If you selected the above option 'Letter', please provide below the REF1 & REF2 which can be found on the top right hand side of letter.
We would like you to think about your recent experience with the East of England Ambulance Service NHS Trust:
If you wish to send a separate note of thanks to the 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 member of staff.
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 and would like us to contact you, please provide your details below:
We are looking for patients or their representatives who would be willing to discuss their experience in more depth by way of a video discovery interview. The discovery interviews are used to assist us in improving the services provided through staff training and awareness raising.
If you consent to a video interview, you may be contacted by a member of the Patient Experience or Patient Engagement team following your survey submission.
If you would like to become a Patient Representative and help to shape the services provided by the Trust, please register your interest by contacting email@example.com.
This information can help us plan to meet the needs of the community, to ensure that everyone has equal access to the health care provided and for the service to be delivered to a high standard for all our patients.
The following questions are about the patient.
Please be aware that you can withdraw consent for the East of England Ambulance Service NHS Trust to use and store information you have provided at any time. If you wish to withdraw consent to your details being held, please contact the Patient Survey Team. e-mail: firstname.lastname@example.org or telephone: 01603 422757.
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.
This survey has been created in conjunction with the SUN network: