Evaluation of Essentia Health St. Mary's Hospice Grief Support Services
Please know that this evaluation will be read and be used to improve care for those who grieve.
Thank you for your time in completing this evaluation.
Do you remember having contact with grief support services? c Yes c No
Was our contact: c Too much c Just right c Not enough
Considering your particular grief experience, how useful have been the following services:
Not Helpful Helpful Very Helpful
Telephone calls 1 2 3 N /A
In-person visits 1 2 3 N/A
Mailings and cards 1 2 3 N/A
Grief books/pamphlets 1 2 3 N/A
Grief Support Groups 1 2 3 N/A
Of the supportive resources available to you, which have you used?
c family c friends c co-workers c physician c pets
c nature c faith community c inner resources c private counselor/therapist
c hospice grief support services c faith/beliefs c reading/literature
c other community agencies/self-help groups c none c other_____________________
Would you like a follow up call? c Yes c No If yes: please complete the following information:
Your Name:____________________________________________________________________
Phone: ____________________Relationship to your loved one: __________________________
If there is anything else you would like us to know, please write below (you may also use the other side):
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Thank You
R:\Hospice Duluth\HOSPICE\Bereavement-evaluation grief support
Ellen
Ellen Hufschmidt, M.A.
Family and Grief Support
Essentia Health
St. Mary's Hospice
Duluth Team D
330 East Second Street, Duluth, MN 55805
218-786-4020 | Fax 218-786-4223
Toll Free 1-800-500-8604