DVBCST1 ;ALB/JEH SOCIAL AND INDUSTRIAL SURVEY WKS TEXT - 1 ; 24 MAY 2004
;;2.7;AMIE;**70**;Apr 10, 1995
;
;
TXT ;
;;A. Demographic & Information and Sources
;; -------------------------------------
;;
;; 1. Note the location of the interview/exam.
;;
;; 2. List demographic data, including age, gender, marital status, and other
;; relevant data.
;;
;; 3. List service connected disabilities.
;;
;; 4. Discuss capacity to manage financial affairs (if an issue).
;;
;; 5. Verify accuracy of veteran's name, address, phone number.
;;
;; 6. List informants or sources of information, such as claims folder,
;; medical record, veteran, family members, employers, neighbors, friends,
;; physician, or other persons.
;;
;; 7. If S&I Survey is done in the community, list the collaterals residing in
;; the home, their ages and relationship to the veteran, a brief
;; description at the household appearance and overall home environment.
;;
;;
;;B. Appearance & Response to Interview
;; ----------------------------------
;;
;; 1. Appearance - Describe the veteran's size, build, general physical
;; appearance and dress, noting any distinguishing features or
;; characteristics.
;;
;; 2. Indicate if s/he was alone or interviewed with others.
;;
;; 3. Make personal observations as to attitude, openness to interview,
;; reality testing, physical or mental difficulties in communicating. Does
;; s/he find the interview stressful or threatening? Is s/he cooperative
;; and friendly or guarded and withdrawn? Observe eye contact, facial
;; expressions, and attention span during interview.
;;
;;
;;C. Disabilities
;; ------------
;;
;; 1. Include disabilities listed on Form 2507 for which the exam is
;; requested and any other complaints or conditions expressed by the
;; veteran.
;;
;; 2. List of current medications.
;;
;;
;;D. Brief Pre-Military Social History
;; ---------------------------------
;;
;; Include where the veteran was born, his/her family configuration,
;; education, etc.
;;
;;
;;E. Military History
;; ----------------
;;
;; 1. Date the veteran entered military service and branch of service.
;;
;; 2. Where s/he completed basic training.
;;
;; 3. Military occupation(s).
;;
;; 4. Primary assignments and where stationed.
;;
;; 5. Any special training received in military.
;;
;; 6. Combat experiences.
;;
;; 7. Sexual trauma while in military.
;;
;; 8. Injuries or illness incurred while in military.
;;
;; 9. If claim is for PTSD, include a detailed account of the traumatic
;; experience(s).
;;
;; 10. Relationships with peers, superiors, subordinates, etc.
;;
;;
;;F. Prisoner of War (POW) Data (if applicable)
;; --------------------------
;;
;; 1. Capture Data
;; ------------
;;
;; a. Injuries/wounds incurred when captured and any treatment received.
;;
;; b. Captors - Date and place captured.
;;
;; c. Internment - List names of camps where interred and dates of
;; internment, psychological conditions, physical conditions, methods
;; used to control prisoners.
;;
;; d. Work - Physical & psychological conditions of work.
;;
;; e. Diet - Daily meals, including types of food, quantities, regularity
;; of meals.
;;
;; f. Illnesses or Injuries incurred when captured or while imprisoned
;; and any treatment received.
;;
;; 2. Information from Veteran's Significant Other(s)
;; -----------------------------------------------
;;
;; a. The significant other's relationship to the veteran.
;;
;; b. Whether s/he knew veteran before or after capture.
;;
;; c. Any changes observed.
;;
;; d. General comments on impact of POW experience.
;;
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCST1 4145 printed Sep 23, 2025@19:24:49 Page 2
DVBCST1 ;ALB/JEH SOCIAL AND INDUSTRIAL SURVEY WKS TEXT - 1 ; 24 MAY 2004
+1 ;;2.7;AMIE;**70**;Apr 10, 1995
+2 ;
+3 ;
TXT ;
+1 ;;A. Demographic & Information and Sources
+2 ;; -------------------------------------
+3 ;;
+4 ;; 1. Note the location of the interview/exam.
+5 ;;
+6 ;; 2. List demographic data, including age, gender, marital status, and other
+7 ;; relevant data.
+8 ;;
+9 ;; 3. List service connected disabilities.
+10 ;;
+11 ;; 4. Discuss capacity to manage financial affairs (if an issue).
+12 ;;
+13 ;; 5. Verify accuracy of veteran's name, address, phone number.
+14 ;;
+15 ;; 6. List informants or sources of information, such as claims folder,
+16 ;; medical record, veteran, family members, employers, neighbors, friends,
+17 ;; physician, or other persons.
+18 ;;
+19 ;; 7. If S&I Survey is done in the community, list the collaterals residing in
+20 ;; the home, their ages and relationship to the veteran, a brief
+21 ;; description at the household appearance and overall home environment.
+22 ;;
+23 ;;
+24 ;;B. Appearance & Response to Interview
+25 ;; ----------------------------------
+26 ;;
+27 ;; 1. Appearance - Describe the veteran's size, build, general physical
+28 ;; appearance and dress, noting any distinguishing features or
+29 ;; characteristics.
+30 ;;
+31 ;; 2. Indicate if s/he was alone or interviewed with others.
+32 ;;
+33 ;; 3. Make personal observations as to attitude, openness to interview,
+34 ;; reality testing, physical or mental difficulties in communicating. Does
+35 ;; s/he find the interview stressful or threatening? Is s/he cooperative
+36 ;; and friendly or guarded and withdrawn? Observe eye contact, facial
+37 ;; expressions, and attention span during interview.
+38 ;;
+39 ;;
+40 ;;C. Disabilities
+41 ;; ------------
+42 ;;
+43 ;; 1. Include disabilities listed on Form 2507 for which the exam is
+44 ;; requested and any other complaints or conditions expressed by the
+45 ;; veteran.
+46 ;;
+47 ;; 2. List of current medications.
+48 ;;
+49 ;;
+50 ;;D. Brief Pre-Military Social History
+51 ;; ---------------------------------
+52 ;;
+53 ;; Include where the veteran was born, his/her family configuration,
+54 ;; education, etc.
+55 ;;
+56 ;;
+57 ;;E. Military History
+58 ;; ----------------
+59 ;;
+60 ;; 1. Date the veteran entered military service and branch of service.
+61 ;;
+62 ;; 2. Where s/he completed basic training.
+63 ;;
+64 ;; 3. Military occupation(s).
+65 ;;
+66 ;; 4. Primary assignments and where stationed.
+67 ;;
+68 ;; 5. Any special training received in military.
+69 ;;
+70 ;; 6. Combat experiences.
+71 ;;
+72 ;; 7. Sexual trauma while in military.
+73 ;;
+74 ;; 8. Injuries or illness incurred while in military.
+75 ;;
+76 ;; 9. If claim is for PTSD, include a detailed account of the traumatic
+77 ;; experience(s).
+78 ;;
+79 ;; 10. Relationships with peers, superiors, subordinates, etc.
+80 ;;
+81 ;;
+82 ;;F. Prisoner of War (POW) Data (if applicable)
+83 ;; --------------------------
+84 ;;
+85 ;; 1. Capture Data
+86 ;; ------------
+87 ;;
+88 ;; a. Injuries/wounds incurred when captured and any treatment received.
+89 ;;
+90 ;; b. Captors - Date and place captured.
+91 ;;
+92 ;; c. Internment - List names of camps where interred and dates of
+93 ;; internment, psychological conditions, physical conditions, methods
+94 ;; used to control prisoners.
+95 ;;
+96 ;; d. Work - Physical & psychological conditions of work.
+97 ;;
+98 ;; e. Diet - Daily meals, including types of food, quantities, regularity
+99 ;; of meals.
+100 ;;
+101 ;; f. Illnesses or Injuries incurred when captured or while imprisoned
+102 ;; and any treatment received.
+103 ;;
+104 ;; 2. Information from Veteran's Significant Other(s)
+105 ;; -----------------------------------------------
+106 ;;
+107 ;; a. The significant other's relationship to the veteran.
+108 ;;
+109 ;; b. Whether s/he knew veteran before or after capture.
+110 ;;
+111 ;; c. Any changes observed.
+112 ;;
+113 ;; d. General comments on impact of POW experience.
+114 ;;
