OT in Hospice for Client

Occupational therapy (OT) facilitates participation in activities of daily life. It promotes function, engagement and performance of the activities that are meaningful to the client and are necessary for independent living. Examples can include self care activities (bathing, grooming oral hygiene, dressing), meal preparation, home management, safety awareness, personal hobbies etc.
I acknowledge this
Occupational therapy (OT) facilitates participation in activities of daily life. It promotes function, engagement and performance of the activities that are meaningful to the client and are necessary for independent living. Examples can include self care activities (bathing, grooming oral hygiene, dressing), meal preparation, home management, safety awareness, personal hobbies etc. 
Extremely familiar
Very familiar
Somewhat familiar
Not so familiar
Not at all familiar
I have received occupational therapy services at some point in my life.
Yes
No
Not sure
I would enjoy participating in an occupational therapy focused group (i.e. self-care, cooking, scrapbooking, gardening etc)
Definitely would
Probably would
Probably would not
Definitely would not
I would enjoy the presence of my family/caregiver during group activities.
Definitely would
Probably would
Neutral
Probably would not
Definitely would not
I feel content with what I have accomplished in my life.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
I believe talking about death is necessary at the end of life.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
I feel comfortable discussing death with loved ones.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
How would you rate your current quality of life?
Very high quality
High quality
Neither high nor low quality
Low quality
Very low quality
What groups would you be interested in participating in? This can be a general interest (i.e. crafts) or it can be more specific (i.e. Creating a photo album).  Occupational therapy covers a lot of topics/activities, so feel free to suggest anything of interest to you.
Other comments/suggestions
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