*PLEASE DO NOT ENTER PERSONAL HEALTH INFORMATION (PII/PHI) IN THIS FORM* 

THIS FEEDBACK IS ANONYMOUS. We value Veteran and user feedback to help shape our process improvements. If you are seeking specific issue resolution, please contact our Patient Advocate office at (509) 434-7000.

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* 1. Are you an enrolled Veteran at Mann-Grandstaff VA Medical Center in Spokane, WA?

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* 2. If you are NOT enrolled, may we ask why not?

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* 3. Overall, what is your level of satisfaction for this VA facility?

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* 4. Please enter any comments or suggestions you want the Spokane facility to know about.

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* 5. (Optional) Please enter any feedback you may have about a specific staff member.

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* 6. Would you like to be contacted regarding this feedback?

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* 7. (Optional) If you would like to be contacted, please enter your contact information below.

We appreciate your feedback. Thank you for choosing VA!

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