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  • Section A: Overall experience

  • Section B: Access to hospice services

  • Section C: Care environment & facilities

  • 9. Please rate the comfort of rooms and shared spaces:

  • Section D: Quality of care provided

  • 11. How satisfied are your with the following aspects of care?

  • Section E: Family and bereavement support

  • Thank you for your feedback

  • If yes please complete your details below

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