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* 1. How would you rate your current understanding of what a Hospice is?

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* 2. How likely are you or your family to access to the Hospice services in Calgary?

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* 3. How likely are you or family to access the Hospice services if they were available in Wheatland County?

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* 4. If a Hospice was to open in Wheatland County, which services would you like to see offered? (You may select more than one.)

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* 5. If you or a loved one were dying today, what would prevent Hospice use? (You may select more than one.)

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* 6. I am

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* 7. I am

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* 8. I live

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* 9. I currently assist a family member with their care needs

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* 10. I anticipate in the future a family member will need help with their care needs.

0 of 10 answered
 

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