Form 2120-0707 Airman Medical Certification Services 2025 Airman Feedba

Airman Medical Certification Services

2025 Airman Feedback Survey

This survey is an evaluation of our airman medical certification services to help identify areas for improvement (OMB 2120-0707). You were randomly selected out of all airmen who recently applied for a medical certificate from an Aviation Medical Examiner (AME). As an airman, you are in a unique position to provide us valuable feedback based on your most recent experiences with this process.

Participation is voluntary and your feedback is anonymous. Your responses will be kept private to the extent provided by law. Survey questions are designed to collect no personally identifiable information (PII). For questions that allow open text responses, we ask that you do not provide any information considered as PII or that may inadvertently identify you or someone else.

• For questions regarding the survey content and purpose, contact Dr. Katrina Avers (Katrina.Avers@faa.gov) or Dr. Carla Hackworth (Carla.Hackworth@faa.gov).

By clicking 'Next' you are consenting to participate.

Paperwork Reduction Act Statement. A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number. The OMB Control Number for this information collection is 2120-0707. Public reporting for this collection of information is estimated to be approximately 15 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.

All responses to this collection of information are voluntary. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Aviation Administration, 10101 Hillwood Parkway, Fort Worth, TX 76177-1524.

Your candid responses in completing the survey are appreciated. Your feedback will help us improve medical certification services offered to all airman applicants.

Participation is voluntary and anonymous. Your responses will be kept private to the extent provided by law.

Instructions: Read each item carefully then mark the response that best describes your most recent application for an airman medical certificate.

Note: Some items require a response in order to skip items not relevant to you.

Based on your most recent application for airman medical certification:

1. Which best applies to you? (response required)

• I applied for a Class I

• I applied for a Class II

• I applied for a Class III

• I submitted my BasicMed Comprehensive Medical Examination Checklist (CMEC) (Stop here and return your survey. Thank you!)

• I have never applied for an airman medical certificate. (Stop here and return your survey. Thank You!)

Airman Medical Certification Services

2025 Airman Feedback Survey

You will be evaluating the quality of airman medical certification services provided by:

• Your Aviation Medical Examiner (AME)

• Your Regional Flight Surgeon (RFS) Office

• The Aerospace Medical Certification Division (AMCD) in Oklahoma City

You will also evaluate your use of MedXPress (OMB control No. 2120-0707).

The FAA’s Civil Aerospace Medical Institute (CAMI) strictly adheres to ethical standards, public law, and federal policies for safeguarding the confidentiality of all participants in this survey. All data provided will be kept private in accordance with the law. This survey is hosted by a contractor, Cherokee Federal. The contractor will deliver a data file to the FAA for analysis. That data file will not contain any personally identifying information. Only analyses and reports of aggregate data will be produced and released.
 
Participation in the survey is completely voluntary.
 

IMPORTANT: Only use the "Next" and "Back" buttons on the survey page to navigate. 


Click "Next" to begin.

Based on your most recent application for pilot medical certification:

2. How many months ago did you submit your application?

• 0-3 months

• 4-6 months

• 7-9 months

• 10-12 months

• 13 months or more

AME Services

3. How many miles did you travel one way for the exam appointment with your aviation medical examiner (AME)?

• 0-24 miles

• 25-50 miles

• 51-75 miles

• 76-100 miles

• 101 miles or more (explain below)

Reason(s) for traveling 101 miles or more for your appointment: ___________________________________________

Based on your most recent application for pilot medical certification:

4. How many AMEs did you contact before making your exam appointment?

• 1

• 2

• 3

• 4

• 5 or more

5. Is your AME your primary care doctor?

• Yes

• No

Based on your most recent application for airman medical certification:

6. What was the cost of your examination for your airman medical certification (excluding costs for any additional testing, evaluations, or referrals recommended by the AME or required by the FAA)?

• Less than $50

• More than $50 but less than $100

• Between $100 and $200

• More than $200

Based on your most recent application for airman medical certification:

7. How did you pay for your airman medical certification examination only (excluding any additional testing, evaluations, or referrals recommended by the AME or required by the FAA)? [mark all that apply]

• Out of pocket

• Covered by employer

• Covered by health insurance

• Other (explain below)

Other: ___________________________________________________________________________

Based on your most recent application for airman medical certification:

8. Did you have any additional requirements associated with your airman medical certification examination (e.g., additional testing, evaluations, or referrals recommended by the AME or required by the FAA)?

• Yes

• No (skip to item 11)

9. What was the approximate total cost for all additional requirements associated with your airman medical certification examination (e.g., additional testing, evaluations, or referrals recommended by the AME or required by the FAA)?

• Less than $1000

• $1000 but less than $5000

• $5000 but less than $10,000

• $10,000 but less than $15,000

• $15,000 but less than $20,000

• $20,000 but less than $25,000

• More than $25,000

Based on your most recent application for airman medical certification:

10. How did you pay for any additional testing, evaluations, or referrals recommended by the AME or required by the FAA (excluding the exam)? [mark all that apply]

• Did not do additional testing due to cost

• Out of pocket

• Covered by employer

• Covered by health insurance

• Other (explain below)

Other: ___________________________________________________________________________

Based on your most recent application for airman medical certification:

11. What was the basis for selecting your AME? [mark all that apply]

• Referred by flight instructor or school

• Referred by airline or AME employed by airline

• Referred by airman

• Referred by doctor or previous AME

• Performed my previous medical certification exam(s)

• Is my primary care doctor

• Makes quick certification decisions

• Licensed to perform needed service (Class I exam, special issuance, etc.)

• Handles complex cases

• Nearest location

• Earliest available appointment

• Low cost

• Other reason(s) (explain below)

Other reason(s) for selecting your AME: _____________________________________________________________

Based on your most recent application for airman medical certification:

12. Did the AME’s office tell you to bring the following to your exam appointment?

	Yes	No, but did need for exam	No, not needed for exam	Do not remember	Not applicable
Valid photo ID					
MedXPress confirmation number					
Printout of completed Summary Sheet from MedXPress					
List of your medications					
Medical history details (e.g., dates of hospitalizations and medical exams)					
Current medical tests/lab results					
Past medical tests/lab results					
Records from medical or mental health evaluations, hospitalizations, etc.					
Special Issuance Authorization paperwork					
SODA (statement of demonstrated ability) paperwork					
Conditions AMEs Can Issue (CACI) paperwork……………					

MedXPress

Based on your most recent application for airman medical certification:

13. Did you use MedXPress to submit your application? (response required)

• Yes

• No (answer item 14, then skip to item 23, on page 5)

• Do not remember (answer item 14, then skip to item 23, on page 5)

Note: Answer item 14 only if you answered ‘No’ or ‘Do not remember’ on item 13.

14. Did you use a computer to answer FAA medical application questions?

• Yes

• No

• Do not remember

Note: Answer items 15 and 16 only if you answered ‘Yes’ on item 13.

Based on your most recent application for airman medical certification:

15. Did your AME’s office ask you to provide your MedXPress Summary Sheet before your exam appointment? (response required)

• Yes

• No (skip to item 17, on the next page)

• Do not remember (skip to item 17, on the next page)

Note: Answer item 16 only if you answered ‘Yes’ on item 15.

16. Based on their receipt of your MedXPress Summary Sheet, did your AME’s office ask you to bring additional documentation to your exam appointment?

• Yes

• No

• Do not remember

Note: Answer items 17 through 21 only if you answered ‘Yes’ on item 13.

Based on your most recent application for airman medical certification:

17. Overall how satisfied were you with the performance of MedXPress?

• Very dissatisfied (explain below)

• Dissatisfied (explain below)

• Neither dissatisfied nor satisfied

• Satisfied

• Very satisfied

Please explain why you were dissatisfied with the performance of MedXPress: _______________________________

______________________________________________________________________________________________

18. How did MedXPress perform compared to your expectations?

• Far below expectations (explain below)

• Below expectations (explain below)

• Met expectations

• Above expectations

• Far above expectations

Please explain why MedXPress performed below your expectations: _______________________________________

______________________________________________________________________________________________

Based on your most recent application for airman medical certification:

19. Overall how would you rate the performance of MedXPress?

• Very poor

• Poor

• Average

• Good

• Excellent

20. If you could electronically attach/upload supporting documents to your MedXPress account, would you do so?

• Yes

• No

• No, I would still have my AME do it

Based on your most recent application for airman medical certification:

21. Did the AME access your MedXPress form online during the exam appointment? (response required)

• Yes (skip to item 23, on the next page)

• No

• Do not know (skip to item 23, on the next page)

• Do not remember (skip to item 23, on the next page)

Note: Answer item 22 only if you answered ‘No’ on item 21.

22. What are the reasons the AME did not access your MedXPress form online during the exam appointment? [mark all that apply]

• I did not have my confirmation number

• My confirmation number had expired

• The AME did not require MedXPress

• Other reason (explain below)

Other reason the AME did not access your MedXPress form online during the exam appointment: ______________

____________________________________________________________________________________________

Based on your most recent application for airman medical certification:

23. During your exam appointment, who did each of the following: (response required) [mark all that apply]

	No one	AME	Another physician (not the AME)	Physician’s Assistant	Nurse	Other office personnel	Do not remember
Reviewed your medical history with you							
Performed your physical exam							

Note: Answer item 24 only if you answered ‘AME’ on item 23.

Based on your most recent application for airman medical certification:

24. To what extent did your AME do each of the following during your exam appointment?

	Not at all	Limited extent	Moderate extent	Considerable extent	Great extent	N/A
Obtain a comprehensive history						
Discuss safety risk(s) of current medical condition(s)						
Explain the certification process and airman appeal rights						
Discuss safety risk of over-the-counter (OTC) medications and supplements						
Discuss mental health						
Discuss sleep patterns						

Note: Answer item 25 only if you answered ‘AME’ performed your physical exam on item 23.

Based on your most recent application for airman medical certification:

Did your AME...	Yes	No
perform a thorough medical exam?………		
examine your eyes and ears with a medical device?		
have you remove or undo articles of clothing for the exam?		
listen to your heart and lungs?		

Based on your most recent application for airman medical certification:

Note: Answer item 26 only if you answered ‘AME’ on item 23.

To what extent did your AME...	Not at all	Limited extent	Moderate extent	Considerable extent	Great extent	N/A
provide a professional setting for the medical exam, including cleanliness and appearance?						
charge appropriately for services?						
clearly explain your responsibilities in the medical certification process?						
provide you with all the information you requested?						
provide information you requested in a timely manner?						
provide you with accurate information?						
treat you with courtesy and respect?						

Note: Answer item 27 only if you answered ‘Not at all’ or ‘Limited extent’ for extent AME provided a professional setting for your exam on item 26.

Based on your most recent application for airman medical certification:

27. Indicate why you responded ‘Not at all’ or ‘Limited’ for extent AME provided a professional setting for your exam. [mark all that apply]

• Nonmedical setting (home, hangar)

• Unclean or unkempt setting

• No privacy

• Other reason(s) (explain below)

Other reason(s) for your response: ________________________________________________________________

____________________________________________________________________________________________

Based on your most recent application for airman medical certification:

28. During your most recent medical certification exam, did your AME identify or alert you to any new medical condition(s) that may or may not need to be evaluated by your primary care physician? (response required)

• Yes

• No (skip to item 30)

Note: Answer item 29 only if you answered ‘Yes’ on item 28.

29. Did the new health condition(s) require treatment for medical certification?

• Yes

• No

Based on your most recent application for airman medical certification:

30. During your most recent medical certification exam, did your AME identify or alert you that a previously existing health condition(s) required treatment to obtain your medical certification? (response required)

• Yes

• No (skip to item 32)

Note: Answer item 31 only if you answered ‘Yes’ on item 30.

31. Did you receive treatment for the previously existing health condition(s)?

• Yes

• No

Based on your most recent application for airman medical certification:

32. During any previous medical certification exam, did your AME alert you to any new medical condition(s) that may or may not have required evaluation from your primary care physician? (response required)

• Yes

• No (skip to item 34)

Note: Answer item 33 only if you answered ‘Yes’ on item 32.

33. Did the new health condition(s) require treatment for medical certification?

• Yes

• No

Based on your most recent application for airman medical certification:

34. During any previous medical certification exam, did your AME alert you that a previously existing health condition(s) required treatment to obtain your medical certification? (response required)

• Yes

• No (skip to item 36, on the next page)

Note: Answer item 35 only if you answered ‘Yes’ on item 34.

35. Did you receive treatment for the previously existing health condition(s)?

• Yes

• No

Based on your most recent application for airman medical certification:

36. Overall how satisfied were you with your exam appointment? (response required)

• Very dissatisfied

• Dissatisfied

• Neither dissatisfied nor satisfied (skip to item 38)

• Satisfied (skip to item 38)

• Very satisfied (skip to item 38)

Note: Answer item 37 only if you answered ‘Very dissatisfied’ or ‘Dissatisfied’ on item 36.

37. Why were you dissatisfied with your exam appointment? [mark all that apply]

• AME did not issue my certificate during the exam appointment

• The exam was not thorough

• Not examined in a professional environment

• AME conducted the exam at a different location than listed in the FAA directory

• I had to remove articles of clothing

• Not treated with courtesy and respect

• Cost of the basic certification examination only

• Cost of additional items required by the AME and/or the FAA

• Other reason(s) (explain below)

Other reason(s) you were dissatisfied with your exam appointment: ______________________________________

____________________________________________________________________________________________

Based on your most recent application for airman medical certification:

38. Overall how satisfied were you with the quality of service provided by your AME? (response required)

• Very dissatisfied

• Dissatisfied

• Neither dissatisfied nor satisfied (skip to item 40, on next page)

• Satisfied (skip to item 40, on next page)

• Very satisfied (skip to item 40, on next page)

Note: Answer item 39 only if you answered ‘Very dissatisfied’ or ‘Dissatisfied’ on item 38.

39. Why were you dissatisfied with the quality of AME services? [mark all that apply]

• AME did not issue my certificate during the exam appointment

• AME lacked knowledge of current airman medical certification standards

• Not informed of required documentation to bring to the exam

• Not informed of additional documentation that the FAA would require to issue my certificate

• Not informed of status of my application

• Refused to offer any assistance beyond performing the exam

• Other reason(s) (explain below)

Other reason(s) you were dissatisfied with the quality of AME services: __________________________________

___________________________________________________________________________________________

Based on your most recent application for airman medical certification:

40. Based on your most recent experience with your AME, to what extent does the FAA airman medical certification process ensure the safety of the National Airspace System? (response required)

• Not at all

• Limited extent

• Moderate extent

• Considerable extent (skip to item 42)

• Great extent (skip to item 42)

Note: Answer item 41 only if you answered ‘Not at all,’ ‘Limited extent,’ or ‘Moderate extent’ on item 40.

41. What are your reasons for responding [‘Not at all,’ ‘Limited extent,’ or ‘Moderate extent’] to the question asking to what extent the FAA airman medical certification process ensures the safety of the National Airspace System? [mark all that apply]

• Exam is not comprehensive enough to adequately screen airmen

• Not all AMEs perform thorough exams

• Deters airmen from applying for medical certification

• Encourages airmen to be dishonest on application for medical certification

• Other reason (explain below)

Other reason for your response: ________________________________________________________________

__________________________________________________________________________________________

Note: Answer item 42 only if you answered ‘Considerable extent’ or ‘Great extent’ on item 40.

42. What are your reasons for responding [‘Considerable extent’ or ‘Great extent’] to the question asking to what extent the FAA airman medical certification process ensures the safety of the National Airspace System? [mark all that apply]

• Ensures airmen are medically safe to fly

• Deters airmen from flying, if not medically qualified

• Other reason (explain below)

Other reason for your response: ________________________________________________________________

__________________________________________________________________________________________

Based on your most recent application for airman medical certification:

43. Was your medical certificate issued on the same day as your exam appointment? (response required)

• Yes (skip to item 55, on page 11)

• No

Note: Answer item 44 only if you answered ‘No’ on item 43.

44. Which of the following best describes the processing of your application for a medical certification? (response required)

• The AME required additional information before issuing my certificate

• The AME deferred my application for review to the Regional Flight Surgeon (RFS) or to the Aerospace Medical Certification Division (AMCD) in Oklahoma City (skip to item 47, on the next page)

Note: Answer items 45 and 46 only if you answered ‘AME required additional information’ on item 44.

Based on your most recent application for airman medical certification:

45. Did your AME explain to you the requirements for additional documentation to meet FAA standards?

• Yes

• No

• Do not remember

46. How long from the date of the exam did the AME tell you it would take to receive a decision regarding your medical certification?

• Did not say

• 0-1 day

• 2-10 days

• 11-30 days

• 31-90 days

• 91 days or more

• Do not remember

Note: Answer item 47 only if you answered ‘AME deferred my application’ on item 44.

Based on your most recent application for airman medical certification:

47. Which of the following best describes what happened after the AME deferred your application to the RFS or the AMCD in Oklahoma City? (response required)

• No additional information was requested from me before being issued my certificate

• I had to supply additional information, and then was issued my certificate

• I have been contacted by the FAA and my application is still under review (skip to item 49)

• I was denied a medical certificate (skip to item 49)

• I have not been contacted by the FAA (skip to item 55, on page 11)

Note: Answer item 48 only if you answered ‘No additional information was requested’ or ‘I had to supply additional information’ on item 47.

48. How long did it actually take to receive a decision on your medical certification?

• 0-1 day

• 2-10 days

• 11-30 days

• 31-90 days

• 91 days or more

• Do not remember

FAA Medical Representative Services

Based on your most recent application for airman medical certification:

Items in this section ask about your experiences with FAA medical representatives during your most recent application for airman medical certification.

49. Did you have contact with a medical representative concerning issuance of your medical certificate at any of the following FAA offices? [mark all that apply]

	No contact	Phone	E-mail	Postal mail
Regional Medical Division/Regional Flight Surgeon (RFS) Office				
Aerospace Medical Certification Division (AMCD) – Oklahoma City				
Office of Aerospace Medicine – Washington, DC				

Note: Answer items 50 through 54 only if you were contacted (phone, E-mail, or postal mail) by a medical representative concerning issuance of your medical certificate.

50. What was the longest time that the FAA medical representative(s) told you it would take to receive a decision on your medical certificate?

• Did not say

• 0-1 day

• 2-10 days

• 11-30 days

• 31-90 days

• 91 days or more

• Do not remember

Based on your most recent application for airman medical certification:

51. To what extent did the FAA medical representative(s) you had contact with…

	Not at all	Limited extent	Moderate extent	Considerable extent	Great extent	N/A
clearly explain your responsibilities in the medical certification process?						
provide you with all the information you requested?						
provide information you requested in a timely manner?						
provide you with accurate information?						
treat you with courtesy and respect?						

Based on your most recent application for airman medical certification:

52. Overall how satisfied were you with the quality of services provided by the FAA medical representative(s)? (response required)

• Very dissatisfied

• Dissatisfied

• Neither dissatisfied nor satisfied (skip to item 54, on the next page)

• Satisfied (skip to item 54, on the next page)

• Very satisfied (skip to item 54, on the next page)

Note: Answer item 53 only if you answered ‘Very dissatisfied’ or ‘Dissatisfied’ on item 52.

53. Why were you dissatisfied with the quality of services provided by the FAA medical representative(s)? [mark all that apply]

• Denied my medical certificate

• Not treated with courtesy and respect

• Not adequately informed of requirements for additional documentation

• Failed to explain requirements for additional documentation

• Not informed of status of application

• Poor communication on where application was in the review process

• Took too long to complete the review

• Other reason(s) (explain below)

Other reason(s) you were dissatisfied with quality of services provided by the FAA medical representative(s): ________

______________________________________________________________________________________________

Based on your most recent application for airman medical certification:

54. Based on your most recent experience with the FAA medical representative(s), to what extent does the FAA airman medical certification process ensure the safety of the National Airspace System?

• Not at all

• Limited extent

• Moderate extent

• Considerable extent

• Great extent

Based on your most recent application for airman medical certification:

55. How can the FAA make the medical certification process easier for you? [mark all that apply]

• Provide a list of approved medications

• Allow me to attach supporting documents in MedXPress

• Improve communication (answer phones, provide email, automated phone callbacks, etc.)

• Speed up the review process/respond in a timely manner

• Retain medical history in application/add entry field to indicate no change since last medical

• Allow AME/PCP/Specialist to make medical decisions/Trust AME/PCP reports in lieu of additional tests

• Provide list of requirements/tests needed up front when deferred

• Other (explain below)

Other way(s) the FAA can make the medical certification process easier: ____________________________________

Demographics

Items in this section ask about your current airman medical certification, pilot certificate(s), ratings, and employment.

56. What year was your most recent FAA medical certification examination?

    2019	2023
    2020	2024
    2021	2025
    2022

57. Which airman certificate(s) do you currently hold? [mark all that apply]

    Student	Private
    Sport	Commercial
    Recreational	Airline Transport

58. Which rating(s) do you currently hold? [mark all that apply]

• Do not hold any rating

• Instrument Flight Rules (IFR)

• Certified Flight Instructor (CFI)

• Other rating(s) (explain below)

Other rating(s) you currently hold: __________________________________________________________________

_____________________________________________________________________________________________

59. Are you currently employed as a pilot? (response required)

• Not employed as a pilot (skip to item 61, on the next page)

• Part-time pilot

• Full-time pilot

Note: Answer item 60 only if you answered ‘Part-time pilot’ or ‘Full-time pilot’ on item 59.

60. Is your employment as a pilot with a certificated operator conducting flights under the following? [mark all that apply]

• Part 61 (Sport pilot)

• Part 91 (Corporate)

• Part 121 (Flag, domestic, supplemental operations)

• Part 125 (Aircraft with 20 or more seats and cargo payload of 6,000 pounds or more when common carriage is not involved)

• Part 129 (Foreign air carrier & foreign operator of US-registered aircraft used in common carriage)

• Part 133 (Rotorcraft external loads)

• Part 135 (Commuter/On-demand operations)

• Part 137 (Agricultural operations)

• Part 141 (Pilot schools)

• Part 142 (Training centers)

• Other Part or Operation (explain below)

Other Part or Operation employing you as a pilot: _____________________________________________________

_____________________________________________________________________________________________

61. Approximately, how many total flight hours have you flown?

    	hours
    [enter a whole number]

62. Approximately, how many flight hours have you flown in the past 12 months?

• Fewer than 10 hours

• 10-25 hours

• 26-50 hours

• 51-100 hours

• More than 100 hours

If more than 100 hours, please estimate total fight hours you have flown in the past 12 months: __________

63. Which of the following best describes your age group:

• 16-24

• 25-34

• 35-44

• 45-54

• 55-64

• 65 or older

64. Was your last medical certification a Special Issuance Authorization?

• Yes

• No

65. Are you aware of Medical Reform under the FAA Extension, Safety, and Security Act of 2016, known as BasicMed? (response required)

• Yes

• No (skip to item 67)

Note: Answer item 66 only if you answered ‘Yes’ on item 65.

66. Do you plan to take advantage of BasicMed?

• Yes

• No

67. Which region handled your most recent application for airman medical certification? (response required)

• Alaskan (Alaska)

• Central (Iowa, Kansas, Missouri, Nebraska)

• Eastern (Delaware, Maryland, New Jersey, New York, Pennsylvania, Virginia, Washington DC, West Virginia)

• Great Lakes (Illinois, Indiana, Michigan, Minnesota, North Dakota, Ohio, South Dakota, Wisconsin)

• New England (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont)

• Northwest Mountain (Colorado, Idaho, Montana, Oregon, Utah, Washington, Wyoming)

• Southern (Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee)

• Southwest (Arkansas, Louisiana, New Mexico, Oklahoma, Texas)

• Western-Pacific (Arizona, California, Hawaii, Nevada)

• Mike Monroney Aeronautical Center (Civil Aerospace Medical Institute; CAMI)

• Don’t know

68. Do you have any additional feedback for the FAA, beyond what you have already provided, regarding airman medical certification services? [mark all that apply]

• Compliment

• Complaint

• Recommendation for improvement

• General comment

• Nothing more to add

Use the following boxes to provide additional feedback as marked above. [Note: This survey is hosted by a contractor, Cherokee Federal. The contractor will deliver a data file to the FAA for analysis. That data file will not contain any personally identifying information. However, if the nature of your comment is specific to you, your confidentiality cannot be assured. Comments are subject to the Freedom of Information Act.]

Compliment(s):

Complaint(s):

Recommendation for improvement(s):

General comment(s):