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DBQ Library

Free DBQ Library — Take to your doctor. No charge from us, ever.

A Disability Benefits Questionnaire (DBQ) is the form VA uses to capture rating criteria from your treating provider. DBQs must be completed by a licensed clinician — not by us, not by the veteran. Our job is to help you identify the right DBQ before your next medical visit so the exam captures what VA actually needs to see.

Each form below links to the official VA.gov page where you can download the latest PDF. Print the form and take it to your appointment.

VA Form 21-0960P-3
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Mental Disorders (other than PTSD and Eating Disorders)

Common conditions: Depression, anxiety, adjustment disorder, mood disorders

VA Form 21-0960P-4
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Initial PTSD

Common conditions: Initial PTSD evaluations under DSM-5

VA Form 21-0960P-2
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Eating Disorders

Common conditions: Anorexia, bulimia, binge-eating disorder

VA Form 21-0960M-14
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Back (Thoracolumbar Spine) Conditions

Common conditions: Lumbar strain, DDD, IVDS, spondylosis, radiculopathy

VA Form 21-0960M-13
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Neck (Cervical Spine) Conditions

Common conditions: Cervical strain, herniated disc, cervical radiculopathy

VA Form 21-0960M-9
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Knee and Lower Leg Conditions

Common conditions: Knee strain, meniscus tear, instability, arthritis, ACL/MCL

VA Form 21-0960M-12
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Shoulder and Arm Conditions

Common conditions: Rotator cuff, AC joint, instability, impingement

VA Form 21-0960M-7
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Foot Conditions (including Flatfoot/Pes Planus)

Common conditions: Plantar fasciitis, pes planus, hallux valgus, Morton's neuroma

VA Form 21-0960M-1
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Ankle Conditions

Common conditions: Sprains, instability, arthritis, post-fracture

VA Form 21-0960M-6
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Elbow and Forearm Conditions

Common conditions: Epicondylitis, cubital tunnel, ulnar nerve, biceps tendinitis

VA Form 21-0960M-8
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Hand and Finger Conditions

Common conditions: Carpal tunnel of the wrist's distal effect, finger arthritis, trigger finger

VA Form 21-0960N-1
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Ear Conditions

Common conditions: Tinnitus, Meniere's, vestibular disorders, chronic otitis

VA Form 21-0960L-2
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Sleep Apnea

Common conditions: Obstructive, central, or mixed sleep apnea; CPAP use

VA Form 21-0960L-1
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Respiratory Conditions

Common conditions: Asthma, COPD, chronic bronchitis, restrictive lung disease

VA Form 21-0960C-8
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Headaches (including Migraine)

Common conditions: Migraine, tension headache, cluster headache, post-traumatic

VA Form 21-0960C-10
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Peripheral Nerves

Common conditions: Radiculopathy, carpal tunnel, ulnar/median/peroneal neuropathy

VA Form 21-0960F-1
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Scars and Disfigurement

Common conditions: Scarring, burns, disfigurement of head, face, or neck

VA Form 21-0960F-2
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Skin Diseases

Common conditions: Eczema, psoriasis, chloracne, contact dermatitis

VA Form 21-0960E-1
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Diabetes Mellitus

Common conditions: Type II diabetes (key for Agent Orange presumptives)

VA Form 21-0960G-2
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Intestinal Conditions (including IBS, IBD, Crohn's)

Common conditions: IBS, ulcerative colitis, Crohn's, diverticulitis

Don't see the DBQ you need

VA maintains the complete catalog on VA.gov. If your condition isn't listed above, search by form number or name:

Full VA Forms catalog →

Need representation on your claim?

DBQs are free. Our representation is contingent — no fee before VA's initial decision (38 C.F.R. § 14.636(c)).

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