Questionnaire Text

Questionnaire form view entire document:  text  image
29.a. Does this person have a VA service-connected disability rating?

[] Yes (such as 0%, 10%, 20%, ?, 100%)
[] No -- Skip to question 30a
Questionnaire instructions view entire document:  text  image
Person questions 25-32

Answer question 25 if this person is female and 15-50 years old. Otherwise, skip to question 26a.

P29.a. Mark the "Yes" box if the person has a Department of Veterans Affairs (VA) service-connected disability rating.