Helen & Douglas House Feedback Questionnaire 2023

Survey - Helen & Douglas House Feedback Questionnaire 2023 (FSB2023)

This survey is aimed to seek feedback of your experience of Helen & Douglas House services in the three months prior to the death of your child, and up to 12 months after, as well as our communications with you. If you require any support please contact us at survey@helenanddouglas.org.uk or call 01865 794749. Thank you for your time.
Please reply by 12th February 2023.

1. Please enter the unique code (this can be found on the letter or email you received):

2. Did your child receive any care and support from Helen & Douglas House prior to their death?

Yes

3. Did your child stay in Helen & Douglas House in the three months prior to their death?

Yes

Yes - more than once

No - our own preference

No - we were not offered this

4. Did your child receive care and support from Helen & Douglas House whilst staying in the community: home, hospital, or an other setting?

Yes

No - our own preference

No - we were not offered this

If you are human, leave this field blank.