Providers, we want to know what you think about hospice care. Please take a few moments to take this survey for your chance to win a dinner for 2 at the Brooklyn and the Butcher in New Albany, Indiana. The deadline to submit the survey is September 30th. Limit one entry per contestant.How important is it for you to work with a locally owned company?*Not at all importantSomewhat ImportantVery importantNo opinionDo you think end of life care conversations are important to have?*YesNoNo opinionHow important is it for you to have a low staff to patient ratio?*Not at all importantSomewhat importantVery importantNo opinionDo you think hospice care is ordered early enough?*YesNoNo opinionDo you understand everything that is included in the Medicare Hospice Benefit?*NoYesHave you ever used hospice services for your family?*NoYesIf your answer to number 6 is yes, how would you rate your experience? 0=poor, 5=excellent*012345If you are a healthcare provider, how would you rate the level of difficulty discussing end of life care options? 0=not difficult at all, 5=extremely difficult*012345Do you think that a Veteran owned company would be preferred by your patients?*NoYesDon't knowDo you feel if you were more knowledgeable about hospice care that you would be more comfortable discussing it with your patients?*YesNoI'm not sureName* First Last Email* We will not share your email with any third parties or send unsolicited marketing materials. This is only for contacting you if you are selected as the winner.EmailThis field is for validation purposes and should be left unchanged.
