Health Survey


We all know that Vietnam Veterans suffer a high number of health problems. As a potential benefit to all of us, I would like you to complete this health survey.  All responses will be kept confidential.  All of your answers will be consolidated into a spreadsheet and this information will only be used as a resource for when one of us want to know the frequency of various diseases/illnesses among our group.

Health Survey MS Word Format

Open the file, do a File "Save As" to a location on your computer, complete the survey using MS Word, and then email the completed survey to

Health Survey Adobe PDF Format

Open and print the file, complete the survey, and then mail the completed survey to me. Contact for the mailing address. If you have the ability to scan the completed survey, you can email it to me.

If you need the survey in some other format, email me at

To view the latest survey results, click here.



To download a file, click on the link above, using the "right" mouse button, and selecting "Save Target As..." or "Save Link As...".

You must have an installed copy of the Adobe Reader in order to view some of these files. Download the Free Adobe Reader.

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