and guests to improve VA care and services. | ||
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 How Are We Doing? |
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| 1. Courtesy of Staff |
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| 2. Timeliness of Service |
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| 3. Confidence in Provider |
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| 4. Respect for Privacy |
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| 5. Sensitivity to Concerns |
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| 6. Cleanliness of Facility |
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| 7. Health Information and Advice |
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| 8. Overall Satisfaction |
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| What could we do better? |
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About You (Optional) |
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| The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in accordance with the clearance requirements of section 3507 of the Paperwork Reduction Act of 1995. The public reporting burden for this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Customer satisfaction surveys are used to gauge customer perceptions of VA services as well as customer expectations and desires. The results of this survey will lead to improvements in the quality of service delivery by helping to shape the direction and focus of specific, programs and services. Submission of this form is voluntary and failure to respond will have no impact on benefits to which you may be entitled. | ||