Nhs_choices Bthft Bradford Teaching HospitalsNHS Foundation Trust NHS Choices
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Bereaved Carers Survey

We would like to invite you to tell us about your recent experience as the relative, carer or friend of a person who has died in our care. We would like to know how well we looked after your relative /friend at the time of their death and the time leading up to this.

We know this might be a very difficult time for you. If you find it too upsetting please don’t feel you have to fill this survey in. If there are questions you don’t want to answer you can leave them out. If you would like to talk to someone about this please phone the Palliative Care Team on 01274 364035 or the Chaplaincy Team on 01274 365819. Our chaplains can support people of all faiths or no faiths.

If you would like to wait a while before you fill it in that is ok – we will be glad to get your feedback at any time.

You don’t have to give your name. However if you want to know the results of the survey, or be contacted about anything you have told us please fill in your contact details at the end of the form.

Please click on the following link to complete the survey Bereaved Carers Survey.

If you would prefer a printed version then please contact our staff on the telephone numbers above who can arrange to post a printed copy to you.

If you need this information in another format or in Polish or Slovakian, please contact our staff on the telephone numbers above who can arrange to forward printed copies of the survey.

Thank you for your time, your answers will help us improve how we care for future patients at the end of their lives and those who are close to them.