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The Wallace Grief Support & Education Center
Bereavement Services Survey
Please take a couple of minutes to complete our survey. Your responses will allow us to determine how effective our Bereavement staff has been with providing counseling to you in your time of grief.
1.
Did you join the Grief Support program due to a friend or family member that was a patient of HospiceCare?
No, I did not have a friend or family member that was in the HospiceCare program
Yes, I did have a friend or family member in the HospiceCare program
2.
The degree to which I felt welcomed and was shown compassion during my time in the program.
No, did not meet my expectations
Yes, met my expectations
Yes, exceeded my expectations
3.
The degree to which my counselor attentively listened to my concerns.
No, did not meet my expectations
Yes, met my expectations
Yes, exceeded my expectations
4.
The degree to which my counselor was knowledgeable and helpful in providing grief support.
No, did not meet my expectations
Yes, met my expectations
Yes, exceeded my expectations
5.
The degree to which my counselor helped me process feelings of grief in a healthy and healing way.
No, did not meet my expectations
Yes, met my expectations
Yes, exceeded my expectations
6.
Based on your experience, would you recommend HospiceCare's Grief Support Program to others?
No, I will not be recommending this program to others
Yes, I will be recommending this program to others
7.
Would you like to add any additional comments?
8.
I would like someone from HospiceCare to follow-up with me about this survey
Yes
No
If Yes, please enter you name, number or email address
