Bereavement Survey - University Hospitals of Derby and Burton

WE VALUE YOUR OPINION

It is important to us that we provide the best possible care and support, not only for patients but also with whom they share their lives. We are inviting you to share your experience as your views are important to us and can help us improve our services. Should you feel able to complete this survey we would be grateful but please do not add any personal identifiable information. Thank you

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* 1. Which of our hospitals did your loved one spend the last days of their life?

Royal Derby Hospital

London Road Community Hospital

Queens Hospital Burton

Sir Robert Peel Community Hospital

Samuel Johnson Community Hospital

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* 2. On which ward did they die?

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* 3. Did you feel that the ward/room/area was appropriate?

Yes

Comments

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* 4. Did you feel you had enough privacy when sensitive conversations took place?

Yes

Comments

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* 5. Do you feel that symptoms were well managed at the end of their life?

Always

Usually

Sometimes

Rarely

N/A

Comment

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* 6. Were you or your loved one offered spiritual, pastoral or religious support?

Yes

N/A

Comment

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* 7. Did we ask where they wanted to be cared for in the last days of life?

Yes

N/A

Comments

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* 8. How satisfied were you how the ward team communicated with you?

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Very dissatisfied

Comments

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* 9. What was your overall impression of end of life care at our hospital?

Excellent

Good

Average

Poor

Very poor

Comments

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* 10. Were you looked after by the bereavement service in a timely, caring and appropriate manner?

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Very dissatisfied

Comments