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Feedback form for Booklets
Which booklet(s) did you read? (tick all that apply)
End of life Planning
When Someone Dies
Where did you get the booklet?
Health Care Professional
Health or social care facility (NBT, medical centre, care home)
Local facility (such as library)
Other
Other
How clear and easy to understand was the information in the booklet(s)?
Very Clear
Clear
Neutral
Unclear
Unclear
Was the booklet helpful in explaining end-of-life care planning?
Very Helpful
Helpful
Neutral
Not Helpful
Not Helpful at all
Did the booklet provide you with enough information about what to do when someone dies?
Yes, a lot of useful information
Some helpful information
A little helpful information
No helpful information
Were there any topics you feel should have been included that were missing from the booklet?
Was the tone of the booklet appropriate and sensitive to the topic?
Very Appropriate
Somewhat Appropriate
Neutral
Inappropriate
Very Inappropriate
How likely are you to recommend this booklet to others facing similar circumstances?
Very Likely
Likely
Neutral
Unlikely
Very Unlikely
Did this booklet help you feel more prepared or confident in making decisions?
Very Confident
Somewhat Confident
Neutral
Not very Confident
Not at all Confident
If this booklet didn't help, tell us why?
What part of the booklet was the most helpful to you?
What could be improved or added to make the booklet more useful?
Do you have any other comments or suggestions for improving this booklet?
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