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Veteran Health Care Survey
With any questions call the Assembly Office of Pat Burke at 716-608-6099
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* Indicates required question
Name
*
Your answer
Address
Your answer
Email
Your answer
Phone Number
Your answer
Do you currently receive treatment at the Buffalo VA Hospital?
*
Yes
No
Other:
If yes, what priority group are you in?
Your answer
How often do you receive care?
*
Once a year
1
2
3
4
5
Weekly
Have you received care from an in-network provider? This means you have participated in community care, where you get treatment outside the VA, but the VA covers the care according to your benefits.
*
Yes
No
Other:
If yes, how was your experience? Do you feel the VA made your care seamless?
Your answer
Have you received emergency care outside the VA?
*
Yes
No
Did the VA cover that care?
Your answer
Before any treatments, are you made aware of the VA policy and procedures for getting care covered?
*
Yes and it all made sense
No, I was not informed
Yes, but it was unclear/confusing
What has been your experience communicating with the VA?
*
Your answer
Anything you would like to see changed or improved at the VA?
Your answer
May we contact you regarding your VA experience?
*
Yes
No
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