Survey Text

1984
top
1984
Survey form view entire document:  text  image
16a. Is anyone in the family now covered by any other program that provides health care for military dependents or survivors of military persons?

[] Yes
[] No (M2)
[] DK

b. Is -- now covered?

1[] Yes
2[] No
9[] DK

b. Does -- now receive compensation for this disability from the Veteran's Administration?

1[] Yes
2[] No