FEEDBACK

Compliments | Suggestions | Complaints

Karuna Hospice Services aims to provide a high standard of care that meets the needs of our clients.

We recognise and promote the rights of clients, their families, and/or advocates to raise and discuss any concerns regarding the provision of services and to have them acknowledged and resolved in a timely manner.

We also welcome any suggestions or compliments you may have.

All feedback will be dealt with confidentially.

Thank you for giving Karuna the opportunity to continually improve our services.

Date

I am a . . . . . *

PatientCarerFamily memberFriendDonorVisitorOther

 

I would like to make a *

ComplimentSuggestionComplaint

Karuna staff approached me and my situation in a caring and sensitive manner? *

Strongly AgreeAgreeNeither agree nor disagreeDisagreeStrongly disagreeNot applicable

Karuna staff listened carefully and patiently to understand and assist me to address issues *

Strongly AgreeAgreeNeither agree nor disagreeDisagreeStrongly disagreeNot applicable

I was provided with up-to-date information appropriate to my needs? *

Strongly AgreeAgreeNeither agree nor disagreeDisagreeStrongly disagreeNot applicable

I was included in care planning and decision making? *

Strongly AgreeAgreeNeither agree nor disagreeDisagreeStrongly disagreeNot applicable

I was provided with clear instructions for emergency and/or after hours contact? *

Strongly AgreeAgreeNeither agree nor disagreeDisagreeStrongly disagreeNot applicable

Care was delivered promptly, in accordance to changing needs? *

Strongly AgreeAgreeNeither agree nor disagreeDisagreeStrongly disagreeNot applicable

I was helped to understand what might be considered "normal" in my situation? *

Strongly AgreeAgreeNeither agree nor disagreeDisagreeStrongly disagreeNot applicable

Karuna staff helped me to understand grief and bereavement? *

Strongly AgreeAgreeNeither agree nor disagreeDisagreeStrongly disagreeNot applicable

The assistance and treatment given by Karuna staff made a difference to how I coped overall? *

Strongly AgreeAgreeNeither agree nor disagreeDisagreeStrongly disagreeNot applicable

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TOTAL SCORE

What aspects of Karuna's care, enhanced your quality of life? *

Is there anything you think we could improve on? *

We welcome any other comments or suggestions you may have:

Optional - Your Name:

 

Phone Number

Email

Would you like to be contacted about this feedback?

Yes pleaseNo thank you

How would you like to be contacted?

PhoneEmail

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