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East and North Herts Bereavement Office Relatives Experience Survey
1.
Please provide the name of your loved one and the date they died (optional):
2.
Were you given a copy of the Bereavement information booklet: “Following a Bereavement…”
Did you find the Bereavement booklet helpful?
Extremely useful
Very useful
Not so useful
3.
During your initial conversation with the bereavement assistant, were you;
Advised of the process involved and do you feel that everything was explained clearly?
Yes
No
Other (please specify)
4.
Did you attend the Bereavement office/viewing room?
Yes
No
5.
How easy was it to find the Bereavement Waiting Area?
Easy
Difficult
I needed help
6.
If you arranged a viewing was the process clearly discussed with you and any concerns highlighted.
Yes
No
Other (please specify)
7.
Was your loved one appropriately prepared for the viewing?
Yes
No
Other (please specify)
8.
In your opinion was your loved one treated with care, dignity and respect by the mortuary Staff?
Yes
No
Other (please specify)
9.
How would you rate our service overall?
Outstanding
Excellent
Good
Poor
10.
Do you have any additional comments or suggestions for how we could further improve the service we provide?