Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

TBI-An Invisible Wound

Sign in to Save Progress
  2. VW.png
  3. Thank you for participating in the VIEWER ADVISORY PANEL for the VETERANS’ VOICES television show.

    This short Survey covers the episode titled “TBI-An Invisible Wound” which first aired on Monday, February 19, 2018.
  13. A panel discussion on topic “TBI-AN INVISIBLE WOUND” hosted by Nathan Johnson and Kevin Graves with guests Ryan Sykes and Melissa Margaine. (RATE FROM 1 TO 5 with 5 being the highest)
  15. Video Clip of the Veterans Service Office, Nathan Johnson and Buck Carmichael, with a brief recap of forms needed to review VA Benefits. (RATE FROM 1 TO 5)
  17. A continuation of the TBI discussion with new guests Dr. James Muir and Dr. Andrew Kayser. (RATE FROM 1 TO 5)
  19. Video Clip with Dr. Shauna Springer interviewing former WWE wrestler Chris Nowinski. (RATE FROM 1 TO 5)
  21. “A Veteran’s Voice” segment with Steven Burchik interviewing Major General (Ret.) Daniel Helix, author of “The Kochi Maru Affair” about his writings and his experience in Korea.
  23. Rate Overall Show: Your personal OVERALL RATING for the content of this particular show. (RATE FROM 1 TO 5)
  25. Add any comments you wish to make about the overall show or any particular segment.
  27. If you missed this episode of VETERANS’ VOICES, you can watch it when it repeats on your local Cable TV station for the next 30 days (Mondays at 7:00 PM, Wednesdays at 11:00 PM and Saturday at 9:00 AM). You can also view this episode on your computer starting Wednesday, February 21st by clicking this link to get to the VETERANS’ VOICES website: http://www.contracosta.ca.gov/5163/Veterans-Voices
    28. Leave This Blank:

  30. This field is not part of the form submission.