Why might you  
choose to get treated for ALS at a community medical facility as opposed to VA?  
(Select all that apply)
 I am treated with courtesy and respect
 I don’t trust VA in general
 I am familiar with the community medical facility
 I trust the community medical facility to provide comprehensive ALS treatment
 I have more options for appointment dates/times
 The process of scheduling appointments is easier
 Close to my home/easy to get to
 Continuity of care from provider who initially diagnosed me
 I am not familiar with the VA healthcare benefits (e. g.  equipment, medication  
management) that I’m entitled to for my ALS care
I have experienced barriers in accessing the following related to my ALS care.   
(Select all that apply)
 Scheduling a VA clinical appointment
 Medications/Prescriptions
 Equipment
 Specialty referrals
 Home Care Services
 Support for my Caregiver
 Mental Health Support
 Transportation
 Lodging
 Telehealth care
 Delay in receiving Disability Compensation Benefits
 N/ A have not encountered any barriers
My ALS care team and/or Veteran Service Officer (VSO) provided me with information  
regarding the following (Select all that apply)
 Research Opportunities
 Home Modifications
 Equipment
 Vehicle Grant
 Monthly VA Disability Compensation payments
 Caregiver Support
 Planning for Future Care Needs
 Genetic Testing
 N/A
	
	
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