This questionnaire is about the care and services that your relative/friend received in the last few months of their life, the support offered to them and you at the time of their death, and about the support you've received in the time since then.  The information you give will help us improve care and support for people who are dying. 

We realise this questionnaire may bring back strong memories.  Some people might find some of the questions upsetting or uncomfortable. If this happens, you do not have to continue with the questionnaire and can stop at any time.  If you need support please refer to the information about local and national support we have brought together here.

If you want to use google translate to make completion of this survey easier, please let us know, at the end of the questionnaire, which language your answers are in, this will make it much easier for us to understand your answers.

How long will it take?

This survey will take around 10-15 minutes to complete.

Will my information be kept confidential?
All responses to the survey are anonymous, which means we do not ask for your name or other information that might identify you to us or to other people. We won’t share anything which may make it possible for other people to identify you.

3% of survey complete.