TABLE 2.

Question bank

	Questions	Reason for asking
For Providers to ask Patients and Caregivers (ie, family)	‘What is your understanding of how you're doing right now?’	To ‘level set’ across stakeholders and ensure that everyone's understanding of the situation is known
	‘What's most important to you?’	To ensure that the core concerns and priorities of patients and caregivers are captured (can help focus care planning)
	‘What are you most afraid of?’ or ‘What concerns you most?’	To get at the heart of what is most pressing for the patient and caregiver more directly.
	‘Are you satisfied with your progress?’	To capture how the patient and caregiver are feeling about their current state
	‘Were there any goals that you hoped to achieve?’
	‘We are [an acute hospital] where we work together to [provide acute care and rehabilitation to patients like you]. We've offered what we are able to offer here, now we need to look at next steps…’	To manage expectations of patients and caregivers
	‘This part of your stay is over, you are now waiting for [next care setting] the [providers] won't come as often, therapy will decrease, etc. This is changing because [we are limited in the types of resources available]’.
For Patients and Caregivers to ask Providers	‘Now that I’m here waiting for [next care setting] what will my day look like? Who will come see me? Will I still have some connection to the clinical team?’	To hold providers accountable and manage own expectations
	‘What are the next steps before discharge and how do we prepare?’