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* 1. Which of the following statements describe you? (Please select any that apply.)

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* 2. If seeking information about care for someone else, who was the person you were seeking information out about end of life care for?:

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* 3. If finding, accessing or providing care for someone else, who was the person you were finding, accessing or providing end of life care for?:

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* 4. If seeking information about care, finding or providing care for someone else, when were you doing that for them?

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* 5. Is the person still in need of end of life care?

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* 6. If seeking information about care for yourself, how long have you been looking for information about or trying to find this type of care?

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* 7. Which of these sources have you used for information or support for end of life care?

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* 8. Comments

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* 9. How many times in the past six months have you browsed the web for information about subjects that interest you?

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* 10. How many times in the past six months have you looked online for information about a place you are planning to visit, or a product you are planning to buy?

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* 11. How many times in the past six months have you used a search engine to find the answer to a question about health or wellbeing?

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* 12. Do you agree or disagree with the following statement? I am comfortable talking about my experiences of end of life care, death, dying and bereavement with a researcher (someone I don’t know)

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* 13. What is your age group?

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* 14. What is your gender?

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* 15. Where do you live?

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* 16. Your employment

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* 17. Do you work or volunteer for Hospice UK?

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* 18. What is your job title?

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* 19. How many times in the past six months have you taken part in paid market research

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* 20. Can you take part in a 45minute phone interview on one of the following dates? Wed 11th, Thurs 12th, Fri 13th November and Mon 16th, Tues 17th, Wed 18th, Thurs 19th, Fri 20th November

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* 21. If no, are you happy for us to contact you if other dates become available?

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* 22. Please complete the following fields if you consent to being contacted by a researcher.

Hospice UK will not use any personal data collected in this survey for any other purpose than this research. If you have consented to a phone call with a researcher, we will pass your contact details onto We Are MC2 LTD who we are working with on this project. Both Hospice UK and We Are MC2 LTD will destroy your personal data collected from the survey within 30 days of the completion of our research project.

Your responses will be kept confidential, stored in a secure environment, and in-line with the Hospice UK privacy policy: https://www.hospiceuk.org/terms-and-conditions#privacy
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