Inclusion Criteria:  Inpatient on a specialist palliative care unit Admitted in the study period. Over 18 years of age Willing to participate Able to complete the questionnaire (with or without support) during their admission  Exclusion Criteria:  Lack of capacity to consent to involvement in the study Clinical team consider the offer of participation may cause distress or burden Patients not under the care of the specialist palliative care team e.g. medical borders (this exclusion criteria is only relevant to the specialist palliative care units attached to hospitals and not the hospice)