Questionnaire Text

2022 ACS
2021 ACS
2016 ACS
2011 ACS
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2022 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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2022 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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2021 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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2021 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

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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
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
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
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.

top
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.