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We welcome your views

We would like to invite you to complete this survey, looking at the care we provided to your loved one while they were with us in the last days of life at The Queen Elizabeth Hospital. We know this is a difficult time for you but your experiences are important and will help us improve future care for patients and families. This questionnaire is not intended to cause you any distress and we very much hope that you feel you will be able to respond. 
Patient

These questions help us to understand more about the care your relative/friend received in the last days or hours of their life.

In your opinion was your relative/friend:

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* 1. Aware they were in the last days or hours of life

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* 2. Offered spiritual/religious support during this time

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* 3. Offered emotional support at this time

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* 4. Made as comfortable as possible in the last few days of life

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* 5. Free from pain and other symptoms

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* 6. Responded to quickly by the staff

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* 7. Treated with dignity and respect

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* 8. Given privacy

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* 9. Supported to eat and drink if they wished

About you and your experience

These questions will help us to understand more about the care you received from the ward before your relative/friend died. 

In your opinion were you:

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* 10. Well informed of your relative/friend's condition

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* 11. Given the opportunity to ask questions

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* 12. Asked how and when you would like to be contacted if there was any change in your relative/friend's condition

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* 13. Given the opportunity of being with your relative/friend when they died

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* 14. Given the opportunity to stay with your relative/friend

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* 15. Offered spiritual/religious support during this time

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* 16. Given emotional support at the time of death

Relative/friend - after death

These questions help us understand more about the care you received after the death of your relative/friend. 

In your opinion were you:

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* 17. Told about the death of your relative/friend in a sensitive way

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* 18. Offered spiritual/religious support at this time

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* 19. Given the opportunity of sitting with your relative/friend on the ward after they had died 

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* 20. Given the opportunity of visiting your relative/friend on the ward after they had died

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* 21. Advised that you can visit your relative/friend at the Funeral Directors

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* 22. Given the opportunity to discuss organ, tissue or body donation by the clinical staff (if applicable)

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* 23. Given the opportunity of your relative/friend being released early from hospital due to religious or cultural beliefs (if applicable)

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* 24. Treated with dignity and respect by the ward staff

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* 25. Advised to contact the Bereavement Relatives Support Office

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* 26. Given a 'Bereavement Booklet' - information for bereaved relatives and friends

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* 27. Given the opportunity to register the death in the hospital and receive your relative/friend's property in an appropriate environment 

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* 28. Given the sufficient information on what to do next i.e. registering the death and contacting a Funeral Director 

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* 29. Did your relative/friend ever say where they would like to die?

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* 30. On balance, do you think your relative/friend died in the right place in line with their wishes?

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* 31. Please use the space below for any other comments

Thank you for taking the time to complete this questionnaire. We appreciate this was not easy.
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