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* 1. Which ward was your relative treated on whilst in hospital?

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* 2. Are you a carer for a patient with...?

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* 3. Are you aware of the Butterfly Scheme?

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* 4. Did your relative have a Patient Passport when they were in hospital?

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* 5. During your relative's admission, how much information were you given about their care/treatment?

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* 6. Have you been told about the Carer's Passport?

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* 7. Were you given a Carer's Passport whilst your relative was in hospital?

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* 8. Were you told that you could visit your relative in hospital at any time?

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* 9. Were you made to feel welcome on the ward?

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* 10. Comments

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* 11. Were you given any information for carers?

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* 12. What type of information were you given?

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* 13. Did you have the opportunity to talk to staff about the support needed by the person you care for the following? (please mark all that apply)

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* 14. Were you able to be involved in your relative's care as much as you wanted to be?

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* 15. Did staff involve you in planning your relative's discharge?

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* 16. Were you made aware of the Carers' Link Worker?

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* 17. Did you speak to the Carers' Link Worker?

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* 18. Please use this space for any comments about caring for your relative whilst they were in hospital

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* 19. How would you describe yourself?

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