Converts: 1st page submit
Filters:-
Q1.) When did you live or work at Camp Lejeune?
Accepted value = 1953-1987
Q2.) What best describes the reason you lived or worked at Camp Lejeune?
Accepted values:
Military contractor, Military service member, Spouse of military service member, Child of military service member, Civilian employee
Q3.) What injury were you or your loved one diagnosed with?
Accepted injuries :
Aplastic anemia, Bladder cancer, Kidney cancer, Kidney disease, Leukemia, Liver cancer, Multiple myeloma, Non-Hodgkin's lymphoma, Parkinson's disease, Renal toxicity, Scleroderma, MDS (Myelodysplastic syndromes)
Q4.) Have you retained an attorney for Camp Lejeune water contamination?
Accepted value = No
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