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Completing the Registry Questionnaire

Completing the Registry Questionnaire

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Airborne Hazards and Open Burn Pit Registry

How long will it take me to complete the questionnaire?


The online questionnaire will take about an hour to complete, depending on your number of deployments. You can fill out the questionnaire in multiple sittings by saving your information and returning later to complete it.


What type of questions should I be prepared to answer?


You will be asked a series of questions in the following categories:

  • Where and when you were deployed
  • Conditions and health issues that cause difficulty with daily activities
  • Current and past health symptoms
  • Where you've lived
  • The type of work you do and have done
  • Dust, gas, vapors, or fumes exposures
  • Home environment and hobbies
  • How and when you seek health care
  • Contact preferences


Can I add a deployment after I submit my questionnaire?


You can save your progress and return to the questionnaire as many times as you like, but you will not be able to revise your responses or add deployments after you submit your questionnaire.


Why does the questionnaire ask about my current job and hobbies?


It is important for medical providers to have a complete picture of your health. The questionnaire asks a broad range of questions because an individual’s health is greatly influenced by their lifestyle. Health conditions can worsen over time from additional or prolonged exposures experienced during work or recreation. Your current or past jobs, hobbies, civilian exposures, and lifestyle will not affect eligibility for benefits.


When I add personal information to the registry, will other people see my answers?


Your personal information will be secure and VA will review it for authorized purposes only. Registry data will be provided to other government agencies (including DOD), research institutions, and the general public, but your identity will not be linked to it. You are responsible for protecting your personal information that you print out or download.


Will my provider be able to access my completed questionnaire at my registry evaluation or during other medical exams?


DOD providers can access completed questionnaires in the Individual Longitudinal Exposure Record (ILER). However, to avoid technical issues, please bring a printed copy of your questionnaire or securely submit an electronic copy when you attend your registry evaluation and/or your next routine health assessment (such as your Periodic Health Assessment or Post-Deployment Health Assessment). Sharing your completed questionnaire can help your provider obtain a comprehensive picture of your health and potential health concerns.


Can I print or download a copy of my questionnaire?


Yes, everyone who registers for the Airborne Hazards and Open Burn Pit Registry can download and/or print a copy of their completed questionnaire upon submission. You can also log back in to the registry to access it anytime.

Last Updated: April 08, 2022

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

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