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GULF WAR ILLNESSES AND EXPOSURES TO INCLUDE CIVILIANS AND OTHER VETERAN ERA EXPOSURES - MENTAL HEALTH ISSUES (PAGE 3) |
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Branch of military or civilian status. If you are both, a veteran and a spouse of a veteran, answer only for yourself as a veteran. Spouses or families of deceased or severely disabled veterans may answer questions they know about in behalf of their deceased or disabled veteran family member.
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Era of conflicts or operations you served in.
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Your country of origin/citizenship (not the country you were deployed to).
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MENTAL HEALTH You need only to answer the era(s)/column(s) that apply to you. There are 12 eras/columns listed, so please scroll down the find the eras/columns that apply to you. (Vietnam, Gulf War, Operation Iraqi Freedom, Operation Enduring Freedom, Bosnia, Afghanistan, Other era/campaign, Civilian, SHAD, Agent Orange, Edgewood Test Veterans, Ionizing Radiation Veterans)
Answering these questions to the best of your ability may shed light as to how experience in combat (or other traumatic events) and toxic exposures affect the quality of your health, emotional well-being, your family, and your job. These questions are not meant to judge you in any way. See Also, Mental Health Hotline: http://tinyurl.com/2akoj5
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Did you deploy to the theatre (or area of responsibility?) |
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Are you a combat veteran of more than one era? If so, please answer "yes" to all eras pertaining to you. |
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Did you have any diagnosed mental health issues before deployment? (like having PTSD from a previous deployment) |
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Have your mental health conditions been evaluated by a doctor? |
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Do you know the qualifications of the mental health provider that treated you? |
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Was your doctor working for DoD, MoD, or the VA? |
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Were any X-RAYS taken on your brain to rule out traumatic brain injury or other brain damage? |
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Do you feel that your condition(s) were chalked up to PTSD before any diagnostic/lab tests were done to rule out neurological conditions from your exposures? |
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Were (or are) you concerned about reporting any emotional or mental conditions due to your security clearance or risk to career? |
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Do you currently have a problem with alcohol or drugs? |
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Have you ever had a problem with drugs or alcohol in the past? |
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If you have a drug or alcohol problem, do you feel it was due to wartime stressors? |
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Have you reviewed your mental health records to check for accuracey and completeness in what your mental health provider has written? |
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Did you find any discrepancies/errors in your mental health records? |
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Did you experience death either to a comrade, allied force or enemy while in the theatre of operations? |
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Did you experience severe wounding to either yourself, a comrade, allied force, or enemy while in the theatre of operations? |
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Do you know of other soldiers from your unit who are now either sick or deceased? |
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Do you belong to a support group? |
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Please use the block below to explain any details. |
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Use this space to give more details from answers above.
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MENTAL HEALTH You need only to answer the era(s)/column(s) that apply to you. Answering these questions to the best of your ability may shed light as to how experience in combat (or other traumatic events) and toxic exposures affect the quality of your health, emotional well-being, your family, and your job. These questions are not meant to judge you in any way.
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Did you deploy to the theatre (or area of responsibility?) |
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|
|
| |
|
|
|
| |
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Are you a combat veteran of more than one era? If so, please answer "yes" to all eras pertaining to you. |
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Did you have any diagnosed mental health issues before deployment? (like having PTSD from a previous deployment) |
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Have your mental health conditions been evaluated by a doctor? |
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Do you know the qualifications of the mental health provider that treated you? |
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Was your doctor working for DoD, MoD, or the VA? |
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Were any X-RAYS taken on your brain to rule out traumatic brain injury or other brain damage? |
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Do you feel that your condition(s) were chalked up to PTSD before any diagnostic/lab tests were done to rule out neurological conditions from your exposures? |
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Were (or are) you concerned about reporting any emotional or mental conditions due to your security clearance or risk to career? |
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Do you currently have a problem with alcohol or drugs? |
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Have you ever had a problem with drugs or alcohol in the past? |
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If you have a drug or alcohol problem, do you feel it was due to wartime stressors? |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
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Have you reviewed your mental health records to check for accuracey and completeness in what your mental health provider has written? |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
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Did you find any discrepancies/errors in your mental health records? |
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|
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Did you experience death either to a comrade, allied force or enemy while in the theatre of operations? |
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|
|
| |
|
|
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Did you experience severe wounding to either yourself, a comrade, allied force, or enemy while in the theatre of operations? |
|
|
|
| |
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Do you know of other soldiers from your unit who are now either sick or deceased? |
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Do you belong to a support group? |
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