Form Center

2. How many times a month do you use your Veterans' Discount ID Card?*

   1. 0-5
   2. 6-10
   3. 11-20
   4. 20+
4. At what type of business do you use your Veterans' Discount ID Card the most?*

   1. Apparel
   2. Attorneys
   3. Automotive Sales and Service
   4. Bakeries and Candy Shops
   5. Computer, Printing and Resume Service
   6. Dental
   7. Drug Stores
   8. Entertainment
   9. Florists
   10. Gift Shops
   11. Gyms/Athletic

   1. Hardware Stores
   2. Healthcare and Medical Services
   3. Home and Garden
   4. Insurance and Financial Services
   5. Jewelry
   6. Miscellaneous
   7. Pet Care
   8. Realtors and Mortgage Services
   9. Restaurants/Groceries/Catering
   10. Title Companies
   11. Salons and Spas
6. What types of businesses would you like to see added to our vendor list?*
8. I typically use my Veterans' Discount ID Card...*

   1. When I'm by myself
   2. With I am with my spouse/significant other
   3. When I'm out in small groups
   4. When I'm out with large groups
   5. All of the above
   6. None of the above
10. How likely are you to recommend the Montgomery County Veterans' Discount ID Card to other veterans?*

    1. Very likely
    2. Somewhat likely
    3. Neutral
    4. Somewhat unlikely
    5. Very unlikely
12. How likely are you to recommend other veterans record their military discharge papers with the Recorder of Deeds?*

    1. Very likely
    2. Somewhat likely
    3. Neutral
    4. Somewhat unlikely
    5. Very Unlikely
14. What was the primary reason you recorded your military discharge papers at the Recorder of Deeds?*

    1. To to receive the discounts available.
    2. To safeguard my discharge paperwork.
    3. Other
16. In a few words, what is the greatest benefit of the Recorder of Deeds Veterans Program?
18. Where did you get your Veterans' Discount ID?*

    1. At the Montgomery County Recorder of Deeds office
    2. At a Mobile Veterans' Discount Identification event
20. Do you have a testimonial about the program or a business that your would like to share? If so, please let us know

    *Please note we may use your testimonial in future communication materials.

22. If you have needed to request copies of your military discharge documents from our office, please let us know about your experience.
24. What is your age?

    1. Under 25
    2. 25-34
    3. 35-44
    4. 45-54
    5. 55-64
    6. 65-74
    7. 75+
26. Where do you reside?
    -- Select One --Abington TownshipAmbler BoroughBridgeport BoroughBryn Athyn BoroughCheltenham TownshipCollegeville BoroughConshohocken BoroughDouglass TownshipEast Greenville BoroughEast Norriton TownshipFranconia TownshipGreen Lane BoroughHatboro BoroughHatfield BoroughHatfield TownshipHorsham TownshipJenkintown BoroughLansdale BoroughLimerick TownshipLower Frederick TownshipLower Gwynedd TownshipLower Merion TownshipLower Moreland TownshipLower Pottsgrove TownshipLower Providence TownshipLower Salford TownshipMarlborough TownshipMontgomery TownshipNarberth BoroughNew Hanover TownshipNorristown BoroughNorth Wales BoroughPennsburg BoroughPerkiomen TownshipPlymouth TownshipPottstown BoroughRed Hill BoroughRockledge BoroughRoyersford BoroughSalford TownshipSchwenksville BoroughSkippack TownshipSouderton BoroughSpringfield TownshipTelford BoroughTowamencin TownshipTrappe BoroughUpper Dublin TownshipUpper Frederick TownshipUpper Gwynedd TownshipUpper Hanover TownshipUpper Merion TownshipUpper Moreland TownshipUpper Pottsgrove TownshipUpper Providence TownshipUpper Salford TownshipWest Conshohocken BoroughWest Norriton TownshipWest Pottsgrove TownshipWhitemarsh TownshipWhitpain TownshipWorcester Township
28. Thank you for taking the time to complete this survey!
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field