Community Questionnaire

St Vincent’s Hospice is committed to improving the services we provide to our patients and their families.

We are considering the development of a Community Service provision over 7 days and would like to gather some feedback.

If you or a family member have previously used the services of our Community Nurse Specialist, we would be very grateful if you could complete the survey below, thinking about your experiences and if you would benefit from additional weekend support.

Your opinion matters to us and your response will help us shape the Community Services for the future.

* 1.  Phone Contact – At the weekend I would like to be able to phone the Community Nurse Specialist service at the Hospice for   advice

* 2. Visiting me at home - At the weekend I would like to be able to ask a nurse from the hospice to visit me at home to give advice.

* 3. Visiting me at home - At the weekend I would like to be able to ask a nurse from the hospice to visit me at home to help provide treatment.(e.g. medication/oxygen/nebulisers)

* 4. Visiting me at home - At the weekend I would like to be able to ask a nurse to visit me at home to help provide general care. (e.g. bathing/dressing/help in & out of bed)

* 5. At the weekend it would be useful to have help at home to allow my carer to do other chores.

* 6. Finally, please tell us anything else you can think of about how you might use a weekend service

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