We would like to ask you a few questions about your recent experience of the end of life care for a loved one.

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* 1. It would be very helpful if we could link your responses to the death of your loved one.

If your loved one died suddenly or did not receive end of life care and you prefer not to answer the questions, then you should not complete this questionnaire.

The information you provide will be used to improve palliative and end of life care on the Isle of Man.

Please note that everyone is completely free to respond or not to any question. No names will be included in any report that results from this questionnaire.

For each of the following questions, please tick the response which best matches your view and provide comments if you can.

Thank you very much for your help.
Sponsored by the Scholl Academic Centre, Hospice Isle of Man

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17% of survey complete.