Skip to main content
Hit enter to search or ESC to close
Close Search
Menu
Home
About Us
GALEN BARGERSTOCK
CLINTON SMITH
LEVI ALLISON
LORRAINE CAMPBELL-TAYLOR
SHAWNA JONES
TINA NEESE
NICOLE VEHOVIC
Services
Media
Radio Show
Audiobook
Contact Us
800.985.3272
Step
1
of
7
14%
VHA Start - Personal Information
Name
*
First
Last
This field is hidden when viewing the form
Company
Email
*
Home Phone
Cell Phone
*
Best Time to Call
*
Morning
Afternoon
Evening
Martial Status
*
Married
Single
Divorced
Widowed
Gender
*
Male
Female
Are You A Federal Employee?
*
Yes
No
Date of Birth
*
MM slash DD slash YYYY
Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Page 4 - Employment Information
What department of the US Government do you work for?
What is your job title?
What was your date of hire?
MM slash DD slash YYYY
Do you have any specific questions about your retirement?
Page 5– Retirement Readiness Quiz
When you think about calculating and maximizing your pension, TSP, and Social Security, you:
Calculate? Maximize? I didn't know there would be math!
I haven't even thought about it; my retirement is hopefully planning itself, right?
Of course, I know exactly what I am doing. See for yourself.
Page 6 – Retirement Readiness Quiz
What steps have you taken to ensure that your spouse will be taken care of if something happens to you?
I have some cash buried in the backyard, and I drew a detailed map!
I have life insurance, pretty sure my beneficiary is still my ex, though.
I have taken every step I am aware of, but I would like to hear more.
Page 7 – Retirement Readiness Quiz
If someone told you FEGLI wasn't cost-effective after 50, would you say:
FEGLI? Is that some type of pasta?
I'm paying for it and a Netflix account I never use, not sure I need either of them.
I noticed it's more expensive now, but I haven't looked at it in a while.
Page 8 – Retirement Readiness Quiz
When someone you work with retires early, you:
See if I can get their parking space.
Give them a round of applause; they should have retired years ago.
Check the "Days Until I Retire" countdown that I have saved on my phone.
Page 9 – Retirement Readiness Quiz
There is a lot of paperwork to be completed to retire on time! How confident are you that you can get it finished on your own?
I'm not even confident I can complete this quiz on my own.
I'm somewhat confident, but I'm procrastinating, so I guess I will figure it out when I get there.
I am very confident, but I will want someone to help me fill out my "blue book."
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.
Close Menu
Home
About Us
GALEN BARGERSTOCK
CLINTON SMITH
LEVI ALLISON
LORRAINE CAMPBELL-TAYLOR
SHAWNA JONES
TINA NEESE
NICOLE VEHOVIC
Services
Media
Radio Show
Audiobook
Contact Us
800.985.3272