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1. 
What is your total number of years of active duty service?
1 - 4 5 - 9 10 - 14 15 - 19 20 or more
 
 
 
In what branch of the military did you serve?
   
 
 
 
What is your highest military pay grade obtained?
   
 
 
4. 
Do you have a service-connected disability rating?
Yes No
 
 
5. 
Have you obtained education beyond high school level?
Yes No
 
 
6. 
Have you used military benefits to fund educational endeavors?
Yes No
 
 
7. 
Do you utilize military sponsored health insurance?
Yes No
 
 
8. 
During your military career, did you receive specialized leadership training?
Yes No
 
 
9. 
Do you have dependents who rely on you for more than 50% of their financial support?
Yes No
 
 
10. 
Do you belong to any military affiliations or associations?
Yes No
 
 
11. 
Have you resided in two or more countries outside of the United States for a period of time greater than one month?
Yes No
 
 
12. 
Upon military retirement did you or do you plan to pursue employment in the private (civilian) sector?
Yes No
 
 
13. 
During your military experience, what is the greatest number of people that you have directly or indirectly supervised?
1 - 5 6 - 10 11 - 20 21 - 50 51 or more
 
 
14. 
Have you ever considered self-employment?
Yes No
 
 
15. 
Have you in the past or do you currently own at least one business or been involved in at least one self-employment activity?
Yes No
 
 
16. 
Have you ever made use of a public, small business or self-employment program specifically designed for Veterans who are either current or prospective small business owners or currently or prospectively in self-employment activities?
Yes No
 
 
17. 
Have you received information regarding resources available to Veterans?
Yes No
 
 
 
Identify 3 resources available to Veterans.
   
 
 
19. 
Strongly Agree Agree Neutral Disagree Strongly Disagree
Financial wealth is important to me.
 
 
20. 
Strongly Agree Agree Neutral Disagree Strongly Disagree
Stability is important to me.
 
 
21. 
Strongly Agree Agree Neutral Disagree Strongly Disagree
I am willing to take a risk.
 
 
22. 
Strongly Agree Agree Neutral Disagree Strongly Disagree
I like to be responsible for the final outcome.
 
 
23. 
Strongly Agree Agree Neutral Disagree Strongly Disagree
I trust others to make the right decisions.
 
 
24. 
Strongly Agree Agree Neutral Disagree Strongly Disagree
Leisure time is important to me.
 
 
25. 
Strongly Agree Agree Neutral Disagree Strongly Disagree
Job security is important to me.
 
 
 
What are the three most valuable skills you acquired from your military service?
   
 
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