As a practice we have been looking at the quality of the end of life care we offer to our patients. Part of this is focusing on how we support carers and those bereaved. If you have experienced a recent (or not so recent) bereavement I'd be very grateful if you would consider completing the online survey below. The survey is strictly confidential and we will try and use all responses to shape the service we offer.

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* 1. Where did your loved one die?

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* 2. Did you have any contact with Forrest after your bereavement?

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* 3. If yes (to Q2), did you feel supported in your grief?

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* 4. If No to Q3, would you have liked contact and how would you like that contact to be made?

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* 5. Please let us know any other thoughts you have about the care Forrest might be able to offer to others in your situation.

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* 6. If you would like us to contact you about your feedback, or if you would like to be involved with other patients in looking at some of the issues raised please leave us your contact details

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