Northern Ireland End of Life Care in Hospital: Experience Survey

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Closes 31 Oct 2021

Section One – About the person who died

Q1. What was your relationship to the person who died? You were his/her:
(Required)
Q2. Please state the age of the person who died:
(Required)
Q3. What is the ethnic group of the person who died?
(Required)
Q4. Please state in which Health & Social Care Trust the person who died was being cared for:
(Required)
Q5. How long had the person been in hospital before they died?
(Required)
Q6. Where in the hospital did they die?
Q7. How many times were they admitted to hospital in the last 12 months?
(Required)
Q8. To your knowledge prior to their final admission to hospital, had the person expressed any preferences or wishes about how they would like to be cared for at the end of their life? For example, this may include their preferences not to have specific treatments or the place they would prefer to be cared for at the end of their life.
(Required)
Q9. Allowing for the present COVID-19 restrictions were you able to have time with the person before death?
(Required)