BCD Applicant Questionnaire
RequiredRequired Question(s)

 Please respond to this 13-item questionnaire fully and candidly. Answers to each are required and will be kept confidential.

The BCD is a key to career advancement, especially in the VA. Your answers to this questionnaire will help us to know more about your practice and to represent your interests as major changes are implemented at the VA in compliance with the new federal law.  You can take the first step by consistently using (and requesting that others use) your legal professional title, Clinical Social Worker.

Your application will not be processed without completion of this questionnaire.

Required 1.

Approximately how many clinical social workers are employed at your site?

< 25
Required 2.

I work in the following programs (check all that apply):

Mental Health
Homeless Outreach
Suicide Prevention
Home-based Primary Care
Poly Trauma/TBI Program
Integrated Dual Diagnosis Program
Caregiver Support--Geriatrics & Extended Care
Required 3.
My responsibilities can be expressed as percentages in the following areas (total 100%): 
 None <10% 10-20% 20-30% 30-40% 40-50% 50-60% 60-70% 70-80% 80-90% 90-100% 
Clinical Care Management
Homeless Outreach
Suicide Prevention
Administrative (non-clinical management)
Clinical-centered supervision
Other (please specify in the comment section below)
  • Comment:

  • 500 characters left.
Required 4.

Please list the most important ways that good behavioral healthcare services are provided at your site (e.g. peer review, pilot program, etc): 


350 characters left.
Required 5.

My site's social work chief has provided me with formal communications from the national VHA Chief of Social Work, including information about clinical practice and pay advancement. 

No, I have received no such communications.
Required 6.
My site makes significant use of of clinical social workers in the following sectors (check all that apply):
Mental Health
Suicide Prevention
Homeless Outreach
Substance Use
Required 7.
What is the profession of the person in charge of Mental Health services at your site?
Clinical Social Worker
Required 8.

I can point to specific instances in which our labor union effectively advocated for clinical social workers and those in need of behavioral healthcare. 

  • Comment:

  • 500 characters left.
Required 9.

I could do my job better if allowed to do the following (e.g. have guaranteed access to Vtel, more psychotherapy hours, develop programming, etc.): 


350 characters left.
Required 10.

I can describe the process for Special Advancement for Achievement based on having received full and accurate information about my rights to apply for SAA and other forms of career advancement. 

Required 11.

Behavioral healthcare at this site could be better provided in the following ways: 


350 characters left.
Required 12.
All of your answers will remain entirely confidential. Please fill out the fields below to verify that you have completed this questionnaire. 

First Name:
Last Name:
Email Address:
Daytime Phone Number:

Required 13.

Would you like to participate in a follow up phone call?