Share your Story/Feedback

Each year we assist thousands of patients. We like to capture the outcome and experiences of our patients to support and improve our clinical service. We also, with the permission of the patient, share their story and experiences in the hopes of improving awareness of our services.

If you have experienced the work of Dorset and Somerset Air Ambulance and would be happy to share this with us, please complete the form below and a member of our Communications Team will get in touch with you.

Your details

Forename (required)

Surname (required)

Email (required)

Phone

Are you the patient? (required)

YesNo

If you are not the patient, what is your relationship to the patient? (select all that apply)

Family memberFriendsColleagueMember of the community

Date of incident (required)

Location of incident (required)

Brief details of your incident/experience (required)

Privacy

At DSAA we are committed to protecting your privacy. To view our privacy statement describing how DSAA collects and uses personal information, please visit: www.dsairambulance.org.uk/privacy-statement

Consent (required)

Please tick the box to confirm you understand that the information you enter into this form will be collected and stored by Dorset and Somerset Air Ambulance.

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