communication problem.

  MC         Max Call         The calling algorithm has been fulfilled. At least
                              one human contact has been made at the number and
                              there are no refusals or language problems in the
                              call history for the household.

  ML         Max Call         The calling algorithm has been fulfilled. An
             Language         attempt to contact *someone else* in the household
                              resulted in an interim language problem, but this
                              particular questionnaire has had no interim
                              language problem in its call history.

  MP         Max Phones       The maximum number of phone numbers has been tried
                              and the respondent can not be found.

  MR         Max Call Refusal The calling algorithm has been fulfilled. An
                              attempt to contact *someone else* in the household
                              resulted in an interim refusal, but this particular
                              questionnaire has had no refusal in its call
                              history.

  MT         Max Telephones   The maximum number of call attempts have been made
                              across all telephone numbers.

  NA         No Answer        No human contact was ever made at the number.

  NB         Business         Telephone is for a business.

  NF         Not Found        The sampled person was unknown at this telephone
                              number.

  NL         CATI \-- Not     Standard CATI procedures were followed and contact
             Locatable        was never achieved at the loaded telephone number.

  NM         Max No Answer    The calling algorithm has been fulfilled. No human
                              contact was ever made at this number.

  NO         Other            Questionnaire for which no other final result code
             Nonresponse      is applicable.

  NP         Not Available in Subject not available in field period.
             Field Period     

  NR         Nonresidential   Telephone number is not for a residence.

  NS         Subject Sick     Subject physically or mentally incapable of
                              completing interview.

  NT         Tritone          Tritone heard when telephone number is dialed.

  NU         Undetermined     Could not obtain enough data to determine
             Eligibility      eligibility.

  NW         Nonworking       Telephone number is not working.

  NX         Rereleased Max   A Rereleased Max No Answer has reached the maximum
             No Answer        calling algorithm.
  ---------- ---------------- ---------------------------------------------------

NSV 2001 Final Result Codes (continued)

  ---------- ------------------- ---------------------------------------------------
  **Code**   **Label**           **Description**

  OA         Out of the Country  Respondent was out of the country for the duration
                                 of the field period.

  OD         Duplicate           Duplicate sample case.

  OE         Enumeration Error   The respondent enumerated in the screener and
                                 selected for the extended interview was not a
                                 member of the household.

  OI         Institutionalized   The respondent resides in an institution for longer
                                 than the past six months.

  OO         Other Out of Scope  The respondent is institutionalized and unable to
                                 complete extended interview.

  OP         Incarcerated        The respondent is incarcerated.

  OZ         Subject Deceased    The sampled veteran is deceased.

  RB         Final Refusal       On at least two calls, the respondent refused to be
                                 interviewed or broke off during the interview and
                                 refused to continue.

  RM         Max Call Refusal    Questionnaire had an additional refusal code and
                                 has reached the maximum calling algorithm.

  R3         Final Refusal for   A Rereleased Final Refusal (RB) has received an
             Rereleased RBs      additional refusal.

  RX         Max Call Rereleased A Rereleased Final Refusal (RB) has reached the
             RBs                 maximum calling algorithm.
  ---------- ------------------- ---------------------------------------------------