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pdfEducation Service
DRAFT <05/28/20>
Working Draft, Pre-Decisional, Deliberative document - Internal VA Use Only
EMAIL SUBJECT LINE: VA Education Benefits Experience Survey (3 minutes)
EMAIL PREHEADER: Tell us about your application for VA Education Benefits
OMB Number: 2900-0876
Expiration: 03/31/2023
Estimated Burden: 3 minutes
Your opinion matters.
Dear ,
We care about your experience with VA. Please take this 3
minute survey to let us know about your experience
applying for VA Education Benefits. The more information
you share with us, the better we can
serve you.
Take Our Survey
Thank you,
Veterans Experience Office
Department of Veterans Affairs
Whether you’re just getting out of the service or you’ve been a civilian for years, the VA Welcome Kit
can help guide you to the benefits and services you’ve earned.
The Veterans Crisis Line provides free, confidential support for Veterans and their families and
friends in crisis. Dial 1 (800) 273-8255 (Press 1), or text 838255 to receive confidential support 24/7
(System of Records Notice VA158VA10NC5). Visit https://www.veteranscrisisline.net for
more information.
Additionally, the National Call Center for Homeless Veterans (NCCHV) provides free, confidential
support for Veterans and their family members and friends who are homeless or at risk of
homelessness. Veterans can either call or chat online with the National Call Center for Homeless
Veterans where trained counselors are ready to talk confidentially 24 hours a day, 7 days a week.
Dial 1 (877) 424-3838 or visit https://www.va.gov/HOMELESS/ to receive confidential support.
Please do not reply to this email - it is unmonitored.
If you wish to share your feedback, please do so by .
You received this email because you provided your email address to VA. If you would like to opt out
from receiving future surveys, please click below.
Unsubscribe from this VA Survey | Privacy Policy
By filling out this survey, you are authorizing VA database access to retrieve Veteran contact
information to follow up with you accordingly for purposes of service recovery, potential crisis, or to
learn more about feedback you have shared regarding your experience with VA. This information is
collected in accordance with section 3507 of the Paperwork Reduction Act of 1995. Title 38, United
States Code, allows us to ask for this information. We estimate that you will need an average of 3
minutes to review the instructions and complete this survey. The results of this survey will be used
to inform opportunities for program improvement in the quality of VA services. Participation in this
survey is voluntary, and your decision not to respond will have no impact on VA benefits or services
which you may currently be receiving. VA may utilize individual Veteran survey data from this survey
or other sources to ensure the final scores truly and accurately represent the experiences of
Veterans. VA cannot conduct or sponsor a collection of information unless a valid OMB control
number is displayed. You are not required to respond to a collection of information if this number is
not displayed. Valid OMB control numbers can be located on the OMB Internet Page at https://
www.reginfo.gov/public/do/PRAMain. Information gathered will be kept private to the extent
provided by law.
Education Service
DRAFT <05/28/20>
Working Draft, Pre-Decisional, Deliberative document - Internal VA Use Only
EMAIL SUBJECT LINE: VA Education Benefits Experience Survey (3 minutes)
EMAIL PREHEADER: Tell us about enrolling in school with VA Education Benefits
OMB Number: 2900-0876
Expiration: 03/31/2023
Estimated Burden: 3 minutes
Your opinion matters.
Dear ,
We care about your experience with VA. Please take this 3
minute survey to let us know about your recent enrollment
in school using your VA Education Benefits. The more
information you share with us, the better we can
serve you.
Take Our Survey
Thank you,
Veterans Experience Office
Department of Veterans Affairs
Whether you’re just getting out of the service or you’ve been a civilian for years, the VA Welcome Kit
can help guide you to the benefits and services you’ve earned.
The Veterans Crisis Line provides free, confidential support for Veterans and their families and
friends in crisis. Dial 1 (800) 273-8255 (Press 1), or text 838255 to receive confidential support 24/7
(System of Records Notice VA158VA10NC5). Visit https://www.veteranscrisisline.net for
more information.
Additionally, the National Call Center for Homeless Veterans (NCCHV) provides free, confidential
support for Veterans and their family members and friends who are homeless or at risk of
homelessness. Veterans can either call or chat online with the National Call Center for Homeless
Veterans where trained counselors are ready to talk confidentially 24 hours a day, 7 days a week.
Dial 1 (877) 424-3838 or visit https://www.va.gov/HOMELESS/ to receive confidential support.
Please do not reply to this email - it is unmonitored.
If you wish to share your feedback, please do so by .
You received this email because you provided your email address to VA. If you would like to opt out
from receiving future surveys, please click below.
Unsubscribe from this VA Survey | Privacy Policy
By filling out this survey, you are authorizing VA database access to retrieve Veteran contact
information to follow up with you accordingly for purposes of service recovery, potential crisis, or to
learn more about feedback you have shared regarding your experience with VA. This information is
collected in accordance with section 3507 of the Paperwork Reduction Act of 1995. Title 38, United
States Code, allows us to ask for this information. We estimate that you will need an average of 3
minutes to review the instructions and complete this survey. The results of this survey will be used
to inform opportunities for program improvement in the quality of VA services. Participation in this
survey is voluntary, and your decision not to respond will have no impact on VA benefits or services
which you may currently be receiving. VA may utilize individual Veteran survey data from this survey
or other sources to ensure the final scores truly and accurately represent the experiences of
Veterans. VA cannot conduct or sponsor a collection of information unless a valid OMB control
number is displayed. You are not required to respond to a collection of information if this number is
not displayed. Valid OMB control numbers can be located on the OMB Internet Page at https://
www.reginfo.gov/public/do/PRAMain. Information gathered will be kept private to the extent
provided by law.
Education Service
DRAFT <05/28/20>
Working Draft, Pre-Decisional, Deliberative document - Internal VA Use Only
EMAIL SUBJECT LINE: VA Education Benefits Experience Survey (3 minutes)
EMAIL PREHEADER: Tell us about your experience receiving VA Education Benefits
OMB Number: 2900-0876
Expiration: 03/31/2023
Estimated Burden: 3 minutes
Your opinion matters.
Dear ,
We care about your experience with VA. Please take this 3
minute survey to let us know about your experience
receiving VA Education Benefits. The more information you
share with us, the better we can
serve you.
Take Our Survey
Thank you,
Veterans Experience Office
Department of Veterans Affairs
Whether you’re just getting out of the service or you’ve been a civilian for years, the VA Welcome Kit
can help guide you to the benefits and services you’ve earned.
The Veterans Crisis Line provides free, confidential support for Veterans and their families and
friends in crisis. Dial 1 (800) 273-8255 (Press 1), or text 838255 to receive confidential support 24/7
(System of Records Notice VA158VA10NC5). Visit https://www.veteranscrisisline.net for
more information.
Additionally, the National Call Center for Homeless Veterans (NCCHV) provides free, confidential
support for Veterans and their family members and friends who are homeless or at risk of
homelessness. Veterans can either call or chat online with the National Call Center for Homeless
Veterans where trained counselors are ready to talk confidentially 24 hours a day, 7 days a week.
Dial 1 (877) 424-3838 or visit https://www.va.gov/HOMELESS/ to receive confidential support.
Please do not reply to this email - it is unmonitored.
If you wish to share your feedback, please do so by .
You received this email because you provided your email address to VA. If you would like to opt out
from receiving future surveys, please click below.
Unsubscribe from this VA Survey | Privacy Policy
By filling out this survey, you are authorizing VA database access to retrieve Veteran contact
information to follow up with you accordingly for purposes of service recovery, potential crisis, or to
learn more about feedback you have shared regarding your experience with VA. This information is
collected in accordance with section 3507 of the Paperwork Reduction Act of 1995. Title 38, United
States Code, allows us to ask for this information. We estimate that you will need an average of 3
minutes to review the instructions and complete this survey. The results of this survey will be used
to inform opportunities for program improvement in the quality of VA services. Participation in this
survey is voluntary, and your decision not to respond will have no impact on VA benefits or services
which you may currently be receiving. VA may utilize individual Veteran survey data from this survey
or other sources to ensure the final scores truly and accurately represent the experiences of
Veterans. VA cannot conduct or sponsor a collection of information unless a valid OMB control
number is displayed. You are not required to respond to a collection of information if this number is
not displayed. Valid OMB control numbers can be located on the OMB Internet Page at https://
www.reginfo.gov/public/do/PRAMain. Information gathered will be kept private to the extent
provided by law.
Education Service
DRAFT <05/28/20>
Working Draft, Pre-Decisional, Deliberative document - Internal VA Use Only
EMAIL SUBJECT LINE: VA Education Benefits Experience Survey (3 minutes)
EMAIL PREHEADER: We still want to hear about your application for VA Education Benefits
OMB Number: 2900-0876
Expiration: 03/31/2023
Estimated Burden: 3 minutes
Your feedback is important to us.
Dear ,
VA still wants to hear about your experience applying for
VA Education Benefits. Please let us know how we are
doing by taking a 3 minute survey regarding your
experience.
Take Our Survey
Thank you,
Veterans Experience Office
Department of Veterans Affairs
Whether you’re just getting out of the service or you’ve been a civilian for years, the VA Welcome Kit
can help guide you to the benefits and services you’ve earned.
The Veterans Crisis Line provides free, confidential support for Veterans and their families and
friends in crisis. Dial 1 (800) 273-8255 (Press 1), or text 838255 to receive confidential support 24/7
(System of Records Notice VA158VA10NC5). Visit https://www.veteranscrisisline.net for
more information.
Additionally, the National Call Center for Homeless Veterans (NCCHV) provides free, confidential
support for Veterans and their family members and friends who are homeless or at risk of
homelessness. Veterans can either call or chat online with the National Call Center for Homeless
Veterans where trained counselors are ready to talk confidentially 24 hours a day, 7 days a week.
Dial 1 (877) 424-3838 or visit https://www.va.gov/HOMELESS/ to receive confidential support.
Please do not reply to this email - it is unmonitored.
If you wish to share your feedback, please do so by .
You received this email because you provided your email address to VA. If you would like to opt out
from receiving future surveys, please click below.
Unsubscribe from this VA Survey | Privacy Policy
By filling out this survey, you are authorizing VA database access to retrieve Veteran contact
information to follow up with you accordingly for purposes of service recovery, potential crisis, or to
learn more about feedback you have shared regarding your experience with VA. This information is
collected in accordance with section 3507 of the Paperwork Reduction Act of 1995. Title 38, United
States Code, allows us to ask for this information. We estimate that you will need an average of 3
minutes to review the instructions and complete this survey. The results of this survey will be used
to inform opportunities for program improvement in the quality of VA services. Participation in this
survey is voluntary, and your decision not to respond will have no impact on VA benefits or services
which you may currently be receiving. VA may utilize individual Veteran survey data from this survey
or other sources to ensure the final scores truly and accurately represent the experiences of
Veterans. VA cannot conduct or sponsor a collection of information unless a valid OMB control
number is displayed. You are not required to respond to a collection of information if this number is
not displayed. Valid OMB control numbers can be located on the OMB Internet Page at https://
www.reginfo.gov/public/do/PRAMain. Information gathered will be kept private to the extent
provided by law.
Education Service
DRAFT <05/28/20>
Working Draft, Pre-Decisional, Deliberative document - Internal VA Use Only
EMAIL SUBJECT LINE: VA Education Benefits Experience Survey (3 minutes)
EMAIL PREHEADER: We still want to hear about your experience enrolling in school with VA
Education Benefits
OMB Number: 2900-0876
Expiration: 03/31/2023
Estimated Burden: 3 minutes
Your feedback is important to us.
Dear ,
VA still wants to hear about your experience enrolling in
school using your VA Education Benefits. Please let us
know how we are doing by taking a 3 minute survey
regarding your experience.
Take Our Survey
Thank you,
Veterans Experience Office
Department of Veterans Affairs
Whether you’re just getting out of the service or you’ve been a civilian for years, the VA Welcome Kit
can help guide you to the benefits and services you’ve earned.
The Veterans Crisis Line provides free, confidential support for Veterans and their families and
friends in crisis. Dial 1 (800) 273-8255 (Press 1), or text 838255 to receive confidential support 24/7
(System of Records Notice VA158VA10NC5). Visit https://www.veteranscrisisline.net for
more information.
Additionally, the National Call Center for Homeless Veterans (NCCHV) provides free, confidential
support for Veterans and their family members and friends who are homeless or at risk of
homelessness. Veterans can either call or chat online with the National Call Center for Homeless
Veterans where trained counselors are ready to talk confidentially 24 hours a day, 7 days a week.
Dial 1 (877) 424-3838 or visit https://www.va.gov/HOMELESS/ to receive confidential support.
Please do not reply to this email - it is unmonitored.
If you wish to share your feedback, please do so by .
You received this email because you provided your email address to VA. If you would like to opt out
from receiving future surveys, please click below.
Unsubscribe from this VA Survey | Privacy Policy
By filling out this survey, you are authorizing VA database access to retrieve Veteran contact
information to follow up with you accordingly for purposes of service recovery, potential crisis, or to
learn more about feedback you have shared regarding your experience with VA. This information is
collected in accordance with section 3507 of the Paperwork Reduction Act of 1995. Title 38, United
States Code, allows us to ask for this information. We estimate that you will need an average of 3
minutes to review the instructions and complete this survey. The results of this survey will be used
to inform opportunities for program improvement in the quality of VA services. Participation in this
survey is voluntary, and your decision not to respond will have no impact on VA benefits or services
which you may currently be receiving. VA may utilize individual Veteran survey data from this survey
or other sources to ensure the final scores truly and accurately represent the experiences of
Veterans. VA cannot conduct or sponsor a collection of information unless a valid OMB control
number is displayed. You are not required to respond to a collection of information if this number is
not displayed. Valid OMB control numbers can be located on the OMB Internet Page at https://
www.reginfo.gov/public/do/PRAMain. Information gathered will be kept private to the extent
provided by law.
Education Service
DRAFT <05/28/20>
Working Draft, Pre-Decisional, Deliberative document - Internal VA Use Only
EMAIL SUBJECT LINE: VA Education Benefits Experience Survey (3 minutes)
EMAIL PREHEADER: We still want to hear about your experience receiving VA Education
Benefits
OMB Number: 2900-0876
Expiration: 03/31/2023
Estimated Burden: 3 minutes
Your feedback is important to us.
Dear ,
VA still wants to hear about your experience receiving VA
Education Benefits. Please let us know how we are doing
by taking a 3 minute survey regarding your experience.
Take Our Survey
Thank you,
Veterans Experience Office
Department of Veterans Affairs
Whether you’re just getting out of the service or you’ve been a civilian for years, the VA Welcome Kit
can help guide you to the benefits and services you’ve earned.
The Veterans Crisis Line provides free, confidential support for Veterans and their families and
friends in crisis. Dial 1 (800) 273-8255 (Press 1), or text 838255 to receive confidential support 24/7
(System of Records Notice VA158VA10NC5). Visit https://www.veteranscrisisline.net for
more information.
Additionally, the National Call Center for Homeless Veterans (NCCHV) provides free, confidential
support for Veterans and their family members and friends who are homeless or at risk of
homelessness. Veterans can either call or chat online with the National Call Center for Homeless
Veterans where trained counselors are ready to talk confidentially 24 hours a day, 7 days a week.
Dial 1 (877) 424-3838 or visit https://www.va.gov/HOMELESS/ to receive confidential support.
Please do not reply to this email - it is unmonitored.
If you wish to share your feedback, please do so by .
You received this email because you provided your email address to VA. If you would like to opt out
from receiving future surveys, please click below.
Unsubscribe from this VA Survey | Privacy Policy
By filling out this survey, you are authorizing VA database access to retrieve Veteran contact
information to follow up with you accordingly for purposes of service recovery, potential crisis, or to
learn more about feedback you have shared regarding your experience with VA. This information is
collected in accordance with section 3507 of the Paperwork Reduction Act of 1995. Title 38, United
States Code, allows us to ask for this information. We estimate that you will need an average of 3
minutes to review the instructions and complete this survey. The results of this survey will be used
to inform opportunities for program improvement in the quality of VA services. Participation in this
survey is voluntary, and your decision not to respond will have no impact on VA benefits or services
which you may currently be receiving. VA may utilize individual Veteran survey data from this survey
or other sources to ensure the final scores truly and accurately represent the experiences of
Veterans. VA cannot conduct or sponsor a collection of information unless a valid OMB control
number is displayed. You are not required to respond to a collection of information if this number is
not displayed. Valid OMB control numbers can be located on the OMB Internet Page at https://
www.reginfo.gov/public/do/PRAMain. Information gathered will be kept private to the extent
provided by law.
EMAIL SUBJECT LINE: “Unmonitored Automated Email: U.S. Department of Veterans Affairs”
OMB Number: 2900-0876
Expiration: 03/31/2023
This is an unmonitored email address.
The Veterans Crisis Line provides free, confidential support for Veterans
and their families and friends in crisis. Dial 1 (800) 273-8255 (Press 1), or
text 838255 to receive confidential support 24/7 (System of Records Notice
VA158VA10NC5). Visit https://www.veteranscrisisline.net for more
information.
Additionally, the National Call Center for Homeless Veterans (NCCHV)
provides free, confidential support for Veterans and their family members
and friends who are homeless or at risk of homelessness. Veterans can
either call or chat online with the National Call Center for Homeless
Veterans where trained counselors are ready to talk confidentially 24 hours
a day, 7 days a week. Dial 1 (877) 424-3838 or visit
https://www.va.gov/HOMELESS/ to receive confidential support.
Thank you,
Veterans Experience Office
Department of Veterans Affairs
Please do not reply to this email - it is unmonitored.
If you wish to share your feedback, please do so by .
You received this email because you provided your email address to VA. If you would like to opt out
from receiving future surveys, please click below.
Unsubscribe from this VA Survey | Privacy Policy
By filling out this survey, you are authorizing VA database access to retrieve Veteran contact
information to follow up with you accordingly for purposes of service recovery, potential crisis, or to
learn more about feedback you have shared regarding your experience with VA. This information is
collected in accordance with section 3507 of the Paperwork Reduction Act of 1995. Title 38, United
States Code, allows us to ask for this information. We estimate that you will need an average of 3
minutes to review the instructions and complete this survey. The results of this survey will be used
to inform opportunities for program improvement in the quality of VA services. Participation in this
survey is voluntary, and your decision not to respond will have no impact on VA benefits or services
which you may currently be receiving. VA may utilize individual Veteran survey data from this survey
or other sources to ensure the final scores truly and accurately represent the experiences of
Veterans. VA cannot conduct or sponsor a collection of information unless a valid OMB control
number is displayed. You are not required to respond to a collection of information if this number is
not displayed. Valid OMB control numbers can be located on the OMB Internet Page at https://
www.reginfo.gov/public/do/PRAMain. Information gathered will be kept private to the extent
provided by law.
Education Service
DRAFT <05/28/20>
Working Draft, Pre-Decisional, Deliberative document - Internal VA Use Only
One or more items on this page require your attention.
The VA provides free, confidential support 24/7 for Veterans and their family and friends.
If you are in crisis, contact the Veterans Crisis Line by dialing 1 (800) 273-8255 (Press
1), or texting 838255, or visiting https://www.veteranscrisisline.net. If you are homeless
or at risk of homelessness, contact the National Call Center for Homeless Veterans
(NCCHV) by dialing 1 (877) 424-3838 or visiting https://www.va.gov/HOMELESS/.
OMB Number: 2900-0876
Expiration: 03/31/2023
Estimated Burden: <3 Minutes>
Help us serve you better.
We want to hear about your recent experience applying for VA Education
Benefits. By indicating how much you agree or disagree with the
statements below, you directly help us improve VA services.
This survey should take you approximately 3 minutes to complete.
Please respond to all questions in order to continue the survey.
x Error: This is required.
After submitting my benefits application, I understood the education benefits I was
entitled to.
Strongly
Disagree
Disagree
Neither Agree
nor Disagree
Agree
Strongly
Agree
1
2
3
4
5
x Error: This is required.
I found the process of applying for my benefits to be easy.
Strongly
Disagree
Disagree
Neither Agree
nor Disagree
Agree
Strongly
Agree
1
2
3
4
5
x Error: This is required.
After submitting my application, I understood how and when I would receive my
benefits.
Strongly
Disagree
Disagree
Neither Agree
nor Disagree
Agree
Strongly
Agree
1
2
3
4
5
x Error: This is required.
I found the GI Bill Comparison Tool useful when planning my budget for school.
Strongly
Disagree
Disagree
Neither Agree
nor Disagree
Agree
Strongly
Agree
1
2
3
4
5
Not
Applicable
(N/A)
x Error: This is required.
I understood how to get information about the status of my education benefits
application.
Strongly
Disagree
Disagree
Neither Agree
nor Disagree
Agree
Strongly
Agree
1
2
3
4
5
x Error: This is required.
After I submitted my application for benefits, I received my Certificate of Eligibility
within the expected time frame.
Strongly
Disagree
Disagree
Neither Agree
nor Disagree
Agree
Strongly
Agree
1
2
3
4
5
Not
Applicable
(N/A)
x Error: This is required.
I trust VA to effectively administer my education benefits.
Strongly
Disagree
Disagree
Neither Agree
nor Disagree
Agree
Strongly
Agree
1
2
3
4
5
x Error: This is required.
Can VA contact you about your feedback?
Yes, VA can contact me about my experience applying for education benefits.
No, I do not want VA to contact me about my experience applying for education benefits.
x Error: This is required.
Would you like to volunteer your demographic information to help VA better serve you?
Yes [Logic proceed to Demographics page]
No [Logic skip Demographics page]
Next
By filling out this survey, you are authorizing VA database access to retrieve Veteran contact information to follow up with
you accordingly for purposes of service recovery, potential crisis, or to learn more about feedback you have shared
regarding your experience with VA. This information is collected in accordance with section 3507 of the Paperwork
Reduction Act of 1995. Title 38, United States Code, allows us to ask for this information. We estimate that you will need an
average of 3 minutes to review the instructions and complete this survey. The results of this survey will be used to inform
opportunities for program improvement in the quality of VA services. Participation in this survey is voluntary, and your
decision not to respond will have no impact on VA benefits or services which you may currently be receiving. VA may utilize
individual Veteran survey data from this survey or other sources to ensure the final scores truly and accurately represent the
experiences of Veterans. VA cannot conduct or sponsor a collection of information unless a valid OMB control number is
displayed. You are not required to respond to a collection of information if this number is not displayed. Valid OMB control
numbers can be located on the OMB Internet Page at https://www.reginfo.gov/public/do/PRAMain. Information gathered will
be kept private to the extent provided by law.
Privacy Policy
Education Service
DRAFT <05/28/20>
Working Draft, Pre-Decisional, Deliberative document - Internal VA Use Only
One or more items on this page require your attention.
The VA provides free, confidential support 24/7 for Veterans and their family and friends.
If you are in crisis, contact the Veterans Crisis Line by dialing 1 (800) 273-8255 (Press
1), or texting 838255, or visiting https://www.veteranscrisisline.net. If you are homeless
or at risk of homelessness, contact the National Call Center for Homeless Veterans
(NCCHV) by dialing 1 (877) 424-3838 or visiting https://www.va.gov/HOMELESS/.
OMB Number: 2900-0876
Expiration: 03/31/2023
Estimated Burden: 3 minutes
Help us serve you better.
We want to hear about your recent experience enrolling in school with VA
Education Benefits. By indicating how much you agree or disagree with
the statements below, you directly help us improve VA services.
This survey should take you approximately 3 minutes to complete.
Please respond to all questions in order to continue the survey.
x Error: This is required.
I understood how to submit my Certificate of Eligibility to my school.
Strongly
Disagree
Disagree
Neither Agree
nor Disagree
Agree
Strongly
Agree
1
2
3
4
5
Not
Applicable
(N/A)
x Error: This is required.
I was satisfied with the assistance I received from my school when submitting my
Certificate of Eligibility.
Strongly
Disagree
Disagree
Neither Agree
nor Disagree
Agree
Strongly
Agree
1
2
3
4
5
Not
Applicable
(N/A)
x Error: This is required.
I found the VA websites helpful in informing me about my education benefits.
Strongly
Disagree
Disagree
Neither Agree
nor Disagree
Agree
Strongly
Agree
1
2
3
4
5
Not
Applicable
(N/A)
x Error: This is required.
After enrolling in school, I know how and when I will receive my benefits.
Strongly
Disagree
Disagree
Neither Agree
nor Disagree
Agree
Strongly
Agree
1
2
3
4
5
x Error: This is required.
I trust VA to effectively administer my education benefits.
Strongly
Disagree
Disagree
Neither Agree
nor Disagree
Agree
Strongly
Agree
1
2
3
4
5
x Error: This is required.
Can VA contact you about your feedback?
Yes, VA can contact me about my experience enrolling in school with education benefits.
No, I do not want VA to contact me about my experience enrolling in school with education benefits.
x Error: This is required.
Would you like to volunteer your demographic information to help VA better serve you?
Yes [Logic proceed to Demographics page]
No [Logic skip Demographics page]
Next
By filling out this survey, you are authorizing VA database access to retrieve Veteran contact information to follow up with
you accordingly for purposes of service recovery, potential crisis, or to learn more about feedback you have shared
regarding your experience with VA. This information is collected in accordance with section 3507 of the Paperwork
Reduction Act of 1995. Title 38, United States Code, allows us to ask for this information. We estimate that you will need an
average of 3 minutes to review the instructions and complete this survey. The results of this survey will be used to inform
opportunities for program improvement in the quality of VA services. Participation in this survey is voluntary, and your
decision not to respond will have no impact on VA benefits or services which you may currently be receiving. VA may utilize
individual Veteran survey data from this survey or other sources to ensure the final scores truly and accurately represent the
experiences of Veterans. VA cannot conduct or sponsor a collection of information unless a valid OMB control number is
displayed. You are not required to respond to a collection of information if this number is not displayed. Valid OMB control
numbers can be located on the OMB Internet Page at https://www.reginfo.gov/public/do/PRAMain. Information gathered will
be kept private to the extent provided by law.
Privacy Policy
Education Service
DRAFT <05/28/20>
Working Draft, Pre-Decisional, Deliberative document - Internal VA Use Only
One or more items on this page require your attention.
The VA provides free, confidential support 24/7 for Veterans and their family and friends.
If you are in crisis, contact the Veterans Crisis Line by dialing 1 (800) 273-8255 (Press
1), or texting 838255, or visiting https://www.veteranscrisisline.net. If you are homeless
or at risk of homelessness, contact the National Call Center for Homeless Veterans
(NCCHV) by dialing 1 (877) 424-3838 or visiting https://www.va.gov/HOMELESS/.
OMB Number: 2900-0876
Expiration: 03/31/2023
Estimated Burden: 3 minutes
Help us serve you better.
We want to hear about your recent experience receiving VA Education
Benefits. By indicating how much you agree or disagree with the
statements below, you directly help us improve VA services.
This survey should take you approximately 3 minutes to complete.
Please respond to all questions in order to continue the survey.
x Error: This is required.
I receive my education benefits timely (i.e. Tuition & Fees, Yellow Ribbon, BAH, and
Books & Supplies).
Strongly
Disagree
Disagree
Neither Agree
nor Disagree
Agree
Strongly
Agree
1
2
3
4
5
x Error: This is required.
When I enrolled in school, I understood that my education benefits may vary depending
on changes to my enrollment (i.e. adjusting my course level).
Strongly
Disagree
Disagree
Neither Agree
nor Disagree
Agree
Strongly
Agree
1
2
3
4
5
x Error: This is required.
I understand where to find information regarding the amount of my education benefits.
Strongly
Disagree
Disagree
Neither Agree
nor Disagree
Agree
Strongly
Agree
1
2
3
4
5
x Error: This is required.
If I had an issue with my education benefits, I was satisfied with the assistance that I
received from VA.
Not
Strongly
Neither Agree
Strongly
Applicable
Disagree
Agree
Disagree
nor Disagree
Agree
(N/A)
1
2
3
4
5
x Error: This is required.
After receiving my education benefits, I understand how to receive education benefits in
the future.
Not
Strongly
Neither Agree
Strongly
Applicable
Disagree
Agree
Disagree
nor Disagree
Agree
(N/A)
1
2
3
4
5
x Error: This is required.
I trust VA to effectively administer my education benefits.
Strongly
Disagree
Disagree
Neither Agree
nor Disagree
Agree
Strongly
Agree
1
2
3
4
5
x Error: This is required.
Can VA contact you about your feedback?
Yes, VA can contact me about my experience receiving education benefits.
No, I do not want VA to contact me about my experience receiving education benefits.
x Error: This is required.
Would you like to volunteer your demographic information to help VA better serve you?
Yes [Logic proceed to Demographics page]
No [Logic skip Demographics page]
Next
By filling out this survey, you are authorizing VA database access to retrieve Veteran contact information to follow up with
you accordingly for purposes of service recovery, potential crisis, or to learn more about feedback you have shared
regarding your experience with VA. This information is collected in accordance with section 3507 of the Paperwork
Reduction Act of 1995. Title 38, United States Code, allows us to ask for this information. We estimate that you will need an
average of 3 minutes to review the instructions and complete this survey. The results of this survey will be used to inform
opportunities for program improvement in the quality of VA services. Participation in this survey is voluntary, and your
decision not to respond will have no impact on VA benefits or services which you may currently be receiving. VA may utilize
individual Veteran survey data from this survey or other sources to ensure the final scores truly and accurately represent the
experiences of Veterans. VA cannot conduct or sponsor a collection of information unless a valid OMB control number is
displayed. You are not required to respond to a collection of information if this number is not displayed. Valid OMB control
numbers can be located on the OMB Internet Page at https://www.reginfo.gov/public/do/PRAMain. Information gathered will
be kept private to the extent provided by law.
Privacy Policy
Education Service
DRAFT <05/28/20>
Working Draft, Pre-Decisional, Deliberative document - Internal VA Use Only
The VA provides free, confidential support 24/7 for Veterans and their family and friends.
If you are in crisis, contact the Veterans Crisis Line by dialing 1 (800) 273-8255 (Press
1), or texting 838255, or visiting https://www.veteranscrisisline.net. If you are homeless
or at risk of homelessness, contact the National Call Center for Homeless Veterans
(NCCHV) by dialing 1 (877) 424-3838 or visiting https://www.va.gov/HOMELESS/.
OMB Number: 2900-0876
Expiration: 03/31/2023
Estimated Burden: 3 minutes
Help VA improve its services.
We are working to better understand our customers. The following
questions are voluntary. By providing your data, your responses can help
us improve VA care and services. Thank you for your participation.
Are you Hispanic or Latino?
Yes
No
How would you describe your race?
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
How would you describe your gender?
Male
Female
Non-Binary/ Third Gender
Prefer not to say
Finish
By filling out this survey, you are authorizing VA database access to retrieve Veteran contact information to follow up with
you accordingly for purposes of service recovery, potential crisis, or to learn more about feedback you have shared
regarding your experience with VA. This information is collected in accordance with section 3507 of the Paperwork
Reduction Act of 1995. Title 38, United States Code, allows us to ask for this information. We estimate that you will need an
average of 3 minutes to review the instructions and complete this survey. The results of this survey will be used to inform
opportunities for program improvement in the quality of VA services. Participation in this survey is voluntary, and your
decision not to respond will have no impact on VA benefits or services which you may currently be receiving. VA may utilize
individual Veteran survey data from this survey or other sources to ensure the final scores truly and accurately represent the
experiences of Veterans. VA cannot conduct or sponsor a collection of information unless a valid OMB control number is
displayed. You are not required to respond to a collection of information if this number is not displayed. Valid OMB control
numbers can be located on the OMB Internet Page at https://www.reginfo.gov/public/do/PRAMain. Information gathered will
be kept private to the extent provided by law.
Privacy Policy
Education Service
DRAFT <05/28/20>
Working Draft, Pre-Decisional, Deliberative document - Internal VA Use Only
The VA provides free, confidential support 24/7 for Veterans and their family and friends.
If you are in crisis, contact the Veterans Crisis Line by dialing 1 (800) 273-8255 (Press
1), or texting 838255, or visiting https://www.veteranscrisisline.net. If you are homeless
or at risk of homelessness, contact the National Call Center for Homeless Veterans
(NCCHV) by dialing 1 (877) 424-3838 or visiting https://www.va.gov/HOMELESS/.
OMB Number: 2900-0876
Expiration: 03/31/2023
Estimated Burden: 3 minutes
Thank you for choosing VA.
The U.S. Department of Veterans Affairs uses these surveys to collect
your feedback in order to continuously to improve your experience with
VA services.
Please visit VA.gov to explore benefits, resources, and information
at VA.
By filling out this survey, you are authorizing VA database access to retrieve Veteran contact information to follow up with
you accordingly for purposes of service recovery, potential crisis, or to learn more about feedback you have shared
regarding your experience with VA. This information is collected in accordance with section 3507 of the Paperwork
Reduction Act of 1995. Title 38, United States Code, allows us to ask for this information. We estimate that you will need an
average of 3 minutes to review the instructions and complete this survey. The results of this survey will be used to inform
opportunities for program improvement in the quality of VA services. Participation in this survey is voluntary, and your
decision not to respond will have no impact on VA benefits or services which you may currently be receiving. VA may utilize
individual Veteran survey data from this survey or other sources to ensure the final scores truly and accurately represent the
experiences of Veterans. VA cannot conduct or sponsor a collection of information unless a valid OMB control number is
displayed. You are not required to respond to a collection of information if this number is not displayed. Valid OMB control
numbers can be located on the OMB Internet Page at https://www.reginfo.gov/public/do/PRAMain. Information gathered will
be kept private to the extent provided by law.
Privacy Policy
| File Type | application/pdf |
| File Modified | 2020-05-28 |
| File Created | 2020-05-28 |