Family Survey for the Care on the Palliative Care Unit G5

Thank you very much for taking the time to complete this survey.

Sharing your experiences will contribute towards our goal of providing excellent care to the patients and families that we serve.

Please do not include any personal health or identifiable information on the forms below.

Questions Yes No Maybe Not applicable
If somewhat unsatisfied or less with timeliness of the response of staff, please let us know during what time of the day you experienced these challenges:
Questions Yes No Maybe Not applicable
Questions Yes No Maybe Did not experience
Questions Yes No Maybe Not applicable
Questions Yes No Unknown
Questions Yes No Maybe Not applicable

Thank You! The survey is confidential and your name will not be connected with your responses. However, if you would like to share more details or would like us to follow up directly with you please connect with Sandra Marche, Palliative Care Specialist, email:  sandra.march@tehn.ca, phone:  416-461-8272 ext. 7652.

Would you like to share your insights as a patient or family advisor here at MGH and help us grow and improve our services? Please connect with Sandra Marche, Palliative Care Specialist, email:  sandra.march@tehn.ca, phone:  416-461-8272 ext. 7652.