The Royal Melbourne Hospital Palliative and Supportive Care Patient and Carer Feedback Survey Question Title * 1. Do you trust the staff? Not at all Totally Not at all Totally Question Title * 2. Do the staff listen to you? Not at all Totally Not at all Totally Question Title * 3. Would you recommend the staff? Not at all Totally Not at all Totally Question Title * 4. Were you looked after efficiently? Not at all Totally Not at all Totally Question Title * 5. How clean is where you were treated? Awful Perfect Awful Perfect Question Title * 6. Were you treated with dignity and respect? Not at all Totally Not at all Totally Question Title * 7. Were you looked after promptly? Not at all Totally Not at all Totally Question Title * 8. Were any fears or concerns adequately addressed? Not at all Totally Not at all Totally Question Title * 9. How well did the staff meet your needs? Not at all Totally Not at all Totally Question Title * 10. I am: A patient A carer Question Title * 11. Add your comments: Question Title * 12. If you have a specific issue or concern that you want us to provide direct feedback on, please write down your name and contact details below, and we will contact you as soon as possible. Done