RE-INTEGRATION SURVEY
Lastname:
Firstname:
Rank: Years in Service: 
Unit:

Note: There is a limit of 255 characters per response.

Where did you demobilize from?

Please rate the overall six month Re-Integration Process
Great Not Very Good
What is one thing that could be done to improve the Reintegration Program?
Did you complete a show-down inspection of your equipment during the Reintegration Process?
Yes No Don't Know

If yes, please list any problems that you encountered or type “No Problems”

Did you have a Freedom Salute Ceremony?
Yes No Don't Know

If yes, please rate the Freedom Salute Ceremony?:
Great Not Very Good

How could the Freedom Salute Survey be improved?

Did you use the Army legal services? (Income tax, power of attorney, etc)
Yes No Don't Know

If yes, please rate the Army legal services
Great Not Very Good

Were you eligible to Re-Enlist during your Deployment?
Yes No Don't Know

If you were eligible, did you re-enlist? Why / why not?

Do you ETS in the next 12 months?
Yes No Don't Know

Do you currently intend to Re-Enlist?
yes No Don't Know

Do you have any Pay / Finance problems?
Yes No Don't Know

If yes, please list the problem

Did you speak with a Finance Rep during the Reintegration Process?
Yes No Don't Know

Do you have any admin or personnel Related Problems?
Yes No Don't Know

If yes, please list the problem

Did you speak with a Admin Rep during the Reintegration Process?
Yes No Don't Know

Does your family participate in the Family Support Group programs?
Yes No Don't Know

If No, why doesn't your family participate in the Family Support Group programs?

Did you know that you are eligible to participate in Tricare Reserve Select Health Insurance?
Yes No Don't Know

Do you intend to participate in Tricare Reserve Select Health Insurance?
Yes No Don't Know

If No, why not?

Did you know that there is a special Dental Insurance plan for Guardsmen?
Yes No Don't Know

Do you intend to participate?
Yes No Don't Know

If No, why not?

Are you familiar with the State & Federal Tuition Assistance Program for college?
Yes No Don't Know

Do you know how to sign up to receive Tuition Assistance?
Yes No Don't Know

Do you know how to activate your G.I. Bill?
Yes No Don't Know

Are you aware that the Chaplain holds Emotional Support Group Meetings for both adults and youth in communities across Nebraska?
Yes No Don't Know

Does your family attend?
Yes No Don't Know

If No, why not?

Are you aware that the Chaplains hold a Strong Bonds and Marriage Strengthening seminars for you and your spouse?
Yes No Don't Know

Are you interested in attending a weekend marriage renewal retreat with your spouse?
Yes No Don't Know

If no, why not?

Please rate your post deployment Stress level
Very High Very Low

Do you have children?
Yes No

If Yes, are you aware that the guard sponsors Youth Reintegration programs for children under age 19?
Yes No

Please rate your awareness of your VA Benefits
Very High Very Low

List one VA benefit that you are eligible for:

Have you signed up with the VA?
Yes No Don't Know

If No, why not?

Do you have civilian employment that you are returning to?
Yes No Don't Know

Do you anticipate any problems returning to your civilian employment?
Yes No Don't Know

If yes, do you know who to contact to help you resolve those problems?
Yes No Don't Know

If you do not have civilian employment, are you aware of job fair and Dept of Labor opportunities for Veterans?
Yes No Don't Know

Do you have any medical conditions related to your deployment
Yes No Don't Know

If yes, were these conditions adequately addressed during the Reintegration process?
Yes No Don't Know

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