Telephone Bereavement Support Evaluation

Introduction and Informed Consent

Thank you for agreeing to provide feedback and helping Palliative Manitoba evaluate our Telephone Bereavement Support (TBS) program. We want to learn what TBS is doing well and what could be done better. You should know that:

  • Completing this survey is completely voluntary. The decision to participate will not affect the support you receive from Palliative Manitoba, now or in the future.
  • You can skip any question you do not wish to answer.
  • Results will be kept confidential and your name will not appear with your submission.
  • Palliative Manitoba staff will discuss the combined results and use your feedback to improve the program. Results will not be made public.

If you have any questions about this survey or any of Palliative Manitoba’s programs, please connect with staff at

1 = very dissatisfied | 5 = very satisfied
Chang in outlook? Accessing supports?
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