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Post Retreat Survey
Section 1: Demographics
First Name:
*
Last Name:
*
Participant ID: (For Internal Use, Please Leave Blank)
Survey Completion Date:
*
Month
Day
Year
Highest Level of Education Completed
*
Current Employment Status
*
Your current military status
*
Years as a military spouse/partner
*
Your spouse/ partner's current military status
*
Your spouse/partner is:
*
Which best describes your current relationship status with your service member?
*
How many children do you currently have
*
Are you currently under the care of a mental health provider?
*
What currently feels most challenging for you related to anxiety, stress, rest, or connection?
*
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