2024 Veteran Needs Survey
Please complete this survey to help us identify current needs for Veterans in South Florida. No personal identifying information will be collected or shared. Responses may be shared with community providers, partner agencies, and other Veteran-serving entities. Please share this link with other Veterans living in South Florida.

Expected time to complete is under 5 minutes. 

If you need help connecting with services please call 954-4-UNITED (954-486-4833). 

If you are at-risk of becoming homeless, please call or visit Mission United at the Veteran's Resource Center at 320 SE 9th Street, Fort Lauderdale, Florida 33316.
Sign in to Google to save your progress. Learn more
Your ZIP Code *
Branch of Service *
Gender *
Period of Service During Enlistment *
Age *
Needs Questionnaire
Select all of the issues that you need help with including the ones you are receiving services for, but have not yet resolved. 
Housing
Employment
Education
Health
Legal Services
Financial Stability
What type of events would you want to attend?
If you answered "other" to any question please describe other needs here:
OPTIONAL: If you would like to receive survey results and resources once the survey closes please enter your email address here. 
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report