Armed Forces Connector Survey

This survey should be completed by ex-military, reservists or adult family members of ex-military living in the Thanet or Canterbury districts. Each month, a £25 Marks & Spencer voucher will be randomly given out to those completing the survey. You will also receive the monthly Armed Forces Connector e-bulletin. 

 

Please enable JavaScript in your browser to complete this form.
Name
Address
Which of the following would you like to receive information about ?
Age group
Gender
Have you ever served in the British Armed Forces as either a Regular or Reserve?
What Service were you in?
If you were a Reservist, are you still serving?
Would you classify yourself as being wounded/injured/sick due to serving in the British Armed Forces?
Are you at risk from others?
Mental Health Assessment. Below are some statements about feelings and thoughts. On all the questions, please tick what best describes your experiences over the last two weeks:
All of the time Often Some of the time Rarely None of the time
I’ve been feeling positive about the future
All of the time
Often
Some of the time
Rarely
None of the time
I’ve been feeling relaxed
All of the time
Often
Some of the time
Rarely
None of the time
I’ve been feeling useful
All of the time
Often
Some of the time
Rarely
None of the time
I’ve been dealing with problems well
All of the time
Often
Some of the time
Rarely
None of the time
I’ve been thinking clearly
All of the time
Often
Some of the time
Rarely
None of the time
I’ve been feeling close to other people
All of the time
Often
Some of the time
Rarely
None of the time
I’ve been able to make up my own mind about things
All of the time
Often
Some of the time
Rarely
None of the time
Please tell us about your disabilities, please tick any applicable boxes:
What ethnic group do you consider yourself to belong to?