Bereavement survey

We are interested in the quality of care provided to patients, their families, close friends and carers at Russells Hall Hospital at the end of life. This information will help us to improve the care and support we provide to people at this difficult time. All information is confidential and you do not need to include your name unless you wish us to contact you.

The following errors occurred:

About you

Important information

If you would like someone to contact you regarding anything you have included on this questionnaire, please write your name and contact number below.

About your relative/friend

The Patient Advice and Liaison Service (PALS) support patients, relatives or carers when they have concerns or queries, or need this survey in an alternative format.

You can contact PALS via email at or by telephoning 0800 073 0510.