Questionnaire Text

2019 ACS 2016 ACS 2013 ACS 2010 ACS
2018 ACS 2015 ACS 2012 ACS 2009 ACS
2017 ACS 2014 ACS 2011 ACS 2008 ACS
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2019 ACS
Questionnaire form view entire document:  text  image
28.
a) Does this person have a VA service-connected disability rating?
[ ] Yes (such as 0%, 10%, 20%, ... , 100%)
[ ] No ? SKIP to question 29a

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2019 ACS
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b) What is this person's service-connected disability rating?
[ ] 0 percent
[ ] 10 or 20 percent
[ ] 30 or 40 percent
[ ] 50 or 60 percent
[ ] 70 percent or higher

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2018 ACS
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28.
a) Does this person have a VA service-connected disability rating?
[ ] Yes (such as 0%, 10%, 20%, ... , 100%)
[ ] No ? SKIP to question 29a

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2018 ACS
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b) What is this person's service-connected disability rating?
[ ] 0 percent
[ ] 10 or 20 percent
[ ] 30 or 40 percent
[ ] 50 or 60 percent
[ ] 70 percent or higher

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2017 ACS
Questionnaire form view entire document:  text  image
28.
a) Does this person have a VA service-connected disability rating?
[ ] Yes (such as 0%, 10%, 20%, ... , 100%)
[ ] No ? SKIP to question 29a

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2017 ACS
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b) What is this person's service-connected disability rating?
[ ] 0 percent
[ ] 10 or 20 percent
[ ] 30 or 40 percent
[ ] 50 or 60 percent
[ ] 70 percent or higher

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2016 ACS
Questionnaire form view entire document:  text  image
28.
a) Does this person have a VA service-connected disability rating?
[ ] Yes (such as 0%, 10%, 20%, ... , 100%)
[ ] No ? SKIP to question 29a
Questionnaire instructions view entire document:  text  image
28b. Mark the "0 percent" box if the person has received a service-connected disability rating of zero. DO NOT mark the box showing "0 percent" to indicate no rating.

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2016 ACS
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b) What is this person's service-connected disability rating?
[ ] 0 percent
[ ] 10 or 20 percent
[ ] 30 or 40 percent
[ ] 50 or 60 percent
[ ] 70 percent or higher
Questionnaire instructions view entire document:  text  image
28a. Mark the "Yes" box if the person has a Department of Veterans Affairs (VA) service-connected disability rating.

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2015 ACS
Questionnaire form view entire document:  text  image
28.
a) Does this person have a VA service-connected disability rating?
[ ] Yes (such as 0%, 10%, 20%, ... , 100%)
[ ] No ? SKIP to question 29a
Questionnaire instructions view entire document:  text  image
28b. Mark the "0 percent" box if the person has received a service-connected disability rating of zero. DO NOT mark the box showing "0 percent" to indicate no rating.

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2015 ACS
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b) What is this person's service-connected disability rating?
[ ] 0 percent
[ ] 10 or 20 percent
[ ] 30 or 40 percent
[ ] 50 or 60 percent
[ ] 70 percent or higher
Questionnaire instructions view entire document:  text  image
28a. Mark the "Yes" box if the person has a Department of Veterans Affairs (VA) service-connected disability rating.

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2014 ACS
Questionnaire form view entire document:  text  image
28.
a) Does this person have a VA service-connected disability rating?
[ ] Yes (such as 0%, 10%, 20%, ... , 100%)
[ ] No ? SKIP to question 29a
Questionnaire instructions view entire document:  text  image
28b. Mark the "0 percent" box if the person has received a service-connected disability rating of zero. DO NOT mark the box showing "0 percent" to indicate no rating.

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2014 ACS
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b) What is this person's service-connected disability rating?
[ ] 0 percent
[ ] 10 or 20 percent
[ ] 30 or 40 percent
[ ] 50 or 60 percent
[ ] 70 percent or higher
Questionnaire instructions view entire document:  text  image
28a. Mark the "Yes" box if the person has a Department of Veterans Affairs (VA) service-connected disability rating.

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2013 ACS
Questionnaire form view entire document:  text  image
28.
a) Does this person have a VA service-connected disability rating?
[ ] Yes (such as 0%, 10%, 20%, ... , 100%)
[ ] No ? SKIP to question 29a
Questionnaire instructions view entire document:  text  image
28b. Mark the "0 percent" box if the person has received a service-connected disability rating of zero. DO NOT mark the box showing "0 percent" to indicate no rating.

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2013 ACS
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b) What is this person's service-connected disability rating?
[ ] 0 percent
[ ] 10 or 20 percent
[ ] 30 or 40 percent
[ ] 50 or 60 percent
[ ] 70 percent or higher
Questionnaire instructions view entire document:  text  image
28a. Mark the "Yes" box if the person has a Department of Veterans Affairs (VA) service-connected disability rating.

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2012 ACS
Questionnaire form view entire document:  text  image
28.
a) Does this person have a VA service-connected disability rating?
[ ] Yes (such as 0%, 10%, 20%, ... , 100%)
[ ] No ? SKIP to question 29a
Questionnaire instructions view entire document:  text  image
28a. Mark the "Yes" box if the person has a Department of Veterans Affairs (VA) service-connected disability rating.

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2012 ACS
Questionnaire form view entire document:  text  image
b) What is this person's service-connected disability rating?
[ ] 0 percent
[ ] 10 or 20 percent
[ ] 30 or 40 percent
[ ] 50 or 60 percent
[ ] 70 percent or higher
Questionnaire instructions view entire document:  text  image
28b. Mark the "0 percent" box if the person has received a service-connected disability rating of zero. DO NOT mark the box showing "0 percent" to indicate no rating.

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2011 ACS
Questionnaire form view entire document:  text  image
28.
a) Does this person have a VA service-connected disability rating?
[ ] Yes (such as 0%, 10%, 20%, ... , 100%)
[ ] No ? SKIP to question 29a
Questionnaire instructions view entire document:  text  image
28a. Mark the "Yes" box if the person has a Department of Veterans Affairs (VA) service-connected disability rating.

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2011 ACS
Questionnaire form view entire document:  text  image
b) What is this person's service-connected disability rating?
[ ] 0 percent
[ ] 10 or 20 percent
[ ] 30 or 40 percent
[ ] 50 or 60 percent
[ ] 70 percent or higher
Questionnaire instructions view entire document:  text  image
28b. Mark the "0 percent" box if the person has received a service-connected disability rating of zero. DO NOT mark the box showing "0 percent" to indicate no rating.

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2010 ACS
Questionnaire form view entire document:  text  image
28.
a) Does this person have a VA service-connected disability rating?
[ ] Yes (such as 0%, 10%, 20%, ... , 100%)
[ ] No ? SKIP to question 29a
Questionnaire instructions view entire document:  text  image
28a. Mark the "Yes" box if the person has a Department of Veterans Affairs (VA) service-connected disability rating.

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2010 ACS
Questionnaire form view entire document:  text  image
b) What is this person's service-connected disability rating?
[ ] 0 percent
[ ] 10 or 20 percent
[ ] 30 or 40 percent
[ ] 50 or 60 percent
[ ] 70 percent or higher
Questionnaire instructions view entire document:  text  image
28b. Mark the "0 percent" box if the person has received a service-connected disability rating of zero. DO NOT mark the box showing "0 percent" to indicate no rating.

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2009 ACS
Questionnaire form view entire document:  text  image
28.
a) Does this person have a VA service-connected disability rating?
[ ] Yes (such as 0%, 10%, 20%, ... , 100%)
[ ] No ? SKIP to question 29a
Questionnaire instructions view entire document:  text  image
28a. Mark the "Yes" box if the person has a Department of Veterans Affairs (VA) service-connected disability rating.

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2009 ACS
Questionnaire form view entire document:  text  image
b) What is this person's service-connected disability rating?
[ ] 0 percent
[ ] 10 or 20 percent
[ ] 30 or 40 percent
[ ] 50 or 60 percent
[ ] 70 percent or higher
Questionnaire instructions view entire document:  text  image
28b. Mark the "0 percent" box if the person has received a service-connected disability rating of zero. DO NOT mark the box showing "0 percent" to indicate no rating.

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2008 ACS
Questionnaire form view entire document:  text  image
28.
a) Does this person have a VA service-connected disability rating?
[ ] Yes (such as 0%, 10%, 20%, ... , 100%)
[ ] No ? SKIP to question 29a
Questionnaire instructions view entire document:  text  image
28a. Mark the "Yes" box if the person has a Department of Veterans Affairs (VA) service-connected disability rating.

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2008 ACS
Questionnaire form view entire document:  text  image
b) What is this person's service-connected disability rating?
[ ] 0 percent
[ ] 10 or 20 percent
[ ] 30 or 40 percent
[ ] 50 or 60 percent
[ ] 70 percent or higher
Questionnaire instructions view entire document:  text  image
28b. Mark the "0 percent" box if the person has received a service-connected disability rating of zero. DO NOT mark the box showing "0 percent" to indicate no rating.