HELP US IMPROVE OUR SERVICES

We appreciate your feedback on the service you and your family member have received from the Karuna team as it provides us with the opportunity to continuously improve our services.

I AM A: *

PatientCarerFamily member

The services you received from Karuna were from:

Clinical NurseSpecialist DoctorSocial WorkerSpiritual Care PractitionerOther

Please tick the appropriate boxes below to match your experience of the care received: Strongly agree (SA), Agree (A), Neither agree nor disagree (N), Disagree (D), Strongly Disagree (SD), Not applicable (N/A).

EXPERIENCE

SAANDSDN/A

The patient was offered choices about their care pathway and care delivered was consistent with these choices?

SAANDSDN/A

The Karuna team included the patient and family in decision making processes?

SAANDSDN/A

The Karuna team treated the patient and their family with dignity and respect?

SAANDSDN/A

Karuna provided care in a culturally respectful manner?

SAANDSDN/A

Overall I was satisfied with the level of care provided by the Karuna team?

SAANDSDN/A

Please provide information related to your experience. If applicable, how could this be improved?

How likely are you to recommend our services to your family and friends? *

Extremely likelyLikelyNeither likely nor unlikelyUnlikelyExtremely unlikelyNot applicable

Would you like to be contacted about this feedback? *

Yes pleaseNo thank you

Optional - Your Name:

Phone Number

How would you like to be contacted?

PhoneEmail

Thank you for your feedback.

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