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Hope Hospice satisfaction survey

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Family and Caregiver Satisfaction Survey

This survey focuses on your experience at Hope Hospice Center and complements the National Hospice Survey that you may also receive from our clinical care provider, Partners in Home Care. It should take approximately 15 minutes to complete.

Communication

We are interested in learning about your interaction with the Hope Hospice staff. Please tell us about your communication experience with them.
1. The staff listened carefully and responded thoroughly to our concerns, needs and preferences.
2. Care was coordinated among team members and aligned in their approach.
3. We were informed of changes in our loved one’s condition in a timely and clear manner.
4. Our loved one was treated with dignity and respect at all times.
5. We were appropriately included in decisions about care.
6. The care team explained what to expect during the final days/hours in a clear and compassionate way.

Quality of Care

In this section we would like your feedback on the quality of care your loved one experienced.
7. Pain was well managed.
8. Other symptoms (such as breathing discomfort, anxiety or restlessness) were well managed.
9. Our loved one appeared comfortable throughout their stay.
10. When help was requested, staff responded promptly and attentively.
11. We were informed about medications and their purpose in a clear and understandable way.

Facility and Environment

We would like your comments on our facility.
12. The center was clean and well maintained.
13. The room was comfortable, welcoming and quiet.
14. The environment felt peaceful and home-like.
15. Our family felt welcome at all times.
16. Shared spaces were comfortable and supportive of our needs.
17. Food and refreshments were available and met our needs.

End-of-Life Experience

Please provide your impression of the end-of-life experience.
18. Our loved one experienced a peaceful and dignified passing.
19. We were prepared for what to expect in the final days and hours.

Additional Reflections

Please provide us with any additional information below.
Are you are comfortable with Partners Hope Foundation using your quotes?

Thank you for sharing your experience with us. Your feedback is a meaningful gift that helps us continue to provide compassionate, thoughtful care to patients and their families in the future.

With sincere appreciation,
The Board of Directors of Partners Hope Foundation

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