The Hospice Feedback Form opens with a brief welcome that explains why responses matter, then walks respondents through five required rating questions covering overall satisfaction, staff communication, staff compassion and professionalism, symptom management, and family or caregiver support — each one targeting a distinct dimension of hospice care so the provider can pinpoint exactly where to improve. Two optional open-ended questions follow, inviting respondents to name specific service gaps and share any remaining comments or suggestions, giving people who want to elaborate a clear space to do so. After submitting, respondents see a thank-you screen acknowledging their input and affirming its role in maintaining compassionate, high-quality care.
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The five separate rating questions give administrators a clear breakdown of where care is strong and which specific areas — communication, symptom management, or family support — need attention.
The structured ratings across five care dimensions produce consistent, comparable data, while the "Are there any specific areas where you believe the hospice could improve its services?" question surfaces actionable detail.
The dedicated "How well did the hospice provide support and resources for family members/caregivers?" question gives family members a direct channel to report on their own experience, not just the patient's.
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