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Free Palliative Care Survey

50+ Expert-Crafted Palliative Care Survey Questions To Enhance Patient Support

Discover how palliative care survey questions can transform your approach to end-of-life support by pinpointing areas for improvement in patient comfort and communication. These targeted questions assess symptom management, emotional wellbeing, and overall satisfaction - crucial insights for delivering compassionate, high-quality palliative care. Get started with our free template preloaded with example questions, or use our online form builder to create a custom survey that fits your needs.

Please rate your overall satisfaction with the palliative care you received.
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Strongly disagreeStrongly agree
Staff members communicated information clearly and respectfully.
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Strongly disagreeStrongly agree
My pain and symptoms were managed effectively.
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Strongly disagreeStrongly agree
I received adequate emotional and spiritual support.
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Strongly disagreeStrongly agree
The care environment was clean and comfortable.
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Do you have any suggestions for improving our palliative care services?
Are you completing this survey as a patient or a family member?
Patient
Family Member
What is your age range?
Under 18
18-34
35-54
55-74
75 and above
What is your gender?
Female
Male
Non-binary
Prefer not to say
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Top Secrets to Crafting a Palliative Care Survey That Truly Resonates

A palliative care survey matters because it shines a light on patient comfort, communication, and dignity. Starting strong with clear, empathetic language ensures you get honest responses. You can use a simple poll or a more in-depth questionnaire - both offer valuable insights. With the right data, care teams can track progress and target improvements.

When you approach your palliative care survey, focus on brevity and relevance. Ask only what delivers actionable feedback. Avoid medical jargon, stick to everyday words so participants feel at ease, and pilot your draft with a small group to catch confusing items early. Keep each question under 20 words to maintain clarity and focus.

Think of your survey as a conversation rather than a test. Break it into sections - symptom control, emotional support, communication - and guide respondents through each topic naturally. Use mixed formats: scale ratings, open-text fields, and simple checkboxes. Also ensure your form is mobile-friendly so caregivers and patients can respond on any device.

Try sample questions like "How effectively did our team manage your pain?" and "What do you value most about the support you received?" These examples spark honest feedback. Pair them with "On a scale of 1 - 5, how comfortable did you feel sharing your concerns?" for quick quantifiable data and higher response rates. For inspiration, check our Healthcare Survey templates as you build your own.

Imagine Sarah, a nurse coordinator at a hospice, using survey insights to refine her approach. She spotted that emotional support scores lagged and introduced weekly check-in calls. Within weeks, feedback on empathy rose by over 20%. This real-world tweak shows how quickly data drives change - a key principle highlighted in the Palliative care overview.

3D voxel art depicting online survey concept on a dark blue background, related to palliative care.
3D voxel art depicting online palliative care survey process on a dark blue background.

5 Must-Know Tips to Dodge Common Palliative Care Survey Mistakes

A flawed palliative care survey can do more harm than good, steering teams toward misaligned priorities. If you ask unclear palliative care survey questions, responses turn into noise. Remember: your goal is clarity - ensure every question ties back to quality of care. Think, "How do I use this survey effectively?" and design with intent from the first draft.

A common mistake is asking too many questions without context. Long surveys increase drop-off rates and frustrate patients already under stress. According to Racial Disparities and Mistrust in End-of-Life Care, mistrust can skew results when respondents feel surveyed rather than supported. Always respect time constraints - aim for ten focused items.

Another mistake is clinical jargon that feels cold or impersonal. Empathetic phrasing encourages open dialogue and reflects best practices from PALLM: Evaluating and Enhancing PALLiative Care Conversations with Large Language Models. For instance, ask "Were you comfortable sharing feedback about emotional support?" instead of "Rate your psychosocial support." If you need templates, see our Patient Experience Survey guides.

Ignoring skip logic or branching questions leads all participants through irrelevant items and causes confusion. You can learn more about early risk identification from Design of one-year mortality forecast at hospital admission, which highlights the value of targeted screening. Use conditional flows: if a patient reports uncontrolled pain, follow up with detailed symptom questions. This keeps the survey relevant and respects each respondent's experience.

Finally, avoid collecting data without planning next steps. Set aside time to analyze responses swiftly and share findings with your team. Close the feedback loop by asking, "What suggestions do you have for improving pain management?" so you can act on concrete ideas. Real change begins when surveys drive care adjustments, not just paperwork.

Patient Experience Questions

These questions explore how patients perceive the quality, comfort, and respect they receive during palliative care. Gathering this feedback helps teams refine service delivery and improve overall satisfaction. For more on measuring patient perceptions, see our Patient Experience Survey .

  1. How would you rate the overall quality of care you received?

    This question establishes a general satisfaction baseline, guiding deeper analysis of care strengths and weaknesses.

  2. Did you feel comfortable discussing your concerns with the care team?

    Open communication is vital in palliative settings, and this item gauges patient comfort and trust.

  3. How timely was the response when you requested assistance?

    Timeliness impacts patient well-being; this measure identifies potential delays in support delivery.

  4. Were your personal preferences and values respected during care?

    Respect for patient autonomy is a core palliative principle; this question checks alignment with patient wishes.

  5. How satisfied are you with the pain and symptom management provided?

    Effective symptom control is critical; this item assesses the success of prescribed interventions.

  6. Did the care environment feel safe and welcoming?

    Comfortable surroundings contribute to emotional well-being, so this question measures environmental impact.

  7. Were you given clear information about your treatment options?

    Informed decision-making relies on clarity; this assesses the transparency of communication.

  8. How well did the team coordinate with your primary healthcare providers?

    Coordination avoids gaps in care; this question identifies breakdowns in interdisciplinary collaboration.

  9. Did you feel that your cultural or spiritual needs were acknowledged?

    Cultural competence enhances care quality; this item ensures holistic respect for patient identity.

  10. Would you recommend this palliative care program to others?

    A recommendation question serves as a proxy for overall program endorsement and likelihood to refer.

Symptom Management Questions

This section delves into how effectively physical discomforts, such as pain, nausea, and fatigue, are controlled. Consistent symptom relief is central to patient comfort and quality of life. For broader context on clinical metrics, consult our Healthcare Survey .

  1. On a scale of 0 - 10, how would you rate your current pain level?

    Quantifying pain intensity helps tailor interventions and track treatment effectiveness over time.

  2. Have you experienced any significant side effects from your medications?

    Identifying adverse reactions ensures timely adjustments and reduces patient distress.

  3. How effectively has nausea been managed in the past week?

    Nausea can severely impact appetite and comfort, making management a key quality indicator.

  4. To what extent has fatigue interfered with your daily activities?

    Assessing fatigue impact highlights the need for energy-conserving strategies and support.

  5. Have you experienced shortness of breath, and was it addressed promptly?

    Dyspnea can cause high anxiety; prompt relief is crucial for patient safety and calm.

  6. Are you satisfied with the strategies provided to manage insomnia?

    Sleep quality affects healing and mood; this question verifies the effectiveness of sleep aids.

  7. How well have your gastrointestinal symptoms (e.g., constipation) been controlled?

    Digestive issues can reduce quality of life, so monitoring control informs care adjustments.

  8. Have you felt any breakthrough pain that required extra medication?

    Breakthrough pain tracking helps clinicians optimize baseline analgesia regimens.

  9. How comfortable are you with the frequency of symptom assessment visits?

    Assessment frequency impacts patient burden; this checks for optimal balance in care checks.

  10. Do you feel you have enough tools and information to manage your symptoms at home?

    Self-management resources support autonomy and reduce unplanned hospital visits.

Emotional Support Questions

Emotional well-being is integral to comprehensive palliative care, addressing anxiety, depression, and spiritual concerns. These questions aim to evaluate the psychosocial support structure around each patient. Learn more about family-centered metrics in our Caregiver Survey .

  1. How often do you feel anxious or worried about your condition?

    Measuring anxiety frequency helps identify the need for counseling or medication adjustments.

  2. Do you feel you have access to emotional or spiritual counseling?

    Access to holistic support services influences overall patient resilience and coping.

  3. How supported do you feel by your friends and family?

    Social support networks directly impact patient morale and perceived care quality.

  4. Have you been offered resources for stress management or relaxation techniques?

    Stress reduction interventions can improve sleep, mood, and pain perception.

  5. Do you feel comfortable discussing fears or worries with your care team?

    Psychological safety encourages open dialogue and timely emotional support.

  6. How well do you feel your emotional needs are understood?

    Understanding emotional triggers guides personalized support strategies.

  7. Have you experienced any mood changes since starting palliative care?

    Tracking mood fluctuations alerts clinicians to potential depression or side effects.

  8. Are you aware of support groups or peer networks available to you?

    Peer support fosters community and reduces feelings of isolation.

  9. Do you feel your spiritual or religious beliefs are respected?

    Spiritual care enhances holistic well-being and aligns treatment with personal values.

  10. Would you like additional emotional or psychological support at this time?

    Offering optional support respects patient autonomy and addresses unmet needs.

Communication and Information Questions

Clear, compassionate communication ensures patients and families understand care plans, prognosis, and options. This section evaluates the clarity, consistency, and completeness of information provided. For deeper insights on patient-centered dialogue, see our Patient Centered Care Survey .

  1. How clearly did staff explain your diagnosis and treatment options?

    Clarity in communication supports informed consent and empowerment.

  2. Were you given written materials that were easy to understand?

    Accessible written resources reinforce verbal explanations and support recall.

  3. Did you feel encouraged to ask questions about your care?

    Encouraging questions promotes patient engagement and shared decision-making.

  4. How consistent was the information you received from different team members?

    Consistency prevents confusion and builds trust in the multidisciplinary team.

  5. Were potential side effects of treatments explained before administration?

    Proactive disclosure of risks helps patients prepare and reduces anxiety.

  6. How well were your family members informed about your care plan?

    Family involvement is crucial in palliative contexts; this checks their information level.

  7. Did you receive timely updates when your care plan changed?

    Timely updates maintain transparency and alleviate uncertainty.

  8. How comfortable were you with the follow-up communication after consultations?

    Effective follow-up ensures questions are answered and concerns addressed late.

  9. Were you informed about available support services and referrals?

    Knowledge of support networks enhances holistic care access.

  10. Would you say the language used by staff was respectful and empathetic?

    Empathetic language fosters a supportive atmosphere and patient trust.

Staff and Nursing Care Questions

This category examines the professionalism, responsiveness, and compassion of nurses and support staff delivering palliative services. Insights here help optimize staffing models and training programs. For metrics aligned with national benchmarks, refer to our Hospice CAHPS Survey .

  1. How would you rate the compassion shown by nursing staff?

    Compassion is a core nursing attribute that influences patient comfort and trust.

  2. Were your pain relief needs addressed by nurses in a timely manner?

    Quick pain management interventions are vital to patient stability and satisfaction.

  3. Do you feel the nursing team listened to your concerns carefully?

    Active listening ensures patient needs are understood and appropriately met.

  4. How skilled did you find the nurses in handling your equipment and treatments?

    Technical proficiency reduces complications and instills confidence in care.

  5. Were nurses accessible when you needed assistance?

    Accessibility of staff minimizes patient anxiety and supports timely care delivery.

  6. How well did the team coordinate nursing shifts and handovers?

    Seamless handovers maintain continuity and reduce information loss between shifts.

  7. Did you feel comfortable with the gender and cultural backgrounds of your caregivers?

    Respecting patient preferences about caregiver characteristics enhances comfort.

  8. Are nurses proactive in checking on you without waiting for a call bell?

    Proactive care demonstrates attentiveness and reduces patient effort for help.

  9. How clearly did nurses explain medication schedules and dosages?

    Clear instruction on medications prevents errors and supports adherence.

  10. Would you say the nursing staff maintained patient dignity during all procedures?

    Upholding dignity is essential to respectful, patient-centered palliative care.

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