Your views on Palliative, End of Life Care and Bereavement Support in Sussex

1. Are you responding as an individual, on behalf of a team, or on behalf of an organisation?

Individual Team Organisation

2. Which settings do you work or volunteer in?

Tick all that apply

Bereavement Support Service Children's Hospice Community Pharmacy Domiciliary/Home Care General Practice Surgery Hospice Hospital Nursing Home Residential Care Home Voluntary/Charity Sector (Non hospice) Other (please state below)

If you answered 'other', please explain here:

3. Which areas does your service cover and what age groups do you work with?

Areas your service covers:

Brighton and Hove East Sussex West Sussex Other (please state if you cover a smaller area such an ICT, PCN etc.)

If you answered 'other', please explain here:

Age groups you work with:

Children only (under 18) Adults only (18+) Both children and adults Other (please explain below)

If you answered 'other', please explain here:

4. What is your role or job title?

About you