Please select which group, treatment / support you attended
Please select which group, treatment / support you attended
Welcome Wednesday
Friday Friends
Living Well
Fatigue, Anxiety and Breathlessness (FAB)
Tea & Talk
Hearts in Bloom
Complementary Therapy
Physiotherapy
Consultant/Doctor Outpatients
Overall Experience
So far, has attending this group, treatment / support been beneficial to you?
Yes very beneficial
Somewhat beneficial
Not beneficial so far
Too early to say
How likely are you to recommend this group, treatment/support to others who may need similar care/support?
Extremely likely
Likely
Neither likely nor unlikely
Extremely unlikely
Don't know
Overall, how satisfied are you with the care and supportprovided as a result of attending the group, treatment/ support?
Very satisfied
Fairly satisfied
Neither satisfied nor dissatisfied
Fairly dissatisfied
Very dissatisfied
What aspects of the group, treatment/support did you findmost beneficial to your wellbeing?
What, if anything, could we improve?
Something I will take away from my group, treatment/support is………
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Access to Hospice Services
How easy was it to access the group, treatment/ supportwhen you needed?
Very easy
Fairly easy
Neither easy nor difficult
Fairly difficult
Very difficult
How satisfied are you with accessibility to the Hospice groups, treatment/ support (e.g. parking, transport links)?
Very satisfied
Fairly satisfied
Neither satisfied nor dissatisfied
Fairly dissatisfied
Very dissatisfied
What did you think to the duration of your group, treatments/support?
Too long
Too short
Just right
Not applicable as group/support doesn't have a set duration
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Care Environment
How satisfied are you with the environment of your group, treatment / support?
Very satisfied
Fairly satisfied
Neither satisfied nor dissatisfied
Fairly dissatisfied
Very dissatisfied
How satisfied are you with the cleanliness and comfort of the space your group, treatment / support is provided in?
Very satisfied
Fairly satisfied
Neither satisfied nor dissatisfied
Fairy dissatisfied
Very dissatisfied
How important is having more space and comfortable surroundings during groups, treatments / support?
Very important
Important
Neutral
Not very important
Not important at all
How important is having access to outdoor spaces, such as gardens and fresh air, as part of your groups / treatment / support?
Very Important
Important
Neutral
Not very important
Not important at all
Are there any suggestions you can make about the current environment to make it better for your group, treatment / support?
Which of the below benefits have you experienced as a result of attending your group, treatment / support (please select all that apply)?
Improved physical wellbeing
Improved emotional wellbeing
Improved mood
Increased relaxation
Increased confidence / independence
Feeling less isolated
Better understanding of my condition or situation
Better symptom control
Feeling more supported
Accessing support sooner than expected
Other- please state other benefits you’ve experienced
When thinking about your current care, do you feel you have enough support while waiting for other appointments?
Yes
No
Sometimes
Not sure
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How satisfied are you with the following aspects of care?
The professionalism and expertise of the Dove House Hospice staff facilitating the group or offering the treatment / support?
Very satisfied
Fairly satisfied
Neither satisfied nor dissatisfied
Fairly dissatisfied
Very dissatisfied
The compassion and dignity shown to you by Dove House Hospice Staff and Volunteers?
Very satisfied
Fairly satisfied
Neither satisfied nor dissatisfied
Fairly dissatisfied
Very dissatisfied
The atmosphere felt safe and respectful
Very satisfied
Fairly satisfied
Neither satisfied nor dissatisfied
Fairly dissatisfied
Very dissatisfied
Any other comments you would like to make in relation to the group, treatment / support you attend/ed?
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