Please contact our media team for information relating to incidents
We would like you to think about your recent experience with the East of England Ambulance Service NHS Trust.
If you selected the above option 'I received a letter though the post', please provide below the REF1 & REF2 which can be found on the top right hand side of letter.
Thinking about the service we provide...
Would you like to compliment the service or staff?
If you wish to send a separate note of thanks to the initial call handler or staff involved, you may add your comments to the below box, please also include your name and contact details to ensure such correspondence is passed on to the appropriate people.
Would you like to take part in a patient interview?
We are looking for patients who would be willing to discuss their experience with the East of England Ambulance Service NHS Trust in more depth. The information obtained from patient interviews will be used to assist us in improving the services provided by the Trust.
Would you like to inform us of a concern or complaint?
All comments received are used to monitor and improve the services provided by the Trust. If you have a concern or complaint about the service you have received and would like us to contact you, please complete the below box and provide your name and telephone number.
Please be aware that you can withdraw your consent for the East of England Ambulance Service NHS Trust to use and store the information you have provided at any time. If you wish to withdraw your consent to your details being held, please contact the Patient Survey Team either via email: email@example.com or by telephone 01603 422757.
Equality and Diversity
The following questions are used to obtain demographic information about the patients we serve. This information can help us plan to meet the needs of the community, to ensure that everyone has equal access to the heath care provided and for the service to be delivered to a high standard for all of our patients.
If you would like to become involved, represent your community and feel you can be an ambassador for EEAST research, then we would love to hear from you, please register your interest.
Thank you for taking the time to complete this questionnaire.The information collated will be used to assist us in improving the services we provide.