Patient Survey Question Title * 1. I am a Patient Family member Caregiver Question Title * 2. I, or my family member have been in Lake Taupo Hospice care 1 - 3 months 3 - 6 months + 6 months Question Title * 3. I attend or have attended Tuesday Activity Days and/or Friday Club days Tuesday Activity Day Friday Club Day None of the above Question Title * 4. What I get the most out of Tuesday/Friday groups are Question Title * 5. I am satisfied with the frequency of contact from Lake Taupo Hospice Not satisfied at all Somewhat satisfied Satisfied Very Satisfied N/A Not satisfied at all Somewhat satisfied Satisfied Very Satisfied N/A Question Title * 6. I am satisfied with the information and advice given to me/my family member Not satisfied at all Somewhat satisfied Satisfied Very satisfied N/A Not satisfied at all Somewhat satisfied Satisfied Very satisfied N/A Question Title * 7. I am satisfied with the support overall given to me/my family member Not satisfied at all Somewhat satisfied Satisfied Very satisfied N/A Not satisfied at all Somewhat satisfied Satisfied Very satisfied N/A Question Title * 8. I am satisfied with the respect shown for my/my family member needs Not satisfied at all Somewhat satisfied Satisfied Very satisfied N/A Not satisfied at all Somewhat satisfied Satisfied Very satisfied N/A Question Title * 9. I am satisfied with the management of my/my family member management of symptoms and treatment Not satisfied at all Somewhat satisfied Satisfied Very satisfied N/A Not satisfied at all Somewhat satisfied Satisfied Very satisfied N/A Question Title * 10. I am satisfied with the appropriateness of the equipment given to me Not satisfied at all Somewhat satisfied Satisfied Very satisfied N/A Not satisfied at all Somewhat satisfied Satisfied Very satisfied N/A Question Title * 11. I am satisfied with the access to nurse advice and support Not satisfied at all Somewhat satisfied Satisfied Very satisfied N/A Not satisfied at all Somewhat satisfied Satisfied Very satisfied N/A Question Title * 12. Please rate your overall experience My overall experience has not been satisfactory My overall experience has been satisfactory My overall experience has been excellent My overall experience has not been satisfactory My overall experience has been satisfactory My overall experience has been excellent Question Title * 13. I was given assistance to write an Advanced Care Plan Yes No Question Title * 14. My Advanced Care Plan was used in my care Yes No N/A Question Title * 15. I would recommend Lake Taupo Hospice care and support Yes No Question Title * 16. My suggestions for Lake Taupo Hospice to improve its services are Question Title * 17. What I appreciated the most about the care and support I/my family member receive/d is Done