Patient & Family Experience Survey

Annual Patient & Family Experience Survey

Please tick the appropriate boxes and add any additional suggestions or comments in the space provided below.

Access to Services
From which of our team(s) have you received care?
Please tick all that apply.
- Galway Inpatient Unit
- Home Care / Community Team
- Mayo Inpatient Unit
Speed of access to the hospice team when I first needed it was...
- Excellent
- Very Good
- Satisfactory
- Poor
- Not Applicable
The written information leaflet(s) I received on first contact with the hospice team was...
- Excellent
- Very Good
- Satisfactory
- Poor
- Not Applicable
Person-centred Care & Support
Staff advice / information regarding my illness and care was...
- Excellent
- Very Good
- Satisfactory
- Poor
- Not Applicable
Staff advice / information regarding my medications was...
- Excellent
- Very Good
- Satisfactory
- Poor
- Not Applicable
The response to my concerns / queries was...
- Excellent
- Very Good
- Satisfactory
- Poor
- Not Applicable
The emotional and spiritual support provided was...
- Excellent
- Very Good
- Satisfactory
- Poor
- Not Applicable
The respect shown by staff for my individual treatment choices was...
- Excellent
- Very Good
- Satisfactory
- Poor
- Not Applicable
The support provided to family / carer was...
- Excellent
- Very Good
- Satisfactory
- Poor
- Not Applicable
Safe Care & Support
The management of my most troublesome symptom was...
- Excellent
- Very Good
- Satisfactory
- Poor
- Not Applicable
I was treated with respect and dignity to a standard that was...
- Excellent
- Very Good
- Satisfactory
- Poor
- Not Applicable
The support I received with my physical care needs (e.g. eating & drinking, personal hygiene etc.) was...
- Excellent
- Very Good
- Satisfactory
- Poor
- Not Applicable
The information I received about how to give feedback / make a complaint on my care was...
- Excellent
- Very Good
- Satisfactory
- Poor
- Not Applicable
The privacy and confidentiality during treatment / consultations was...
- Excellent
- Very Good
- Satisfactory
- Poor
- Not Applicable
I felt that protections in place against infections, such as COVID-19, were...
- Excellent
- Very Good
- Satisfactory
- Poor
- Not Applicable
I felt that discharge home from the Inpatient Unit to the care of my GP / Public Health Nurse (if applicable) was...
- Excellent
- Very Good
- Satisfactory
- Poor
- Not Applicable
Workforce
I would rate the professionalism of Hospice staff as...
- Excellent
- Very Good
- Satisfactory
- Poor
- Not Applicable
Staff introductions explaining their name and role was...
- Excellent
- Very Good
- Satisfactory
- Poor
- Not Applicable
Overall impression of the Hospice building
My dietary needs, eg. gluten-free, vegetarian diets etc., were met to a standard that was...
- Excellent
- Very Good
- Satisfactory
- Poor
- Not Applicable
The cleanliness of the Hospice was...
- Excellent
- Very Good
- Satisfactory
- Poor
- Not Applicable
Please fill in below as much as you can to help us improve our hospice service.
What are three words that come to mind when you think about the Hospice?
22. Please name one thing that we should definitely try to improve on?
Please name one good thing about your experience / the service you received?
In light of Covid-19 restrictions, do you feel that Galway Hospice team(s) met your needs?
- Yes
- No
If no, please explain.
Please add any comments here on any aspect of the support you received from the Hospice.
This is particularly important to us if your response to any of the previous questions was 'Satisfactory' or 'Poor'.
Please indicate who has completed this survey.
- Patient receiving palliative care
- Main carer (on behalf of the patient)
- Friend / Family member (on behalf of the patient)
- Friend / Family member (relating to your own experiences)
If you would like us to contact you regarding any aspect of the care you received at Galway Hospice, please provide your name and number below.
Name
Phone
Facebook
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