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Your care matters to us

Your care matters to us

We’d really value hearing about your experience of the care and support we provide.

Your feedback helps us understand what matters most to you and how we can continue to provide the best possible care and support.

The form is short, anonymous and easy to complete.

If you have any questions about the form, please contact our team at Quality&Governance@renniegrovepeace.org

Your care matters to us

Who are you?(Required)

Patient or service user

Family member, carer or friend

Questions for patients and service users

Were you treated with dignity and respect?(Required)

1 – Not at all

5 – Totally

Did you feel involved enough in decisions about your care?(Required)

1 – Not at all

5 – Totally

Did you receive enough information about your care?(Required)

1 – Not at all

5 – Totally

Were the staff kind and caring?(Required)

1 – Not at all

5 – Totally

Did you have confidence and trust in the staff?(Required)

1 – Not at all

5 – Totally

Were your cultural, diversity and religious or spiritual needs met? (if applicable)

1 – Not at all

5 – Totally

Were your disability needs met? (if applicable)

1 – Not at all

5 – Totally

How likely are you to recommend Rennie Grove Peace Hospice Care to others you know?(Required)

1 – Not at all

5 – Totally

Did you receive enough information about your care?(Required)

1 – Not at all

5 – Totally

Overall, as a patient or service user, how was your experience of Rennie Grove Peace Hospice Care?(Required)

Very poor

Poor

Neither good nor poor

Good

Very good

Don’t know

Detailed feedback

We would be grateful if you could use full sentences and give as much detail as possible.

Please tell us what you think about our care and support and why you gave the ratings you did.

What could we have done better?

About the care received

What type of care did you receive from Rennie Grove Peace?(Required)

Select all that apply.

Living Well support

Hospice at Home care

Inpatient Unit care

Bereavement support

Other

Please tell us what other type of care was received

What service did you access?

You don’t need to know the exact name. Just give a short description.

Was there a particular member of staff you would like to mention?

Their first name is fine.

Questions for family members, carers or friends

Was your relative or friend treated with dignity and respect?(Required)

1 – Not at all

5 – Totally

Did you feel involved enough in decisions about your relative or friend’s care?(Required)

1 – Not at all

5 – Totally

Did you receive enough information about your relative or friend’s care?(Required)

1 – Not at all

5 – Totally

Were the staff kind and caring?(Required)

1 – Not at all

5 – Totally

Did you have confidence and trust in the staff?(Required)

1 – Not at all

5 – Totally

Were your relative or friend’s cultural, diversity and religious or spiritual needs met? (if applicable)

1 – Not at all

5 – Totally

Were your relative or friend’s disability needs met? (if applicable)

1 – Not at all

5 – Totally

How likely are you to recommend Rennie Grove Peace Hospice Care to others you know?(Required)

1 – Not at all

5 – Totally

Overall, as a family member, carer or friend, how was your experience of Rennie Grove Peace Hospice Care?(Required)

Very poor

Poor

Neither good nor poor

Good

Very good

Don’t know

Detailed feedback

We would be grateful if you could use full sentences and give as much detail as possible.

Please tell us what you think about our care and support and why you gave the ratings you did.

What could we have done better?

About the care received

What type of care did your relative or friend receive from Rennie Grove Peace?(Required)

Select all that apply.

Living Well support

Hospice at Home care

Inpatient Unit care

Bereavement support

Other

Please tell us what other type of care was received

What service did your relative or friend access?

You don’t need to know the exact name. Just give a short description.

Was there a particular member of staff you would like to mention?

Their first name is fine.

More about you

I identify as:

Male

Female

Other

Prefer not to say

What is your age?

Enter your age in years.

Please enter a number from 1 to 120.

Ethnic group

What is your ethnic group?

Asian British

Asian Other

Black British

Black, African or Caribbean

Mixed or multiple ethnic groups

White British

White Other

Other ethnic group

Prefer not to say

Can we contact you about your feedback? We will not share your email or phone number with third parties.(Required)

I am happy to be contacted by Rennie Grove Peace to share my story in more detail.

Yes

How would you prefer us to contact you?(Required)

Phone

Country Phone Number

Sharing your feedback

I do not want my feedback to be shared outside the team reviewing it.

To find out how Rennie Grove Peace Hospice Care uses personal data, please read our privacy and cookies information.