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)

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

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* 3. What is the Hospice known for? What's our reputation?

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

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

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* 5. 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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* 6. 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
Type of programs and services offered
Wait times
Where services are offered
Services for indigenous people
Services for people with lower incomes
Services for people from diverse backgrounds

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* 7. Additional comments 

0 of 7 answered
 

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