1.Have you ever heard of residential hospice care before today?

Yes

No

2.Before today, what did you think residential hospice care was? (Select all that apply)

A place people go only in the last days of life

A medical facility like a hospital

A home like setting focused on comfort and quality of life

A place that supports both patients and families

I am not sure

3.Which services do you believe are provided in a residential hospice?

Pain and symptom management

Emotional and spiritual support

Support for families and caregivers

Medical care from nurses and physicians

A quiet, home like environment

I am not sure

4.True or False: You must pay to stay at a residential hospice

True

False

Not Sure

5.True or False: Residential hospice care is only for seniors.

True

False

Not Sure

6.Before today, were you aware that Huron Shores Hospice provides residential hospice care locally to residents of Grey, Bruce, and Huron Counties?

Yes

No

Not Sure

7.When do you think someone becomes eligible for residential hospice care?

Only in the final days of life

When curative treatment is no longer effective

At any stage of a life limiting illness

I am not sure

8.Yes or No: Families can visit, stay with, and be involved in care while their loved one is in residential hospice.

Yes

No

Not Sure

9.What feelings come up when you hear the word “hospice”?

Comfort

Fear

Uncertainty

Relief

Sadness

Hope

Not Sure

10.What would you most like to learn about at an educational event on residential hospice?

What residential hospice looks like day to day

How hospice supports families

Who qualifies and how referrals work

Myths and misconceptions about hospice

Other (please specify)