2014 Knight VA Backlog Survey

2014 Knight VA Backlog Survey

Have you experienced a wait in getting your VA benefits? Please share your story. We will provide the answers from the survey to NBC News.

Section 1: User





Section 2: Your Disability Claim Experience

Please recall the most memorable time that you had to file for disability status, and answer the following questions in reference to that one experience.









When responding to questions 6 and 7, please consider the following scale: 

• Not at all stressful (1-2)

• Slightly stressful         (3-5)

• Moderately stressful (6-8)

• Extremely stressful (9-10)



Section 2: Your Family Member's Disability Claim Experience

Please recall the most memorable time that your family member had to file for disability status, and answer the following questions in reference to that one experience.









When responding to questions 6 and 7, please consider the following scale: 

• Not at all stressful (1-2)

• Slightly stressful         (3-5)

• Moderately stressful (6-8)

• Extremely stressful (9-10)



Section 3: The VA Patient Care System


• Totally unacceptable (1-2)

• Minimally acceptable (3-5)

• Acceptable         (6-8)

• Outstanding         (9-10)






When responding to questions 3d and 3e, please consider the following scale:

• Not at all stressful (1-2)

• Slightly stressful         (3-5)

• Moderately stressful (6-8)

• Extremely stressful (9-10)






Section 3: The VA Patient Care System - Your Family Member's Experience 


• Totally unacceptable (1-2)

• Minimally acceptable (3-5)

• Acceptable         (6-8)

• Outstanding         (9-10)






When responding to questions 3d and 3e, please consider the following scale:

• Not at all stressful (1-2)

• Slightly stressful         (3-5)

• Moderately stressful (6-8)

• Extremely stressful (9-10)






Section 4: Background Questions
Please help us tell your story:





6. Tell us about your deployments:

First Deployment Information



Second Deployment Information



Third Deployment Information



Fourth Deployment Information



Section 4: Background Questions
Please help us tell your family member's story:





6. Tell us about your family member's deployments:

First Deployment Information



Second Deployment Information



Third Deployment Information



Fourth Deployment Information



Section 5: Personal Information

1. What is your name?









 Section 6: Follow-up

We are encouraging journalists and concerned citizens to write stories, blog, and share their thoughts about this issue. Please include your email address if you would like to make yourself available for follow-up conversations about your experience.

Thank you

We're collecting VA claims data from veterans in order to create a tool that raises awareness about the VA claims backlog.  For more information, please visit www.iava.org. And stay tuned!

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