Customer Service Survey
Please take a moment to fill out this survey
Overall satisfaction of service
Rows
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Friendliness
Knowledge
Quickness
Would you use our Hospice services in the future?
Yes
No
Maybe
How can we improve our service?
Would you recommend Hospice of Murray County to family and friends?
Yes
No
How are you related to whom received care at our Hospice House or In-Home Hospice care?
My spouse or partner
My parent
My mother-in-law or father-in-law
My grandparent
My aunt and or uncle
My sister or brother
My child
My friend
Other (please print)
While your family was in hospice care, how often did our hospice team treat your family member with dignity and respect?
Never
Sometimes
Usually
Always
Did we educate/support you and/or your family to prepare you for the end of life?
Were you satisfied with our 24-hour on-call nurse line?
Yes
No
If not, please explain
Do you feel like your family/friend could have benefited from our hospice care sooner?
Yes
No
While your family member was in hospice care, did he or she ever become restless/agitated/have pain or discomfort?
Yes
No
If yes, do you feel like the hospice team explained how to effectively control the situation?
Yes
No
If no, please explain:
While your family member was in hospice care, how much emotional support did you get from the hospice team?
Too little
Right amount
Too much
While your family member was in hospice care, how often did the hospice team treat your family member with dignity and respect?
Never
Sometimes
Usually
Always
What other questions do you wish were asking you?
Submit
Should be Empty: