Attachment A. Veterans Supplement Questionnaire
ID |
Universe |
Text |
Response Options and Skips |
S0 |
All |
I now have a few questions to ask you about [your/NAME’s] service in the Armed Forces. The Department of Veterans Affairs and the Veterans’ Employment and Training Service of the Department of Labor sponsor the following questions. The goal of these questions is to understand what services veterans need to help with the transition to civilian employment.
As a reminder, your responses will not impact [your/NAME's] benefits and will not be seen by employers. Please do not disclose any classified information. |
GOTO S1 |
S1 |
All |
[Have/Has] [you/NAME] ever been a member of the Reserve or National Guard? |
1 - Yes GOTO S2 |
S2 |
S1 = 1 |
[Are/Is] [you/NAME] currently a member of the Reserve or National Guard? |
1 - Yes GOTO END |
S3 |
S1 = 1 AND PEAFWHN1-4 = 1, 2 |
Was any of [your/NAME's] active service the result of a call-up from the Reserve or National Guard? |
1 - Yes GOTO S4 |
S4 |
S3 = 1 AND PEAFWHN1-4 = 1, 2 |
Was [your/NAME's] LAST period on active duty a result of a call-up from the Reserve or National Guard? |
1 - Yes GOTO S5 |
S5 |
All |
How long did [you/NAME] serve on
ACTIVE DUTY in the Armed Forces? |
1 - 6 months or less GOTO S6 |
S6 |
All |
Did [you/NAME] EVER serve in a combat or war zone? Persons serving in a combat or war zone often receive combat zone tax exclusion, Imminent Danger Pay, or Hostile Fire Pay. |
1 - Yes GOTO S7 |
S7 |
PEAFWHN1-4 = 4 |
[(Were you)/(Was he/she)] on active duty in Vietnam, Laos, or Cambodia; in the waters in or around these countries; or fly missions over these areas at any time between August 5, 1964 and May 7, 1975? |
1 - Yes GOTO S7a |
S7a |
(PEAFWHN1-4 = 5 and PEAFWHN1-4 ne 4) or (PEAFWHN1-4 = 3 and PEAFWHN1-4 ne 4,5 and PRTAGE age 70) |
[(Were you)/(Was he/she)] on active duty in Vietnam, Cambodia, or Laos; in the waters in or around these countries; or fly missions over these areas at any time between February 28, 1961 and August 4, 1964? |
1 - Yes GOTO S8 |
S8 |
PEAFWHEN = 1 |
Did you serve in Iraq, off the coast of Iraq, or did you fly missions over Iraq at anytime since March 2003? |
1 - Yes GOTO S8a |
S8a |
S8 = 1, 2, DK, REF, No response |
Did you serve in Afghanistan, or did you fly missions over Afghanistan, at anytime since October 2001? |
1 - Yes GOTO S9 |
S9 |
All |
In what year [were/was] [you/NAME]
LAST released from active duty? |
Enter year GOTO S10 |
S10 |
All |
From which branch of the Armed
Forces [were/was] [you/NAME] last released from active duty? |
1 - Air Force GOTO S11
GOTO S11 |
S11 |
S9 >2010 |
What was [your/NAME's] pay grade at separation? *Do not read list of response options aloud |
1- E-1 to E-3 GOTO S12 2- E-4 to E-6 GOTO S12 3- E-7 to E-9 GOTO S12 4- O-1 to O-10 GOTO S12 5- W-1 to W-5 GOTO S12 DK GOTO S12 REF GOTO S12 No Response GOTO S12 |
S12 |
S9 >2010 |
What kind of work did (NAME/you) do, that is, what was (your/his/her) primary occupation? For example, geospatial engineer or combat medic specialist. *Enter verbatim response. |
Enter verbatim response GOTO S12a |
S12a |
S12 ne DK, REF, No response |
What were (your/his/her) usual activities or duties at this job? *Probe if necessary: For example - create geographic data and compile into maps using software, administer emergency medical treatment *Enter verbatim response. |
Enter verbatim response GOTO S13 |
S13 |
S5 ne 8 |
Did [you/NAME] retire from the Armed Forces? |
1 - Yes GOTO D0 |
D0 |
S9 > 2010 |
The following questions are about the impact of service-connected disabilities on jobs. Your responses will not impact [your/NAME's] benefits and will not be seen by employers. |
GOTO D1 |
D1 |
S9 > 2010 |
[Have/Has] [you/NAME] filed a claim for or received a rating from the Department of Veterans Affairs or the Department of Defense confirming that [you/he/she] [have/has] a service-connected disability; that is, a health condition or impairment caused or made worse by military service? |
1 - Yes GOTO
D2 |
D2 |
D1 = 1 |
Did
[you/NAME] receive a VA disability rating? |
1 - Yes GOTO
D2a |
D2a |
D2 = 1 |
What is
[your/NAME's] current service-connected VA disability rating? |
0 - 0 percent
GOTO D3 |
D3 |
D1 = 1 |
Has [your/NAME's] service-connected disability EVER prevented [you/NAME] from getting or holding a job that met [your/his/her] long-term career goals? |
1 - Yes GOTO
D4 |
D4 |
D3 = 1,DK,REF, No Response AND PEMLR = 1-4,6,7 |
Does [your/NAME's] service-connected disability CURRENTLY keep [you/NAME] from getting or holding a job that meets [your/his/her] long-term career goals? |
1 - Yes GOTO
D6 |
D5 |
D4 = 2,DK,REF AND PEMLR = 1-4,6,7 |
Do you think that [your/NAME's] service-connected disability will EVENTUALLY keep [you/NAME] from getting or holding a job that meets [your/his/her] long-term career goals? |
1 - Yes GOTO
D7 |
D6 |
D4 = 1 AND PEMLR ne 1,2 |
What is the
last year [you/NAME] worked at a job or business? |
Numeric Response
GOTO D7 |
D7 |
D1 = 1 AND (PEAFWHN1-4 = 1-5) AND (PRTAGE >= 18 AND <66) |
[Have/Has]
[you/NAME] ever [changed/requested any change in] [your/his/her]]
workplace to help [you/him/her] do [your/his/her] job better and
accommodate [your/his/her] service-connected disability? For
example, changes in work policies, equipment, or schedules? If self-employed, then “Have you ever changed your workplace…” If not self-employed, then “Have you ever requested any change in your workplace…” |
1 - Yes GOTO
D8 |
D8 |
D7 = 1 AND IO1INT ne 4 |
Were any of those requests granted? |
1 - Yes GOTO
E0 |
E0 |
S9 > 2010 AND (PEAFWHN1-4 = 1-5) AND (PRTAGE >= 18 AND <66) |
The following questions are about [your/NAME’s] transition to civilian employment. |
GOTO E1 |
E1 |
S9 > 2010 AND (PEAFWHN1-4 = 1-5) AND (PRTAGE >= 18 AND <66) |
While still on active duty, did
[you/NAME] attend any of the Transition Assistance Program
workshops, known as TAP or A-CAP? |
1 - Yes GOTO
E2 |
E2 |
S9 > 2010 AND (PEAFWHN1-4 = 1-5) AND (PRTAGE >= 18 AND <66) |
When did [you/NAME] first apply for
a civilian job? |
1 - Before
separation
GOTO E4 |
E3 |
E2 = 5 |
Did [you/NAME] not want a job, return to a previous job, go back to school, or something else? |
1 - Not want a
job GOTO T0 4 -
Something else GOTO T0 |
E4 |
E2 ne 5 |
When first applying for a civilian job, did [you/NAME] want a job that used the specialized training [you/he/she] acquired in [your/his/her] military occupation? |
1 - Yes GOTO
E5 |
E5 |
E2 = 1-4 |
[Have/Has] [you/NAME] received an offer for a civilian job? |
1 - Yes GOTO
E6 |
E6 |
E5 = 1 |
When did [you/NAME] accept the
offer for [your/his/her] first civilian job? |
1 - Before
separation
GOTO E7 |
E7 |
E6 = 1 |
What was that first civilian job, that is, what was [your/NAME's] occupation. For example, information security officer or management analyst. *Enter verbatim response. |
Enter verbatim response GOTO E7a DK GOTO E8 REF GOTO E8 No Response GOTO E8 |
E7a |
E7 ne DK, REF, No response |
What were (your/his/her) usual activities or duties at this job? *Probe if necessary: For example - encrypt data and assess risk on computer systems; study work problems and recommend new systems, procedures, or organizational changes *Enter verbatim response. |
Enter verbatim response GOTO E8 DK GOTO E8 REF GOTO E8 No Response GOTO E8 |
E8 |
E7 ne DK, REF, No response |
Was that the job that (you/he/she) wanted at the time of separation? |
1 - Yes GOTO T0 2 - No GOTO T0 DK GOTO T0 REF GOTO T0 No Response GOTO T0 |
T0 |
S9 > 2010 AND (PEAFWHN1-4 = 1-5) AND (PRTAGE >= 18 AND <66) |
The next questions are about training for civilian employment. |
GOTO T1 |
T1 |
S9 > 2010 AND (PEAFWHN1-4 = 1-5) AND (PRTAGE >= 18 AND <66) |
[Have/Has] [you/NAME] used the specialized training that [you/he/she] acquired in [your/his/her] military occupation in ANY civilian job? |
1 - Yes GOTO T2 |
T2 |
S9 > 2010 AND (PEAFWHN1-4 = 1-5) AND (PRTAGE >= 18 AND <66) |
[Since separation/At any time in
the last four years], [have/has] [you/NAME] TRIED to find any
job-related education or training? |
1 - Yes GOTO
T3 |
T3 |
T2 = 1 |
[Were/Was] [you/NAME] ABLE to find the job-related education or training that [you/he/she] looked for most recently? |
1 - Yes GOTO T4 |
T4 |
T3 = 1 |
[Were/Was] [you/NAME] able to complete that education or training? |
1 - Yes GOTO
T6 |
T5 |
T3 = 2 OR T4 = 2 |
What was the main reason [you/NAME]
[weren’t/wasn't] able to [find/complete] that education or
training? |
1 – VA BENEFITS did not cover cost 2 – EMPLOYER did not support time or cost 3 – COULD NOT AFFORD cost 4 – INCONVENIENT time or location 5 – FAMILY obligations 6 – DID NOT MEET ENTRY REQUIREMENTS 7 – Desired training/education NOT AVAILABLE 8 – WRONG INFORMATION from employment specialists DK REF No Response |
T6 |
S9 > 2010 AND (PEAFWHN1-4 = 1-5) AND (PRTAGE >= 18 AND <66) |
In the next four years, how likely is it that [you/NAME] will seek job-related education or training? |
1 – Very
likely GOTO T9 DK GOTO
T10 |
T7 |
T6 = 1 |
[Are/Is] [you/NAME] planning to seek out any of the following? 1
– Occupational
certification
4
–
School-based education |
Numeric response
options |
T8 |
S9 > 2010 AND (PEAFWHN1-4 = 1-5) AND (PRTAGE >= 18 AND <66) |
Did [you/NAME] receive any GI Bill benefits? *The GI Bill is an education benefit that helps to cover the costs associated with getting an education or training. It includes: Post-9/11 GI Bill, Montgomery GI Bill, Dependents’ Education Assistance, and Fry Scholarship |
1 - Yes GOTO
T9 |
T9 |
T8 = 1 |
Who used the benefits or who plans to use them? 1 –
Yourself/NAME
|
Numeric response
options |
W0 |
S9 > 2010 AND (PEAFWHN1-4 = 1-5) AND (PRTAGE >= 18 AND <66) |
The following questions are about [your/NAME’s] experience with state employment or career services agencies. |
GOTO W1 |
W1 |
S9 > 2010 AND (PEAFWHN1-4 = 1-5) AND (PRTAGE >= 18 AND <66) |
[Since separation/At any time in
the last four years], [have/has] [you/NAME] ever visited a website
for or made face-to-face or telephone contact with a state
employment or career services agency, sometimes known as American
Job Centers, for help finding a job or job-related training? |
1 - Yes GOTO
W3 |
W2 |
W1 = 2 |
What were the reasons [you/NAME] did not visit or contact a state employment or career services center or website? *Do
not read list of response options aloud. |
Numeric response
options 2 – NOT USEFUL/NO FAITH in centers 3 – CONTACTED OTHER job search/headhunter/VA service 4 – Believe NO JOBS AVAILABLE 5 – DID NOT WANT HELP/Found own job 6 – ALREADY HAVE job lined up 7 – NOT LOOKING for a job or work 8 – DISABLED or UNABLE to work DK REF No Response |
W3 |
W1 = 1 |
[Were/Was] [you/NAME] able to get all the help that [you/he/she] needed from the state employment or career services center or website? |
1 - Yes GOTO
W4 |
W4 |
S9 > 2010 AND (PEAFWHN1-4 = 1-5) AND (PRTAGE >= 18 AND <66) |
I am going to read a list of
services that a state employment or career services center might
offer to help with [your/NAME’s] next job search. For each
service, please tell me if you would prefer to use the service
in-person, online, or not at all. |
|
W4a |
S9 > 2010 AND (PEAFWHN1-4 = 1-5) AND (PRTAGE >= 18 AND <66) |
Résumé help |
1 - In-person
GOTO W4b |
W4b |
S9 > 2010 AND (PEAFWHN1-4 = 1-5) AND (PRTAGE >= 18 AND <66) |
Job application help |
1 - In-person
GOTO W4c |
W4c |
S9 > 2010 AND (PEAFWHN1-4 = 1-5) AND (PRTAGE >= 18 AND <66) |
Finding job opportunities |
1 - In-person
GOTO
W4d |
W4d |
S9 > 2010 AND (PEAFWHN1-4 = 1-5) AND (PRTAGE >= 18 AND <66) |
Developing career goals |
1 - In-person
GOTO W4e |
W4e |
S9 > 2010 AND (PEAFWHN1-4 = 1-5) AND (PRTAGE >= 18 AND <66) |
Translating military work experience for civilian employers |
1 - In-person
GOTO B0 |
B0 |
S9 > 2010 |
And now, the last questions are about [your/NAME’s] VA benefits. |
GOTO B1 |
B1 |
S9 > 2010 |
How confident [are/is] [you/NAME] that [you/he/she] [are/is] aware of all the benefits that [you/he/she] [are/is] eligible for from the VA? |
1 - Not
at all confident
GOTO B2 |
B2 |
S9 > 2010 |
Finally, I'd like to read you a
list of different ways the VA could reach out to [you/NAME] about
the benefits that [you/he/she] [are/is] eligible for. For each
one, please let me know if that's a way that [you/NAME] would like
to learn about [your/his/her] benefits. 7 -
Personal text message |
Numeric response
options |
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Yu, Erica - BLS |
File Modified | 0000-00-00 |
File Created | 2024-07-24 |