Instructions

Thank you for taking the time to provide feedback regarding your recent medical disability examination. Your feedback is very important in assessing the level of care provided by the medical disability examination contractors. All feedback is provided to the VA for further review.

If you received a survey card or survey letter, please use the information provided in them to help you fill out the identifying information in this online survey, i.e. Examiner's Name, Appointment Date, State of Appointment, MDE Contractor, and Survey Card Number. Some questions/fields are mandatory. If you were directed to this online survey by email or SMS notification, you will not need to complete MDE Contractor and Survey Card Number related questions. When you have completed this online survey, please click the “Done” button and do not mail back the corresponding paper version you may have received.

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* 1. What examiner did you see for your appointment?

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* 2. What was the date of your appointment?

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* 3. Did you file your current VA disability claim while on active duty?

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* 4. Did your appointment take place outside of the United States?

T