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Individual's Experience with Illness

The North Simcoe Muskoka Palliative Care Network and its partners provide palliative care services in the North Simcoe Muskoka region. We would like to hear about your illness experience. Sharing your story may help us improve our care and support. The information you provide will help us understand what we are doing well and what we can improve. Your comments can remain anonymous or if you wish some help, we will be glad to contact you.

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* 1. Can you tell us a bit about yourself.

Where are you living?

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* 2. How long have you been ill?

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* 3. What is your diagnosis?

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* 4. What family supports you through this illness?

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* 5. What health care professionals support you?

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* 6. What kind of support have you needed?

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* 7. What kind of support have you received?

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* 8. Was support given in a timely manner?

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* 9. How long did you wait for support from the time of request?

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* 10. Was support provided in a courteous manner?

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* 11. Was your privacy respected?

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* 12. Were you included in making decisions about goals for care?

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* 13. Was your dignity maintained?

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* 14. Were you provided with information about what you needed for your care?

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* 15. Overall, did you feel the support you received was helpful?

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* 16. Your comments and suggestions are important to us. Although we always appreciate positive feedback, we also want to know if things did not go well, so we can work on solutions. Would you share your experience of being ill and receiving care?

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* 17. Would you make a comment on the support provided to you or your family, that would encourage others to use the services. If you would like to be identified with the comment please provide us with your contact information

Thank you for sharing your story. Please contact us if you need assistance at 705.325.0505 or 1.877.235.2224.
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