| | No personal identity is needed to answer these questions. |
| Veteran's current age |
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| Kind of job worked during activation/deployment (MOS, AFSC, etc.) |
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| Date/year which you, the veteran, began to experience symptoms and condtions from exposures |
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| Marital status when deployed (married, single, divorced, widowed). Example answer for change of marital status in multiple deployments and/or marriages: "married, widowed" |
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| Age(s) when deployed. Example answer for change of ages in multiple deployments: "25 years old, 29 years old" |
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| Number of deployments |
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| Current marital status (married, single, divorced, widowed) |
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| Number of marriages to date |
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| Number of divorces to date |
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| Number of significant relationships to date |
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| Number of jobs held since discharge |
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| Are you employed now? |
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| Number of biological children born to the veteran BEFORE each deployment |
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| Number of biological children born to the veteran AFTER each deployment |
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| Number of biological children *with disabilities* born to the veteran BEFORE each deployment |
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| Number of biological children *with disabilities* born to the veteran AFTER each deployment |
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| Number of still births born to the veteran before each deployment |
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| Number of still births born to the veteran after each deployment |
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