Voice of the Veteran Education Enrollment Survey Instrument

Voice of the Veteran Enrollment Satisfaction 8/4/2014

Education

Sampling Definition: All records for which any education original end product has been cleared in the past 90 days from the date of the report. EPs 200, 201, 202, 260, 261, 262, 340, 341, 342, 360, 361, and 362. All claims with an original end product cleared in the past 90 days should be included, regardless of master record status.

Benefit Information

1. How did you FIRST learn about the education benefit programs? (Mark only one) If you are unsure, please indicate the first way you remember learning about the education benefit program [RADIO BUTTONS. SINGLE RESPONSE.]

[1]

[2]

1. eBenefits.va.gov [3]

2. benefits.va.gov/GIBill[19]

3. Social media websites (e.g., Facebook, Twitter, etc.)

4. Internet (excluding VA and social media sites) [15]

5. Mail (from VA) [4]

6. VA phone number (888-442-4551) [5]

7. VA Representative [6]

8. VA School Certifying Official

9. VA medical center [9]

10. VA Vet Center [10]

11. In person at a Regional Office [11]

12. Transition Assistance Program/Disabled Transition Assistance Program briefings [7]

13. Veterans Service Organizations (e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc.) (Specify) ___________________[TEXT BOX, FORCE TEXT IF RESPONSE IS SELECTED, 50 CHARACTER MAX.] [8]

14. Other Veterans [14]

15. Other Servicemembers

16. Friends or family [16]

[17]

17. Military recruiter

18. School recruiter

[18]

19. Other (Specify) ___________________[TEXT BOX, FORCE TEXT IF RESPONSE IS SELECTED, 50 CHARACTER MAX.] [97]

20. Don’t know or not sure [99]

2. What method(s) do you MOST FREQUENTLY use to obtain general information about VA’s education benefits or services? (Mark all that apply) [CHECK BOXES. MULTIPLE RESPONSE. CODE EACH RESPONSE AS 0 IF UNCHECKED OR 1 IF CHECKED]

1. eBenefits.va.gov

2. benefits.va.gov/GIBill

3. Social media websites (e.g., Facebook, Twitter, etc.)

4. Phone

5. Mail

6. E-mail

7. In person at a Regional Office

8. VA Representative

9. VA School Certifying Official

10. VA medical center

11. VA Vet Center

12. Veterans Service Organizations (e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc.) (Specify): ______________ [TEXT BOX, FORCE TEXT IF RESPONSE IS SELECTED, 50 CHARACTER MAX.]

13. Disabled Veterans’ Outreach Program

14. Friends or family

15. Other Servicemembers

16. Other Publications (e.g., Army Times, local newspaper, etc.)

17. Other (Specify) ___________________ [TEXT BOX, FORCE TEXT IF RESPONSE IS SELECTED, 50 CHARACTER MAX.]

18. Don’t know or not sure [MUTUALLY EXCLUSIVE RESPONSE]

19. None of the above [MUTUALLY EXCLUSIVE RESPONSE]

3. How did the VA provide you information about the application process for your most recent education benefit application? (Mark all that apply) [CHECK BOXES. MULTIPLE RESPONSE. CODE EACH RESPONSE AS 0 IF UNCHECKED OR 1 IF CHECKED]

   1. Transition Assistance Program/Disabled Transition Assistance Program briefings

   2. Phone

   3. Mail

   4. E-mail

   5. Pamphlets/brochures

   6. eBenefits.va.gov

   7. benefits.va.gov/GIBill

   8. VA medical center

   9. In person at a Regional Office

   10. Veterans Service Organizations (e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc.) (Specify) ___________________ [TEXT BOX, FORCE TEXT IF RESPONSE IS SELECTED, 50 CHARACTER MAX.]

   11. Disabled Veterans’ Outreach Program

   12. VA School Certifying Official

   13. Other (Specify) ___________________ [TEXT BOX, FORCE TEXT IF RESPONSE IS SELECTED, 50 CHARACTER MAX.]

   14. Don’t know or not sure [MUTUALLY EXCLUSIVE RESPONSE]

   15. Did not receive information about application process [MUTUALLY EXCLUSIVE RESPONSE]

4. How frequently would you like to receive communications (e.g., e-mails, letters, newsletters, etc.) from VA about education benefits or services? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

   1. Weekly [1]

   2. Monthly [2]

   3. Quarterly (every 3 months) [3]

   4. Semi-annually (twice per year) [4]

   5. Annually (once per year) [5]

   6. Never [6]

   7. Don’t know or not sure [99]

5. How would you like to receive information from VA about applying for education benefits or services? (Mark all that apply) [CHECK BOXES. MULTIPLE RESPONSE. CODE EACH RESPONSE AS 0 IF UNCHECKED OR 1 IF CHECKED]

   1. Phone

   2. Mail

   3. E-mail

   4. VA website

   5. Social media websites (e.g., Facebook, Twitter, etc.)

   6. In person at a Regional Office

   7. Veterans Service Organizations (e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc.) (Specify) ___________________ [TEXT BOX, FORCE TEXT IF RESPONSE IS SELECTED, 50 CHARACTER MAX.]

   8. Other (Specify) ___________________[TEXT BOX, FORCE TEXT IF RESPONSE IS SELECTED, 50 CHARACTER MAX.]

   9. Don’t know or not sure

The following question asks you to rate various aspects of your experience with VA Education Benefits, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. [SHOW ON SAME PAGE AS THE QUESTION THAT FOLLOWS]

6. When thinking about your most frequently used methods of communication please rate your experience in obtaining information about your education benefit application on the following items: (Mark only one per row) [SHOW RESPONSES IN GRID WITH 10-POINT SCALE IN COLUMNS AND ATTRIBUTES/RESPONSES IN ROWS (SEE JDPA CONVENTIONS DOCUMENT PG. 1 FOR SPECIFIC DETAILS OF LAYOUT). EVENLY SPACED RADIO BUTTONS/COLUMNS, ALTERNATE SHADES IN ROWS. SINGLE RESPONSE PER ROW. RANDOMIZE ALL ATTRIBUTES EXCEPT THE LAST ONE.]

   1. Ease of accessing information [ALLOW N/A RESPONSE] [1-10, N/A=99]

   2. Availability of information [ALLOW N/A RESPONSE] [1-10, N/A=99]

   3. Clarity of information [ALLOW N/A RESPONSE] [1-10, N/A=99]

   4. Usefulness of information [ALLOW N/A RESPONSE] [1-10, N/A=99]

   5. Frequency of information provided by VA [ALLOW N/A RESPONSE] [1-10, N/A=99]

   6. Overall rating of information [1-10]

Contact with VA

7. During the past 6 months, did you contact anyone from VA (not including a VA School Certifying Official) about the education benefit application process? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

   1. Yes [1]

   2. No [0]

(Ask Q8-Q13 if Q7 is yes, otherwise go to Q14)

8. Which of the following best describes the reason for your most recent contact? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

   1. Resolve a problem [1]

   2. Ask a question [2]

   3. Request a change to your records/provide information [3]

9. Can you briefly describe the nature of your most recent contact? (Mark all that apply) [CHECK BOXES. MULTIPLE RESPONSE. CODE EACH RESPONSE AS 0 IF UNCHECKED OR 1 IF CHECKED]

   1. Change your address or direct deposit information

2. Report that you did not receive your monthly stipend or book allowance

3. Submit monthly verification of enrollment

4. Check on the status of your claim

5. Report a problem with a VA customer service representative

6. Ask a general question

7. Obtain information about submitting a claim

8. Question about a payment amount

9. Provide an expected graduation date

10. Report a change in school institution/program

11. Other (Specify) ___________________ [TEXT BOX, FORCE TEXT IF RESPONSE IS SELECTED, 50 CHARACTER MAX.]

10. Thinking about your most recent contact, how did you contact VA? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

    1. Phone [1]

    2. Fax [8]

    3. Website [6]

    4. E-mail [7]

    5. Mail [9]

    6. In person [3]

    7. Online Chat

11. Was your most recent issue resolved? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

    1. Yes [1]

    2. No [0]

(Ask Q12 if Q11 is No, otherwise go to Q13)

12. Why wasn’t your most recent issue resolved? [CHECK BOXES. MULTIPLE RESPONSE. CODE EACH RESPONSE AS 0 IF UNCHECKED OR 1 IF CHECKED]

    1. Did not receive all of the information required

    2. Received incorrect information

    3. Was referred to the incorrect office/person

    4. Waiting for follow-up from VA

    5. Other (Specify) ____________________ [TEXT BOX, FORCE TEXT IF RESPONSE IS SELECTED, 50 CHARACTER MAX.]

    6. Don't know or not sure [MUTUALLY EXCLUSIVE RESPONSE]

13. Thinking of your most recent contact with the VA, how would you rate your overall customer service experience with the VA or VA representatives using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. [SHOW RESPONSES IN GRID WITH 10-POINT SCALE IN COLUMNS AND SINGLE ROW (SEE JDPA CONVENTIONS DOCUMENT PG. 1 FOR SPECIFIC DETAILS OF LAYOUT). EVENLY SPACED RADIO BUTTONS/COLUMNS, SINGLE RESPONSE PER ROW.] [0-10]

Benefit Eligibility and Application Process

14. Relative to your separation from active duty, when did you begin to think about or plan the use of your education benefit? (Open Capture) Please respond using one of the following categories. [RADIO BUTTONS. SINGLE RESPONSE.]

    1. Prior to separation (Specify months: 0-24 months) ________________ [NUMERIC TEXT BOX. FORCE TEXT IF RESPONSE IS SELECTED. ACCEPTABLE RANGE 0-24.] [1]

    2. After separation (Specify months: 0-24 months) ____________ [NUMERIC TEXT BOX. FORCE TEXT IF RESPONSE IS SELECTED. ACCEPTABLE RANGE 0-24.] [2]

    3. After separation (Specify years: 2 -10 years) ____________ [NUMERIC TEXT BOX. FORCE TEXT IF RESPONSE IS SELECTED. ACCEPTABLE RANGE 2-10.] [3]

    4. Don’t know or not sure [99]

15. Thinking about your most recent application for education benefits, which of the following benefits were you applying for? (Mark all that apply) [CHECK BOXES. MULTIPLE RESPONSE. CODE EACH RESPONSE AS 0 IF UNCHECKED OR 1 IF CHECKED]

1. Post 9/11 GI Bill (Chapter 33 of Title 38, U.S. Code)

2. Montgomery GI Bill Active Duty (Chapter 30 of Title 38, U.S. Code)

3. Montgomery GI Bill Selected Reserve (Chapter 1606 of Title 10, U.S. Code)

4. Reserve Educational Assistance Program (Chapter 1607 of Title 10, U.S. Code)

5. National Call to Service Program (Section 510 of Chapter 31 of Title 10, U.S. Code)

6. Other (Specify) ___________________ [TEXT BOX, FORCE TEXT IF RESPONSE IS SELECTED, 50 CHARACTER MAX.]

7. Don’t know or not sure [MUTUALLY EXCLUSIVE RESPONSE]

16. For your most recent application, did someone from VA (e.g., call center representative, office staff, etc.) provide you with information about the education benefit application process? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

    1. Yes [1]

    2. No [0]

    3. Don’t know or not sure [99]

    4. Not applicable [96]

17. Thinking about your most recent education benefit application, what method did you use to apply for your benefit? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

    1. Veterans Online Application [1]

    2. Mail [2]

    3. In person at a Regional Office [3]

    4. In person at a Veterans Service Organization (e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc.) (Specify) ___________________ [TEXT BOX, FORCE TEXT IF RESPONSE IS SELECTED, 50 CHARACTER MAX.] [4]

    5. In person at school through a certifying official [5]

    6. Other (Specify) ___________________ [TEXT BOX, FORCE TEXT IF RESPONSE IS SELECTED, 50 CHARACTER MAX.] [97]

    7. Don’t know or not sure [99]

18. Prior to receiving this survey, were you aware that your school's certifying official is not an employee of the VA? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

    1. Yes [1]

    2. No [0]

    3. Don’t know or not sure [99]

19. Did VA confirm receipt of your application? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

    1. Yes [1]

    2. No [0]

    3. Don’t know or not sure [99]

20. From the time you submitted your application, how long did it take to receive a letter explaining your eligibility for education benefits? (Open Capture) Please respond using any or all of the following categories

    1. Days (0-99 days) ____________ [NUMERIC TEXT BOX. ACCEPTABLE RANGE 0-99.]

    2. Months (0-99 months) _____________ [NUMERIC TEXT BOX. ACCEPTABLE RANGE 0-99.]

    3. Don’t know or not sure [CHECK BOX. MUTUALLY EXCLUSIVE RESPONSE.] [CODE AS 0 IF UNCHECKED OR 1 IF CHECKED]  

The following question asks you to rate various aspects of your experience with education benefits, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. [SHOW ON SAME PAGE AS THE QUESTION THAT FOLLOWS]

21. Please rate your experience with the education benefit application process on the following items: (Mark only one per row) [SHOW RESPONSES IN GRID WITH 10-POINT SCALE IN COLUMNS AND ATTRIBUTES/RESPONSES IN ROWS (SEE JDPA CONVENTIONS DOCUMENT PG. 1 FOR SPECIFIC DETAILS OF LAYOUT). EVENLY SPACED RADIO BUTTONS/COLUMNS, ALTERNATE SHADES IN ROWS. SINGLE RESPONSE PER ROW. RANDOMIZE ALL ATTRIBUTES EXCEPT THE LAST ONE.]

    1. Ease of completing the application [ALLOW N/A RESPONSE] [1-10, N/A=99]

    2. Timeliness of eligibility notification [ALLOW N/A RESPONSE] [1-10, N/A=99]

    3. Flexibility of application methods [ALLOW N/A RESPONSE] [1-10, N/A=99]

    4. Overall rating of application process [1-10]

Benefit Entitlement

22. Are you eligible to transfer your benefits to a spouse and/or dependent child? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

    1. Yes [1]

    2. No [0]

    3. Don’t know or not sure [99]

(Ask Q23 if Q22 is yes, otherwise go to Q24)

23. Have you already or do you intend to transfer your benefits to a spouse and/or dependent child? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

    1. Yes [1]

    2. No [0]

    3. Don’t know or not sure [99]

The following question asks you to rate various aspects of your experience with the Education program, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. [SHOW ON SAME PAGE AS THE QUESTION THAT FOLLOWS]

24. Please rate your education benefit entitlement on the following items: (Mark only one per row) [SHOW RESPONSES IN GRID WITH 10-POINT SCALE IN COLUMNS AND ATTRIBUTES/RESPONSES IN ROWS (SEE JDPA CONVENTIONS DOCUMENT PG. 1 FOR SPECIFIC DETAILS OF LAYOUT). EVENLY SPACED RADIO BUTTONS/COLUMNS, ALTERNATE SHADES IN ROWS. SINGLE RESPONSE PER ROW. RANDOMIZE ALL ATTRIBUTES EXCEPT THE LAST ONE.]

    1. Amount of financial assistance [ALLOW N/A RESPONSE] [1-10, N/A=99]

    2. Effectiveness of benefit in helping you achieve your educational or vocational goal [ALLOW N/A RESPONSE] [1-10, N/A=99]

    3. Timeliness of receiving benefit payment [ALLOW N/A RESPONSE] [1-10, N/A=99]

    4. Overall rating of benefit payment [1-10]

Overall Application Experience

25. Thinking about ALL aspects of your application experience applying for your education benefits, please rate VA overall, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. (Mark only one) [SHOW RESPONSES IN GRID WITH 10-POINT SCALE IN COLUMNS AND SINGLE ROW (SEE JDPA CONVENTIONS DOCUMENT PG. 1 FOR SPECIFIC DETAILS OF LAYOUT). EVENLY SPACED RADIO BUTTONS/COLUMNS, SINGLE RESPONSE PER ROW.] [1-10]

Overall Experience with VA

26. Taking into consideration all of the non-medical benefits (e.g., education, compensation, pension, home loan guaranty, vocational rehabilitation and employment, insurance, etc.) you have applied for or currently receive, please rate your experience with VA overall, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. (Mark only one) [SHOW RESPONSES IN GRID WITH 10-POINT SCALE IN COLUMNS AND SINGLE ROW (SEE JDPA CONVENTIONS DOCUMENT PG. 1 FOR SPECIFIC DETAILS OF LAYOUT). EVENLY SPACED RADIO BUTTONS/COLUMNS, SINGLE RESPONSE PER ROW.] [1-10]

1. Now think about your experiences with all the services provided by the Department of Veterans Affairs (which include healthcare, benefits programs, or memorial services). Please tell us how you feel about the following statements. (Mark only one per statement)

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
I got the service I needed
It was easy to get the service I needed
I felt like a valued customer
I trust VA to fulfill our country’s commitment to veterans

School Marketing/Recruiter

28. How did the marketing materials or recruiter at the school/university in which you are enrolled influence your decision to enroll in that program? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

    1. Definitely did not influence my decision [1]

    2. Somewhat influenced my decision [2]

    3. Absolutely influenced my decision [3]

29. To what degree was your experience consistent with what was presented to you in any marketing materials or by a recruiter? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

    1. Not at all consistent [1]

    2. Somewhat consistent [2]

    3. Very consistent [3]

30. Was your experience with the program you enrolled in... (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

    1. Harder than you expected [1]

    2. What you expected [2]

    3. Easier than you expected [3]

31. Do you have any comments you would like to add regarding the marketing efforts or recruiter from the school/university you enrolled in? (Open Capture) [OPEN-END. TEXT BOX. 1000 CHARACTER MAX. ALLOW NO COMMENT, MUTUALLY EXCLUSIVE CHECK BOX. CODE NO COMMENT AS 0 IF UNCHECKED AND 1 IF CHECKED]

___________________________________________________

As a reminder, your responses will be kept completely confidential and your e-mail address will not be sent to VA with any responses on this survey. [SHOW ON THE SAME PAGE AS THE QUESTION THAT FOLLOWS.]

32. Would you like to provide an e-mail address so VA can contact you with general information about VA benefits and services? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

    1. Yes [1]

    2. No [0]

    3. I do not have an e-mail address [96]

    4. Prefer not to answer [99]

(Ask Q33 if Yes in Q32)

33. Please enter your preferred e-mail address where you would like to be contacted: (Open Capture)

    1. E-mail: [TEXT BOX. 100 CHARACTER MAX.]

About You

Questions below will only be asked by respondents completing the online survey, these questions will not be included in the paper (mail) version. [DO NOT SHOW]

Please answer the following questions about the person who is receiving the education benefit (yourself or a dependent).

34. Are you a …(Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

1. Part- time student [1]

2. Full- time student [2]

3. Not currently enrolled [96]

4. Don’t know or not sure [99]

(Ask Q35-53 if Q34 is a or b, otherwise go to Q54)

35. What is the format of the program you are enrolled in? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

    1. Traditional (classes in classroom/school facility) [1]

    2. Online (classes on the Internet) [2]

    3. Mixed (classroom and online) [3]

36. What type of degree/training program are you currently pursuing? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

    1. On-the-job training or apprenticeship [1]

    2. Certificate/license [2]

    3. Associate degree [3]

    4. Bachelor’s degree [4]

    5. Master’s degree [5]

    6. Doctorate [6]

37. What type of academic institution or training facility are you enrolled in? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

    1. 2-year college (e.g., community college) [1]

    2. 4-year college (e.g., university) [2]

    3. Postgraduate program [3]

    4. Technical or trade school [4]

    5. Flight school [5]

    6. Job training site [6]

    7. Other (Specify) ___________________ [TEXT BOX, FORCE TEXT IF RESPONSE IS SELECTED, 50 CHARACTER MAX.] [97]

(Ask Q38 if enrolled in a 2-year college in Q37, otherwise go to Q39)

38. Do you plan on attending a 4-year college in the future? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

1. Yes [1]

2. No [0]

3. Not Sure/Prefer not to state [98]

39. Prior to the current program, what was the last year of school you completed? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

    1. High school graduate or equivalent [1]

    2. Trade/technical school [2]

    3. Some college (2-year program) [3]

    4. Some college (4-year program) [4]

    5. 2-year college degree [5]

    6. 4-year college degree [6]

    7. Some graduate courses [7]

    8. Advanced degree [8]

    9. Prefer not to answer [98]

40. Why did you select your current school/training facility? (Mark all that apply) [CHECK BOXES. MULTIPLE RESPONSE. CODE EACH RESPONSE AS 0 IF UNCHECKED OR 1 IF CHECKED]

1. Lower tuition/program costs

2. Good counselors

3. Convenient location

4. Easy initial application process

5. Convenient course/program enrollment process

6. Variety of course/training offerings

7. Variety of available student support

8. School specialization in subject of interest

9. Reputation of school/training facility

10. Reputation of instructors

11. Past experience

12. Recommendation from friends/relatives

13. Availability of online classes

14. Flexibility of course/training scheduling

15. Financial aid

16. Other (Specify) _____________ [TEXT BOX, FORCE TEXT IF RESPONSE IS SELECTED, 50 CHARACTER MAX.]

41. When did you first enter into your current degree/training program? (Open Capture)

1. Please enter the month and year: mm _____ yy _______ [TWO NUMERICTEXT BOXES; ONE FOR MONTHS [ACCEPTABLE RANGE 1-12) AND ONE FOR TWO-DIGIT YEAR (ACCEPTABLE RANGE 00-99)]

2. Prefer not to answer [CHECK BOX. MUTUALLY EXCLUSIVE RESPONSE.] [CODE AS 0 IF UNCHECKED OR 1 IF CHECKED]  

42. How many years have you completed in your current degree/training program? (Open Capture) If you have completed less than 1 year, enter 0.

1. Number of years _________ [NUMERIC TEXT BOX. ACCEPTABLE RANGE 0-99]

2. Prefer not to answer [CHECK BOXES. MULTIPLE RESPONSE.] [CODE AS 0 IF UNCHECKED OR 1 IF CHECKED]  

43. Why did you select your current degree/training program? (Mark all that apply) [CHECK BOXES. MULTIPLE RESPONSE. CODE EACH RESPONSE AS 0 IF UNCHECKED OR 1 IF CHECKED]

1. Preparation for career

2. Salary/wages in associated careers

3. Status/esteem associated with type of degree/program

4. Personal growth/development

5. Interested in subject matter

6. Number of course requirements

7. Preparation for advanced degree

8. Ease of completion requirements

9. Reputation of instructors

10. Recommendation from friends/relatives

11. Availability of online classes

12. Flexibility of course/training scheduling

13. Other (Specify) _____________ [TEXT BOX, FORCE TEXT IF RESPONSE IS SELECTED, 50 CHARACTER MAX.]

44. Have you ever taken any time off from your current degree/training program? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

1. Yes [1]

2. No [0]

3. Prefer not to answer [98]

(Ask Q45-46 if Q44 is yes, otherwise go to Q47)

45. How much time have you taken off from your current degree/training program? (Open Capture) Please respond using any or all of the following categories

1. Days (0-99 days) __________ [NUMERIC TEXT BOX. ACCEPTABLE RANGE 0-99.]

2. Months (0-99 months) _________ [NUMERIC TEXT BOX. ACCEPTABLE RANGE 0-99.]

3. Years (0-99 years) _________ [NUMERIC TEXT BOX. ACCEPTABLE RANGE 0-99.]

4. Don’t know or not sure [CHECK BOXES. MUTUALLY EXCLUSIVE RESPONSE.] [CODE AS 0 IF UNCHECKED OR 1 IF CHECKED]  

46. Why did you take time off? (Open Capture) [OPEN-END. TEXT BOX. 1000 CHARACTER MAX. ALLOW NO COMMENT, MUTUALLY EXCLUSIVE CHECK BOX. CODE NO COMMENT AS 0 IF UNCHECKED AND 1 IF CHECKED]

______________________________________________________________________________________________________________________

47. Have you been called to active duty at any point during your current degree/training program? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

1. Yes [1]

2. No [0]

3. Prefer not to answer [98]

(Ask Q48 if Q47 is yes, otherwise go to Q49)

48. How long was your call to active duty? (Open Capture)

1. Months (0-99 months) _________ [NUMERIC TEXT BOX. ACCEPTABLE RANGE 0-99.]

2. Don’t know or not sure [CHECK BOX. MUTUALLY EXCLUSIVE RESPONSE.] [CODE AS 0 IF UNCHECKED OR 1 IF CHECKED]

49. Have you ever been on academic probation or had less than satisfactory standing with your school/training program? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

1. Yes [1]

2. No [0]

3. Prefer not to answer [98]

50. Do you plan to obtain a degree or completion certificate in your current field of study/training? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

1. Yes, from the degree/training program at my current school/facility [1]

2. Yes, from a degree/training program at another school/facility [2]

3. No [0]

4. Prefer not to answer [98]

(Ask Q51-Q52 if Q50 is yes, otherwise go to Q53)

51. When do you expect to complete or graduate with a degree or completion certificate in your current field of study/training? (Open Capture)

1. Please enter the month and year: mm _____ yy _______ [TWO NUMERICTEXT BOXES; ONE FOR MONTHS [ACCEPTABLE RANGE 1-12) AND ONE FOR TWO-DIGIT YEAR (ACCEPTABLE RANGE 12-99)]

2. Prefer not to answer [CHECK BOX. MUTUALLY EXCLUSIVE RESPONSE.] [CODE AS 0 IF UNCHECKED OR 1 IF CHECKED].

52. Do you plan to continue your enrollment as a full-time student until you complete or graduate your degree/training program? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

1. Yes [1]

2. No [0]

3. Prefer not to answer [98]

53. Which of the following services are available from your current school/training facility? (Mark all that apply) [CHECK BOXES. MULTIPLE RESPONSE. CODE EACH RESPONSE AS 0 IF UNCHECKED OR 1 IF CHECKED]

1. Academic counseling

2. Tutoring

3. Financial counseling

4. Dependent care services (e.g., babysitting, elder care)

5. Employment counseling

6. Financial aid

7. Technology assistance (e.g., internet access, computer, etc.)

8. Other (Specify) _____________ [TEXT BOX, FORCE TEXT IF RESPONSE IS SELECTED, 50 CHARACTER MAX.]

9. Don’t know [MUTUALLY EXCLUSIVE RESPONSE]

54. What concerns, if any, do you have about achieving your educational goals? (Mark all that apply) [CHECK BOXES. MULTIPLE RESPONSE.CODE EACH RESPONSE AS 0 IF UNCHECKED OR 1 IF CHECKED]

1. Academic requirements

2. Difficulty of subject matter

3. Financial requirements

4. Family obligations

5. Employment obligations

6. Course scheduling

7. Time commitment (i.e., amount of time required)

8. Availability of technology (e.g., access to internet/computer)

9. Other (Specify) _____________ [TEXT BOX, FORCE TEXT IF RESPONSE IS SELECTED, 50 CHARACTER MAX.]

10. Do not have concerns [MUTUALLY EXCLUSIVE RESPONSE]

55. Which of the following services would you like or expect in order to achieve your educational goals? (Mark all that apply) [CHECK BOXES. MULTIPLE RESPONSE. CODE EACH RESPONSE AS 0 IF UNCHECKED OR 1 IF CHECKED]

1. Academic counseling

2. Tutoring

3. Financial counseling

4. Dependent care services (e.g., babysitting, elder care)

5. Employment counseling

6. Financial aid

7. Technology assistance (e.g., internet access, computer, etc.)

8. Other (Specify) _____________ [TEXT BOX, FORCE TEXT IF RESPONSE IS SELECTED, 50 CHARACTER MAX.]

9. Don’t know [MUTUALLY EXCLUSIVE RESPONSE]

56. Are you…(Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

    1. Married [1]

    2. Single (never married) [2]

    3. Widowed [3]

    4. Divorced/separated [4]

    5. Living with domestic partner [5]

    6. Prefer not to answer [98]

57. How many children under the age of 18 live in your household? (Open Capture)

    1. Number of children (0-99)________ [NUMERIC TEXT BOX. ACCEPTABLE RANGE 0-99.]

    2. Prefer not to answer [CHECK BOX. MUTUALLY EXCLUSIVE RESPONSE.] [CODE AS 0 IF UNCHECKED OR 1 IF CHECKED].

58. What are your personal career goals? (Mark all that apply) [CHECK BOXES. MULTIPLE RESPONSE. CODE EACH RESPONSE AS 0 IF UNCHECKED OR 1 IF CHECKED]

1. Obtain financial security

2. Achieve work-life balance

3. Become an independent business owner

4. Become a manager

5. Become an executive

6. Work internationally

7. Contribute to society

8. Work in a specialized field (e.g., technology, medicine, etc.)

9. Other (Specify) _____________ [TEXT BOX, FORCE TEXT IF RESPONSE IS SELECTED, 50 CHARACTER MAX.]

59. Are you currently employed? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

1. Yes [1]

2. No [0]

3. Prefer not to state [98]

(Ask Q60 if Q61 Yes, otherwise go to Q62)

60. How many hours do you currently work in a typical week? (Open Capture)

1. Hours (0-40 hours) _________ [NUMERIC TEXT BOX. ACCEPTABLE RANGE 0-40.]

2. Don’t know or not sure [CHECK BOX. MUTUALLY EXCLUSIVE RESPONSE.] [CODE AS 0 IF UNCHECKED OR 1 IF CHECKED].

61. Are you currently employed in a field related to your current degree/training program? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

1. Yes [1]

2. No [0]

3. Prefer not to answer [98]

62. Are you pursuing employment in your current field of study? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

1. Yes [1]

2. No [0]

3. Prefer not to answer [98]

(Ask Q63 if Q62 is yes, otherwise go to Q64)

63. Upon completion of your current degree/training program, what will be your primary method of obtaining employment information? [RADIO BUTTONS. SINGLE RESPONSE.]

1. VA counselor [1]

2. Recommendations of friends/family [2]

3. Student career/employment center [3]

4. Local or state job services [4]

5. Federal job services [5]

6. Newspaper [6]

7. Online job site [7]

8. Private employment agency [8]

9. Other (Specify) _____________ [TEXT BOX, FORCE TEXT IF RESPONSE IS SELECTED, 50 CHARACTER MAX.] [97]

10. Don’t know [99]

64. Are you currently on active-duty in the U.S. Armed Forces? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

    1. Yes [1]

    2. No [0]

(Ask Q65 if Q64 is yes, otherwise go to Q66)

65. What branch? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

    1. Air Force [1]

    2. Army [2]

    3. Coast Guard [3]

    4. Marine Corps [4]

    5. Navy [5]

(Ask Q66 if Q64 is no, otherwise go to Q67)

66. When you left the military, what branch of service were you in? (Mark only one) [RADIO BUTTONS. SINGLE RESPONSE.]

    1. Air Force [1]

    2. Army [2]

    3. Coast Guard [3]

    4. Marine Corps [4]

    5. Navy [5]

67. Do you have any other comments or concerns about your experience? (Open Capture) [OPEN-END. TEXT BOX. 1000 CHARACTER MAX. ALLOW NO COMMENT, MUTUALLY EXCLUSIVE CHECK BOX. CODE NO COMMENT AS 0 IF UNCHECKED AND 1 IF CHECKED]

____________________________________________________

JDPA: V2

OMB Control Number: 2900-0782 27