Personal statement worksheet

Collect your own observations, uncertainty, and everyday effects.

Free • Runs in your browser

Your entries are not sent to our server or an AI provider. Copy or download before leaving; this page does not save your worksheet.

Leave unknown details blank; the worksheet will mark them for review. Do not include a Social Security number, VA file number, date of birth, address, or medical records. This worksheet does not create a medical opinion.

Your editable worksheet

Local worksheet

Review carefully. A worksheet is a draft, not a signed statement or a completed VA submission. You decide how to use it.