As a cycle of improvement in 2013,

As a cycle of improvement in 2013, the preference page information
now incorporates advanced directives, language preferences,
and learning style, and Veterans are offered an opportunity to
update preferences at each encounter. Additionally, the preference
page has been updated to allow complaint information to be
included (see 3.2b[2]), which automatically informs the Veteran’s
PACT. Learning style and other preferences have been particularly helpful to the rehabilitation counseling process to evaluate education
and job development opportunities.