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GovBenefits.gov - Your Benefits Connection
GovBenefits.gov - Your Benefits Connection Group of potential benefit recipients
 
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>> Locate Federal Benefits >>

AM I ELIGIBLE: QUESTIONNAIRE


A maximum number of 2 question(s) remaining.
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Answer questions and review all benefits you may be eligible to receive.

Depending on your answers, you may be presented with additional questions. To ensure the most accurate results, you should answer all the questions listed. You may click the 'Stop and View Results' button at any time to review results based on the answers you already submitted. Your answers are used only to determine potential eligibility. GovBenefits.gov does not keep any data you enter. 		Stop and view results

1.
Indicate if you or any of your family/household members have a disability.
Child(ren)
Spouse
Parent
Self
None of the above
2.
Do you or any of your family/household members have any of the following conditions?(check all that apply)
Blindness
Hereditary blood disorder
Drug or alcohol dependency
HIV or AIDS
Limb differences
Limb loss
Mental illness
Paralysis
Permanently (rated 100%) disabled from a service-connected condition
Pregnancy
End-stage Renal Disease (permanent kidney failure requiring dialysis or a transplant)
Spina Bifida(not including spina bifida occulta)
Answer more questions Stop and view results
 
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