Bereavement Services Survey
The questions in this survey focus on the grief support services St. Croix Hospice provided to you during the time since the death of your family member, friend or significant other. Please answer each question on the survey by choosing the answer that best describes your experience with the grief support services provided.
1. How helpful were the bereavement mailings you received?
Very helpful
Somewhat helpful
Not very helpful
Not needed
2. The number of bereavement mailings you received were:
Right amount
Too much
Not Enough
Not needed
3. The number of bereavement telephone calls you received were:
Right amount
Too much
Not Enough
Not needed
4. Thinking about all of your telephone conversations with St. Croix Hospice, how helpful were the individuals with whom you spoke?
Very helpful
Somewhat helpful
Not very helpful
Had no conversations
5. If St. Croix Hospice was not able to get in touch with you, but you received a voicemail, was that helpful in your grief?
Very helpful
Somewhat helpful
Not very helpful
N/A
6. Since the death, did you participate in any of the following grief support groups offered?
Virtual
In-person
Both
None - go to question 8
7. How would you rate the grief support groups you attended?
Very helpful
Somewhat helpful
Not very helpful
N/A
8. How would you rate the overall grief support you received from St. Croix Hospice?
Very helpful
Somewhat helpful
Not very helpful
N/A
9. Would you say the grief support services you received from St. Croix Hospice were compassionate and personal?
Yes
No
10. Your suggestions are valuable. How can St. Croix Hospice bereavement services be more helpful for the bereaved?
11. Would you like someone from St. Croix Hospice to follow up with you?
Yes
No
If yes, please provide your name, phone number, and reason for follow up:
12. What is your relationship with the deceased?
Please Select
Spouse or significant other
Child
Parent
Sibling
Niece/nephew
Friend
Other
13. Please add any additional comments here:
Thank you for taking the time to complete this survey. Sometimes, when people are asked about the loss of a loved one it may be distressing. Please know that St. Croix Hospice grief support services continue to be a resource for you.Contact us at: bereavement@stcroixhospice.com or 651-328-6934.
Submit
Should be Empty: