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Reflections Form

As a caring organisation we value your views. Any comment you wish to make will be used to help us in the review of our service and planning future developments.

Weldmar Hospicecare is committed to equality and values diversity.

Your comments will be treated in the strictest confidence, unless you have given us permission to share them Healthwatch Dorset. Should you wish to be contacted in response to your comment/s please fill in your details at the end of this form.

If you would prefer to fill out a paper version of the Reflections form, these are available from any member of staff, in reception areas,  or can be downloaded: Reflections leaflet (PDF 52kb). The leaflet can be sent back to us using Freepost, or handed in at one of our reception areas.

Reflections Form

  • Service area

  • Please tick the area of our service/s you would like to comment on (if you select 'Other', please specify which service your comment is about).
  • Comments

  • Healthwatch Dorset

  • If you give us permission, we can pass your comments to Healthwatch Dorset. If you agree, your comments will be sent anonymously, unless you state otherwise. Do you agree for your comments to be shared?
  • Your details

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