The service makes nearly one million service journeys a year
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Fewer people are complaining to the East Anglian Ambulance Service and more are giving thanks.
Complaints have fallen for the fifth successive year and the service says it has received a record number of letters and e-mails of thanks.
The service makes nearly one million patient journeys a year, attending to twice the number of patients it did in 1999, said spokesman Matthew Ware.
Mr Ware said the messages show the service has made "tremendous progress".
The service received a record 546 letters or e-mails of thanks in the year compared to just 123 complaints.
Seamus Elliott, director of human resources, said: "Seven or eight years ago, complaints and commendations were quite evenly matched but ever since then the gap has been widening in favour of people saying thank you.
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