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Palliative Care Survey

Palliative Care Survey
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Hello:

You are invited to participate in our survey to assist with the future development and improvement in the current Palliative Care Model at Latrobe Community Health Service (LCHS).

This survey is confidential and the responses will be summarised and only utilised by the leadership team to develop the future model of Palliative Care at LCHS.

We value your feedback and opinions and request you answer the questions with as much detail as possible.

If you have any questions in relation to the survey please contact Jenny Turra.

The survey will take approximately 5 minutes to complete and your participation in this study is completely voluntary.


Please complete the survey by this Friday 4th September 2015.

Thank you very much for your time and support. Please start the survey now by clicking on the Continue button below.
 
 
 
How well do you think the current model of care is meeting the needs of clients and carers?

With 1 = Not meeting clients/carers needs; 5 = Just meeting needs; 10 = Exceeds their needs
1 2 3 4 5 6 7 8 9 10
 
 
 
List 3 items below which you consider to be working well in the Palliative Care service?
   
 
 
 
List 3 items below which you consider are not working well in the Palliative Care service?
   
 
 
 
What changes would you suggest to assist in improving current Palliative Care provision?
   
 
 
 
If you listed more than 3 suggestions, please list your top three priorities in order of most important.
   
 
 
 
Do you have any other Comments/Suggestions:
   
 
Palliative Care Survey