Chatham-Kent Hospice Strategic Plan - Clients, Residents, Family Members and Visitors

Thanks for taking the time to respond to this important survey. If you don't have an answer for a question, please skip it. Your responses are confidential.

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* 1. What’s your connection with the CK Hospice? (Select all that apply)

Resident

Family member

Care Partner (family or friend)

Visitor

Client of Supportive Care

Donor

Other

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* 2. Based on your experience, what is your perception of how the values are followed at the CK Hospice?

	Rarely	Some of the time	Most of the time
CARING - We demonstrate compassion by accepting one another and treating everyone with kindness. Our home-like peaceful atmosphere is built on the foundation of care.	CARING - We demonstrate compassion by accepting one another and treating everyone with kindness. Our home-like peaceful atmosphere is built on the foundation of care. Rarely	CARING - We demonstrate compassion by accepting one another and treating everyone with kindness. Our home-like peaceful atmosphere is built on the foundation of care. Some of the time	CARING - We demonstrate compassion by accepting one another and treating everyone with kindness. Our home-like peaceful atmosphere is built on the foundation of care. Most of the time
Comment
DIGNITY - We respect the intrinsic worth of every individual and their personal decisions.	DIGNITY - We respect the intrinsic worth of every individual and their personal decisions. Rarely	DIGNITY - We respect the intrinsic worth of every individual and their personal decisions. Some of the time	DIGNITY - We respect the intrinsic worth of every individual and their personal decisions. Most of the time
Comment
EXCELLENCE - We constantly strive for excellence by embracing best practices, continuous improvement and fostering innovation. We are a leader in compassionate hospice palliative care.	EXCELLENCE - We constantly strive for excellence by embracing best practices, continuous improvement and fostering innovation. We are a leader in compassionate hospice palliative care. Rarely	EXCELLENCE - We constantly strive for excellence by embracing best practices, continuous improvement and fostering innovation. We are a leader in compassionate hospice palliative care. Some of the time	EXCELLENCE - We constantly strive for excellence by embracing best practices, continuous improvement and fostering innovation. We are a leader in compassionate hospice palliative care. Most of the time
Comment
INTEGRITY - We are transparent and honest. We honour our commitments and hold ourselves accountable.	INTEGRITY - We are transparent and honest. We honour our commitments and hold ourselves accountable. Rarely	INTEGRITY - We are transparent and honest. We honour our commitments and hold ourselves accountable. Some of the time	INTEGRITY - We are transparent and honest. We honour our commitments and hold ourselves accountable. Most of the time
Comment
DIVERSITY - We create and maintain a home and workplace that respects traditions, experiences, perspectives and viewpoints of everyone.	DIVERSITY - We create and maintain a home and workplace that respects traditions, experiences, perspectives and viewpoints of everyone. Rarely	DIVERSITY - We create and maintain a home and workplace that respects traditions, experiences, perspectives and viewpoints of everyone. Some of the time	DIVERSITY - We create and maintain a home and workplace that respects traditions, experiences, perspectives and viewpoints of everyone. Most of the time
Comment
COLLABORATION - We work together to maximize resources and benefits for those we serve. We work with our residents, providing care that is respectful of and responsive to their needs, preferences and values.	COLLABORATION - We work together to maximize resources and benefits for those we serve. We work with our residents, providing care that is respectful of and responsive to their needs, preferences and values. Rarely	COLLABORATION - We work together to maximize resources and benefits for those we serve. We work with our residents, providing care that is respectful of and responsive to their needs, preferences and values. Some of the time	COLLABORATION - We work together to maximize resources and benefits for those we serve. We work with our residents, providing care that is respectful of and responsive to their needs, preferences and values. Most of the time
Comment

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* 3. What are the strengths of the CK Hospice? (list your top 3)

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* 4. What could the CK Hospice do differently or better (list your top 3)

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* 5. What are your hopes and dreams for the CK Hospice over the next 3 years? Think big!

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* 6. What do your friends and family who live in Chatham-Kent know the Hospice for? What's our reputation?

	Low	Medium	High
Knowledge of Hospice	Knowledge of Hospice Low	Knowledge of Hospice Medium	Knowledge of Hospice High
Helpfulness	Helpfulness Low	Helpfulness Medium	Helpfulness High
Quality of Care	Quality of Care Low	Quality of Care Medium	Quality of Care High
Access to Services	Access to Services Low	Access to Services Medium	Access to Services High
Welcoming and Inclusive	Welcoming and Inclusive Low	Welcoming and Inclusive Medium	Welcoming and Inclusive High
Safe	Safe Low	Safe Medium	Safe High

Other (please specify)

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* 7. What additional programs or services could the Hospice offer? (list your top 3)

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* 8. What trends/issues/opportunities are there in Chatham-Kent that could impact the CK Hospice over the next 3-5 years? (list your top 3)

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* 9. What gaps in services are you aware of when it comes to hospice and palliative care in Chatham-Kent?

	No this isn't a gap	Yes this is a gap	I don't know
Awareness of available services	Awareness of available services No this isn't a gap	Awareness of available services Yes this is a gap	Awareness of available services I don't know
Comment
Type of programs and services offered	Type of programs and services offered No this isn't a gap	Type of programs and services offered Yes this is a gap	Type of programs and services offered I don't know
Comment
Wait times	Wait times No this isn't a gap	Wait times Yes this is a gap	Wait times I don't know
Comment
Where services are offered	Where services are offered No this isn't a gap	Where services are offered Yes this is a gap	Where services are offered I don't know
Comment
Services for indigenous people	Services for indigenous people No this isn't a gap	Services for indigenous people Yes this is a gap	Services for indigenous people I don't know
Comment
Services for people with lower incomes	Services for people with lower incomes No this isn't a gap	Services for people with lower incomes Yes this is a gap	Services for people with lower incomes I don't know
Comment
Services for people from diverse backgrounds	Services for people from diverse backgrounds No this isn't a gap	Services for people from diverse backgrounds Yes this is a gap	Services for people from diverse backgrounds I don't know
Comment

Chatham-Kent Hospice Strategic Plan - Clients, Residents, Family Members and Visitors

Question Title

* 1. What’s your connection with the CK Hospice? (Select all that apply)

Question Title

* 2. Based on your experience, what is your perception of how the values are followed at the CK Hospice?

Question Title

* 3. What are the strengths of the CK Hospice? (list your top 3)

Question Title

* 4. What could the CK Hospice do differently or better (list your top 3)

Question Title

* 5. What are your hopes and dreams for the CK Hospice over the next 3 years? Think big!

Question Title

* 6. What do your friends and family who live in Chatham-Kent know the Hospice for? What's our reputation?

Question Title

* 7. What additional programs or services could the Hospice offer? (list your top 3)

Question Title

* 8. What trends/issues/opportunities are there in Chatham-Kent that could impact the CK Hospice over the next 3-5 years? (list your top 3)

Question Title

* 9. What gaps in services are you aware of when it comes to hospice and palliative care in Chatham-Kent?

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* 10. Additional comments