Whats wrong with this, doesnt make sense that it wont create the folder or files.

If PathRead() = 0 Then
            MsgBox("Error Reading Path Info: One or more Paths do not exist.", MsgBoxStyle.Critical, "Path Read Error")
            MsgBox("Would you like to create these files?", MsgBoxStyle.YesNo, "Create?")
            If MsgBoxResult.Yes Then
                MkDir("/Paths/")
                System.IO.File.Create("/Paths/aPath.txt")
                System.IO.File.Create("/Paths/mPath.txt")
                System.IO.File.Create("/Paths/lPath.txt")
                System.IO.File.Create("/Paths/wPath.txt")
            End If
        End If

first import system.IO

then paste this code to your Form Load

 If Not Directory.Exists("C:\samplefolder") Then
                Directory.CreateDirectory("C:\samplefolder")
                File.Create("C:\samplefolder\sampletext.txt").Close()
            End If

after running the program try to check the directory where the folder is located...

Logic Error

If PathRead() = 0 Then
            MsgBox("Error Reading Path Info: One or more Paths do not exist.", MsgBoxStyle.Critical, "Path Read Error")
            MsgBox("Would you like to create these files?", MsgBoxStyle.YesNo, "Create?")
            If MsgBoxResult.Yes Then
                MkDir("/Paths/")
                System.IO.File.Create("/Paths/aPath.txt")
                System.IO.File.Create("/Paths/mPath.txt")
                System.IO.File.Create("/Paths/lPath.txt")
                System.IO.File.Create("/Paths/wPath.txt")
            End If
End If

Should be:

If PathRead() = 0 Then
            MsgBox("Error Reading Path Info: One or more Paths do not exist.", MsgBoxStyle.Critical, "Path Read Error")

            If MsgBox("Error Reading Path Info: One or more Paths do not exist." & vbcrlf & _
                      "Would you like to create these files?", MsgBoxStyle.YesNo, "Create?") = MsgBoxResult.Yes Then
                MkDir("/Paths/")
                System.IO.File.Create("/Paths/aPath.txt")
                System.IO.File.Create("/Paths/mPath.txt")
                System.IO.File.Create("/Paths/lPath.txt")
                System.IO.File.Create("/Paths/wPath.txt")
            End If
End If
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