Form

2007 EVALUATION

The aim of World Hospice and Palliative Care Day ('World Day') was to raise awareness of the need for hospice and palliative care across the world. Your experiences and views of the day are very important and this questionnaire is to help plan future World Days.

Please take the time to complete the questions, there are five sections and it should not take more than 15 minutes. All the information you supply will be treated confidentially and we will share the worldwide results with you. Online completed questionnaires will be submitted to Maria Tchotreva at Help the Hospices.

SECTION A. ABOUT YOU:

1) Name
2) Organisation Name
3) Address
4) Country
5) Telephone
6) Email
7) Website
SECTION B. ABOUT WORLD HOSPICE AND PALLIATIVE CARE DAY 2006 ('World Day'):
8) What did you do to celebrate World Day in 2006? (Tick all that apply)
Concert Music and arts events (e.g. performances, readings, exhibitions, competitions, poetry) Religious event (e.g. special mass, prayer) Media work (magazine, journal, newspaper articles, TV, radio, celebrities) Conference/seminar/workshop Education-based events (e.g. schools, medical colleges) Special launch (e.g. new service, building, publication, policy) Public awareness raising event (e.g. surveys, displays, stalls, processions, walks, street meetings) Public social events (e.g. festivals, fairs, fetes, families day) Fund raising events (e.g. walks, runs, auctions, collections) Social event
Other
We did not celebrate the Day (please explain why)

9) Please describe your celebrations in more detail.

10) Did you relate your event or activities to the theme "Across the Ages: From Children to Older People"?
Yes (go to question 11) No (go to question 12)
11) If yes, please explain how?

12. If not, please explain why you did not?

13) Who attended the event? (Tick all that apply)
Public Volunteers Patients Professionals Hospice and palliative care professionals Students Children Government or state officials Famous people
Other. (Please specify)
14) Approximately how many people participated in your event?
15) Did your event get any press or media coverage? (Tick all that apply)
No Don't know Local/Regional Radio National Radio Local/Regional Television National Television Local/Regional Newspaper National Newspaper
Other written media (Please specify)
Other spoken media (Please specify)
16) Did you engage with policy makers and/or governments and if so how?

17) How did you find out about World Hospice and Palliative Care Day?

18. Did you register your event on the World Hospice and Palliative Care Day website?
Yes No
19) Did you use the materials on the website? (please tick all the apply)
No Key messages Press releases Poster blank Suffering at the End of Life - The State of the World report Flyer Petition Access for All report Access to pain relief - an essential human right report Media toolkit Logo Messages of support Game List of events Poems for world day
20) Do you have any further comments or suggestions about the website?

SECTION C. FUNDRAISING
21) Did you raise any funds through World Hospice and Palliative Care Day and if so how much ($US)?
22) What do you plan to use the funds for?

SECTION D. THE IMPACT OF WORLD HOSPICE AND PALLIATIVE CARE DAY
23) Do you think your World Day events increased awareness of the need for hospice and palliative care?
Yes No
24) In what ways has World Day 2007 impacted on hospice and palliative for your service or in your country? (Please tick all that apply and give more details about your answers in the box below).
It hasn't Increase in patients New enquiries about volunteering New interest from health professionals New campaigns New service developments New Training New publications e.g. journal, magazine Change in national health care programmes and policies Increased understanding by government or policy makers Other


SECTION E. FUTURE WORLD HOSPICE AND PALLIATIVE CARE DAYS
25) Do you have any suggestions and recommendations for the organizers for improving World Day in 2008?

26) Do you have any other comments?