St Mary's Feedback Form Question Title * 1. Have you had an experience of/contact with St Mary's Hospice? Yes No Question Title * 2. How would you rate this experience? Very Good Good OK Poor Very Poor Please explain your answer Question Title * 3. What do you like about St Mary's Hospice? Question Title * 4. Is there anything you feel St Mary's could offer or do better? Question Title * 5. Have you joined in with our Calendar of Care Activity? Yes No I haven't heard of this Please add any detail ... Question Title * 6. How have you heard about St Mary's recently? (Please note you can select more than one answer) St Mary's Hospice website St Mary's Hospice facebook or twitter St Mary's Hospice shops The Evening Mail The Bay radio BBC Radio Cumbria Friends and family Word of mouth Events posters Other, please explain Other (please specify) Question Title * 7. Would you like us to get in touch with you about any of our events or services? Yes No If yes, please add your email address or telephone number (your preferred method for us to contact you). Thank you Thank you for your time and support
