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Table 5 Post-Family Meeting Primary Family Carer Questionnaire

From: Family meetings in palliative care: Multidisciplinary clinical practice guidelines

Nb Conducted by phone [] or face to face []. Completed by ............ [insert name]
As a follow up to the recent family meeting we are interested in finding out how things are for you at the moment. Before the family meeting
You nominated:
.................................................................................................................................................................
as the main problem to be discussed at the family meeting, and
.................................................................................................................................................................
as your second greatest problem.
How upset/worried are you about this problem (or these problems) at the present time? (Place a cross on the line)
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(1) Not at all As worried as I could possibly be (10)
How often do these problems happen? (Place a cross on the line)
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(1) Not at all All the time (10)
How much is the problem (or problems) interfering in your life? (Place a cross on the line)
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(1) Not at all Dominating my life completely (10)
In what ways?...........................................................................................................................................
How confident do you feel in dealing with the problem(s)? (Place a cross on the line)
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(1) Not at all Extremely (10)
You nominated the following questions as those you would like addressed in the family meeting:
.................................................................................................................................................................
To what extent do you feel these questions were addressed?
.................................................................................................................................................................
Office use only:    
  Pre-session Post-session Difference
How upset/worried: ........................ ........................ ........................
Problem frequency: ........................ ........................ ........................
Life interference: ........................ ........................ ........................
Confidence: ........................ ........................ ........................