*1.On average, how much do you pay per year (out of pocket, before any DVA reimbursement) for medical and allied health services, including medications and supplements? (e.g. GP, specialists, physio, psychology, dental, medications, supplements, etc.)(Required.)

*2.How much does DVA currently cover per year for these costs?(Required.)

*3.What is your total out-of-pocket cost per year, after DVA coverage?(Required.)

*4.Where did you receive these treatments? (e.g. name of clinic/provider, suburb, or town)(Required.)

*5.What is your postcode?(Required.)

6.Optional: Are there specific services or medications DVA does not cover that you'd like to flag?