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* 1. I am a

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* 2. I, or my family member have been in Lake Taupo Hospice care

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* 3. I attend or have attended Tuesday Activity Days and/or Friday Club days

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* 4. What I get the most out of Tuesday/Friday groups are

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* 5. I am satisfied with the frequency of contact from Lake Taupo Hospice

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* 6. I am satisfied with the information and advice given to me/my family member

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* 7. I am satisfied with the support overall given to me/my family member

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* 8. I am satisfied with the respect shown for my/my family member needs

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* 9. I am satisfied with the management of my/my family member management of symptoms and treatment

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* 10. I am satisfied with the appropriateness of the equipment given to me

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* 11. I am satisfied with the access to nurse advice and support

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* 12. Please rate your overall experience

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* 13. I was given assistance to write an Advanced Care Plan

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* 14. My Advanced Care Plan was used in my care

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* 15. I would recommend Lake Taupo Hospice care and support

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* 16. My suggestions for Lake Taupo Hospice to improve its services are

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* 17. What I appreciated the most about the care and support I/my family member receive/d is

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