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Written by a family member
7th September 2019


I did not find filling in this form easy. I am the carer, my husband with dementia would not have been able to fill this in. He would have ticked just any box I would recommend you have 2 forms. -One specifically for the carer. -One specifically for the patient.

Recommend
Dignity/Respect
Involvement
Information
Staff
Safe
Supported
Spiritual understanding
Rating not given.
Cultural needs