Needs Assessment Survey

If you are a veteran that currently resides within Jefferson or Shelby Counties in Alabama, please consider taking this survey. This survey will take approximately 30 minutes to take.

Please click here to be directed to the survey:

Please note- you do not have to participate in a focus group to take the survey.

Veterans who complete the survey will be given the option to provide their email address to be entered into a drawing for one of several 50$ gift cards. Additionally, if a veteran has been referred by a supportive organization, they can provide information on who referred them, and the supportive organization who refers the most amount of participants will receive a financial award. If they cannot accept a financial award, they can select another supportive organization or veteran centric charity to donate the award to.

Please note, some of the questions within the survey may cause some emotional discomfort. If you experience crisis, please contact the Veterans Crisis Line (chat or email:, phone: 1-800-273-8255, Press 1).

The survey will be available from September 1st through November 15th. Please check back for access to the survey during that time. Thank you!

Create your website at
Get started
%d bloggers like this: