Based on the care your family received, would you recommend hospice services to others?
YesNo

Were you given a clean explanation of what services were available through hospice and how to access them?
YesNo

Did you have a good understanding of and agree with the cause and timely assessment of care?
YesNo

Did the organization provide you with enough information to understand the organization's Patient's Bill of Rights?
YesNo

How satisfied were you with the patient's pain control after admission to hospice?
Not ApplicableVery DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied

How satisfied were you with control of the patient's other symptoms after admission to hospice?
Not ApplicableVery DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied