Veteran Transportation Surveys

Veteran Transportation Survey

We want to hear about your recent experience with VA Emergency Ambulance Services. By responding to this survey, you will directly help us improve our services to Veterans like you!

This voluntary survey should take approximately 5 minutes to complete.

I would recommend VA Ambulance services to other Veterans. Required

The EMTs were respectful and caring.

The EMTs explained things in a way that I could understand.

The EMTs took my health concerns seriously. Required

During the ambulance transport I felt safe.

I felt well taken care of by the VA Ambulance staff.

I trust VA Ambulance Services for my healthcare needs. Required

If additional information is needed, can VA contact you about your feedback? Required

• Yes, VA can contact me about my experience.

• No, I do not want VA to contact me about my experience.

Privacy Notice: By filling out this survey, you are authorizing VA database access to retrieve Veteran contact information to follow up with you accordingly for purposes of service recovery, potential crisis, or to learn more about feedback you have shared regarding your experience with VA. Your contact information and response may be referred to the Veterans Crisis Line if an automated review indicates your response may be concerning. The Veterans Crisis Line may contact you for follow up as a result of that referral. VA may utilize individual Veteran survey data from this survey or other sources to ensure the final scores truly and accurately represent the experiences of Veterans. This collection of information is authorized by 38 U.S.C. Section 301. The Systems of Records Notice can be found here: https://www.federalregister.gov/d/2021-01526.

Respondent Burden: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this project is 2900-0876, and it expires 02/28/2026. Public reporting burden for this collection of information is estimated to average 5 minutes per respondent, per year, including the time for reviewing instructions, searching existing data sources, gathering, and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate and any other aspect of this collection of information, including suggestions for reducing the burden, to VA Reports Clearance Officer at [email protected]. Please refer to OMB Control No. 2900-0876 in any correspondence. Do not send your completed VA Form to this email address.