Palliative Care Cultural Sensitivity Survey
Help us improve cultural sensitivity in palliative care by sharing your experiences and perspectives.
Your Role in Palliative Care
*
Please Select
Physician
Nurse
Social Worker
Chaplain/Spiritual Care
Patient or Family Member
Other
How many years of experience do you have in palliative care?
*
Please Select
Less than 1 year
1-3 years
4-7 years
8-15 years
More than 15 years
How would you rate the current level of cultural sensitivity in your palliative care environment?
*
1
2
3
4
5
Have you encountered any cultural challenges in palliative care? (Select all that apply)
*
Language barriers
Religious/spiritual differences
Dietary needs
Family involvement preferences
End-of-life traditions
Other
Please describe an experience where cultural sensitivity positively or negatively impacted care.
What suggestions do you have for improving cultural sensitivity in palliative care?
Do you agree to participate in this anonymous survey for quality improvement purposes?
*
Yes, I agree
No, I do not agree
Submit Survey
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