survey.voice.va.gov Open in urlscan Pro
2600:8010:0:28::30:98  Public Scan

Submitted URL: https://lnks.gd/l/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxNjcsInVyaSI6ImJwMjpjbGljayIsI...
Effective URL: https://survey.voice.va.gov/?1S5ziY-VetResources
Submission: On November 01 via api from RU — Scanned from DE

Form analysis 1 forms found in the DOM

Name: surveyformPOST /?feedless-1S5ziY-VetResources-f4ab51b8e41da90e7ff540fd7ae7d196

<form name="surveyform" action="/?feedless-1S5ziY-VetResources-f4ab51b8e41da90e7ff540fd7ae7d196" method="post"><!-- react-empty: 4 -->
  <div><!-- react-empty: 6 --><input type="hidden" name="is_embedded" id="is_embedded" value="false">
    <header><a class="layout_skipNav" href="#content">Skip to Content</a>
      <div class="layout_layoutContainer">
        <div class="layout_mainHeader layout_clearfix">
          <div class="layout_mainHeaderLeft">
            <h1 class="layout_invisibleTitle" tabindex="0" aria-label="Survey"></h1><img id="pageLogo" class="layout_logo" src="https://sb-static.voice.va.gov/abbe49dc0e375d6fde5b6ea482ed0400e9255cba" alt="U.S. Department of Veterans Affairs Logo">
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          <div class="layout_mainHeaderRight"><span id="languageSelector" class=""><!-- react-empty: 17 --><input type="hidden" name="lang" id="activeLang" value="en"></span></div>
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            <div class="textNode" tabindex="0" style="display: block; float: left; text-align: left; font-size: 13px; clear: none; line-height: 1.3em; width: 67%;">
              <p>The VA provides free, confidential support 24/7 for Veterans and their family and friends. If you are in crisis, contact the <b>Veterans Crisis Line</b> by dialing 1 (800) 273-8255 (Press 1), or texting 838255, or visiting
                <a href="https://www.veteranscrisisline.net" target="_blank">https://www.veteranscrisisline.net</a>. If you are homeless or at risk of homelessness, contact the <b>National Call Center for Homeless Veterans (NCCHV)</b> by dialing 1
                (877) 424-3838 or visiting <a href="https://www.va.gov/HOMELESS/" target="_blank">https://www.va.gov/HOMELESS/</a>.</p>
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            <div class="textNode" tabindex="0" style="display: block; float: right; text-align: left; font-size: 13px; clear: none; line-height: 1.3em; width: 25%;">
              <p> OMB Number: 2900-0876 <br> Expiration: 02/28/2026 <br> Estimated Burden: 2 minutes </p>
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        <div style="clear:left">&nbsp;</div>
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          <span style="font-size: 40px;"><strong>Your opinion matters.</strong></span>
          <br>
          <br>
          <span style="font-size: 22px;"> You can help us improve the way VA share resources and information with you by taking this survey. <br>
            <br>
          </span>
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                <li class="group_optionContainer">
                  <div class="layout_answer" data-test-name="option-agree">
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                </li>
                <li class="group_optionContainer">
                  <div class="layout_answer" data-test-name="option-strongly-agree">
                    <div id="JAWS_CLICK_TARGET" class="table_table option_optionContainer table_table_hasFixedLayout">
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                        <div class="cell_cell option_indicatorContainer"><input type="radio" id="onf_q_feedback_vs_the_resources_and_information_4" aria-describedby="4" aria-label="Agree" class="option_input" data-mds-value="4"
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                        <div class="cell_cell option_captionContainer"><span aria-hidden="true" class="option_caption">Strongly Agree</span></div>
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                </li>
              </ul>
            </div>
          </div>
        </fieldset>
      </div>
      <div class="longform_longformContainer questionBlock singleSelectQuestion">
        <fieldset>
          <legend class="question_questionTitle" id="5"><span class="validation_validationBlock validationMessage validation_requiredBlock"><i aria-hidden="true" class="medallicons_medallicons validation_validationIcon"></i><span
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          <div class="longform_groupContainer">
            <div class="layout_answers longform_group"><!-- react-text: 151 --><!-- /react-text -->
              <ul class="group_group">
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                  <div class="layout_answer" data-test-name="option-yes">
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                <li class="group_optionContainer">
                  <div class="layout_answer" data-test-name="option-no">
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      <div class="longform_longformContainer questionBlock multiSelectQuestion lnf_hide">
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          <legend class="question_questionTitle" id="6"><span class="validation_validationBlock validationMessage validation_requiredBlock"><i aria-hidden="true" class="medallicons_medallicons validation_validationIcon"></i><span
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            <div class="layout_answers longform_group"><!-- react-text: 182 --><!-- /react-text -->
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                  <div class="layout_answer" data-test-name="option-too-much-information">
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                        <div class="cell_cell option_captionContainer"><span aria-hidden="true" class="option_caption">Not interested</span></div>
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                        <div class="cell_cell option_captionContainer"><span aria-hidden="true" class="option_caption">Agree</span></div>
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                        <div class="cell_cell option_captionContainer"><span aria-hidden="true" class="option_caption">Strongly Agree</span></div>
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          <legend class="question_questionTitle" id="9"><span class="validation_validationBlock validationMessage validation_requiredBlock"><i aria-hidden="true" class="medallicons_medallicons validation_validationIcon"></i><span
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                            value="4"><span class="indicatorRadio_indicatorRadioContainer option_indicator indicatorRadio"></span></div>
                        <div class="cell_cell option_captionContainer"><span aria-hidden="true" class="option_caption">Strongly Agree</span></div>
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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/.

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We are asking for this information so that you can provide compliments,
recommendations, or concerns to VAReadjustment Counseling Service (RCS) Vet
Centers. By filling out this survey, you are authorizing VARCS Vet Centers
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 VARCS Vet Centers.
Your contact information and response may be referred to the Veterans Crisis
Line if an automated review indicates your response may be concerning. The
Veterans Crisis Line may contact you for follow up as a result of that referral.
VARCS Vet Centers 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. This survey is used to inform Congressional legislation
and budgets to help the VA better serve Veterans with educational assistance.
The information gathered from this survey will be maintained and stored in a
secure survey platform. VA will not disclose information collected on this form
to any source other than what has been authorized under the Privacy Act of 1974.
Your response is voluntary. Giving us your information is voluntary. Refusal to
provide your information will not result in the denial of benefits. VA will not
deny an individual benefits for refusing to provide information asked within
this survey. The responses you submit are considered confidential (38 U.S.C.
5701). Information submitted is subject to verification through computer
matching programs with other agencies. This information is collected in
accordance with section 3507 of the Paperwork Reduction Act of 1995.
Accordingly, we may not conduct or sponsor and you are not required to respond
to, a collection of information unless it displays a valid OMB number. We
anticipate that the time expended by all individuals who complete this survey
will average The Center for Women Veterans is exempt from the Paperwork
Reduction Act as found in the Public Law (P.L.) 103 section 509, 318(d). 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 1 minute2 minutes3
minutes4 minutes5 minutes6 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 VARCS Vet Centers services. Participation
in this survey is voluntary, and your decision not to respond will have no
impact on VA benefitsVA or RCS Vet Centers confidentiality, benefits or services
which you may currently be receiving. . This includes the time it will take to
follow instructions, gather the necessary facts and respond to questions asked.
Customer satisfaction is used to gauge customer perceptions of VA services as
well as customer expectations and desires. The results of this survey will lead
to improvements in the quality of service delivery by helping to improve
educational assistance programs. Participation in this survey is voluntary and
failure to respond will have no impact on benefits to which you may be
entitled.VARCS Vet Centers 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.

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If you have additional questions or concerns, please reach out to the Veterans
Experience Office.