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Your Experience survey

If you have used our Hospice's services, please consider taking some time to inform us of your experience.

Start your survey here

Menu selection for A Hospice Exclusive: Gala Evening 2025

Please complete the form below to confirm your menu selection for the Gala Dinner.

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Date

DD slash MM slash YYYY

Your details

Title*

Name*

First Last

Your food choices

Starter

Homemade chicken terrine, using Sutton Hoo-raised chicken, toasted focaccia, pickles and baby watercress salad

Potted wild mushroom paté, with homemade mushroom ketchup, toasted focaccia, pickles and baby watercress salad

Main course

21-day aged beef bavette steak, whipped garlic butter, served with french fries, watercress and radish salad

Roasted butternut squash wellington, served with pommes pont neuf, sage and squash sauce, watercress and radish salad

Dessert

Homemade 54% chocolate and hazelnut tart, served with Cornish clotted cream

54% potted chocolate water mousse, poached fruit, toasted coconut and chocolate soil (allergen free)

Do you have any food allergies we should be aware of?

Would you like to add a second guest?

Yes

Second guest's details

Title*

Name*

First Last

Second guest's food choices

Starter

Homemade chicken terrine, using Sutton Hoo-raised chicken, toasted focaccia, pickles and baby watercress salad

Potted wild mushroom paté, with homemade mushroom ketchup, toasted focaccia, pickles and baby watercress salad

Main course

21-day aged beef bavette steak, whipped garlic butter, served with french fries, watercress and radish salad

Roasted butternut squash wellington, served with pommes pont neuf, sage and squash sauce, watercress and radish salad

Dessert

Homemade 54% chocolate and hazelnut tart, served with Cornish clotted cream

54% potted chocolate water mousse, poached fruit, toasted coconut and chocolate soil (allergen free)

Do you have any food allergies we should be aware of?

Would you like to add a third guest?

Yes

Third guest's details

Title*

Name*

First Last

Third guest's food choices

Starter

Homemade chicken terrine, using Sutton Hoo-raised chicken, toasted focaccia, pickles and baby watercress salad

Potted wild mushroom paté, with homemade mushroom ketchup, toasted focaccia, pickles and baby watercress salad

Main course

21-day aged beef bavette steak, whipped garlic butter, served with french fries, watercress and radish salad

Roasted butternut squash wellington, served with pommes pont neuf, sage and squash sauce, watercress and radish salad

Dessert

Homemade 54% chocolate and hazelnut tart, served with Cornish clotted cream

54% potted chocolate water mousse, poached fruit, toasted coconut and chocolate soil (allergen free)

Do you have any food allergies we should be aware of?

Would you like to add a fourth guest?

Yes

Fourth guest's details

Title*

Name*

First Last

Fourth guest's food choices

Starter

Homemade chicken terrine, using Sutton Hoo-raised chicken, toasted focaccia, pickles and baby watercress salad

Potted wild mushroom paté, with homemade mushroom ketchup, toasted focaccia, pickles and baby watercress salad

Main course

21-day aged beef bavette steak, whipped garlic butter, served with french fries, watercress and radish salad

Roasted butternut squash wellington, served with pommes pont neuf, sage and squash sauce, watercress and radish salad

Dessert

Homemade 54% chocolate and hazelnut tart, served with Cornish clotted cream

54% potted chocolate water mousse, poached fruit, toasted coconut and chocolate soil (allergen free)

Do you have any food allergies we should be aware of?

Would you like to add a fifth guest?

Yes

Fifth guest's details

Title*

Name*

First Last

Fifth guest's food choices

Starter

Homemade chicken terrine, using Sutton Hoo-raised chicken, toasted focaccia, pickles and baby watercress salad

Potted wild mushroom paté, with homemade mushroom ketchup, toasted focaccia, pickles and baby watercress salad

Main course

21-day aged beef bavette steak, whipped garlic butter, served with french fries, watercress and radish salad

Roasted butternut squash wellington, served with pommes pont neuf, sage and squash sauce, watercress and radish salad

Dessert

Homemade 54% chocolate and hazelnut tart, served with Cornish clotted cream

54% potted chocolate water mousse, poached fruit, toasted coconut and chocolate soil (allergen free)

Do you have any food allergies we should be aware of?

Would you like to add a sixth guest?

Yes

Sixth guest's details

Title*

Name*

First Last

Sixth guest's food choices

Starter

Homemade chicken terrine, using Sutton Hoo-raised chicken, toasted focaccia, pickles and baby watercress salad

Potted wild mushroom paté, with homemade mushroom ketchup, toasted focaccia, pickles and baby watercress salad

Main course

21-day aged beef bavette steak, whipped garlic butter, served with french fries, watercress and radish salad

Roasted butternut squash wellington, served with pommes pont neuf, sage and squash sauce, watercress and radish salad

Dessert

Homemade 54% chocolate and hazelnut tart, served with Cornish clotted cream

54% potted chocolate water mousse, poached fruit, toasted coconut and chocolate soil (allergen free)

Do you have any food allergies we should be aware of?

Would you like to add a seventh guest?

Yes

Seventh guest's details

Title*

Name*

First Last

Seventh guest's food choices

Starter

Homemade chicken terrine, using Sutton Hoo-raised chicken, toasted focaccia, pickles and baby watercress salad

Potted wild mushroom paté, with homemade mushroom ketchup, toasted focaccia, pickles and baby watercress salad

Main course

21-day aged beef bavette steak, whipped garlic butter, served with french fries, watercress and radish salad

Roasted butternut squash wellington, served with pommes pont neuf, sage and squash sauce, watercress and radish salad

Dessert

Homemade 54% chocolate and hazelnut tart, served with Cornish clotted cream

54% potted chocolate water mousse, poached fruit, toasted coconut and chocolate soil (allergen free)

Do you have any food allergies we should be aware of?

Would you like to add an eighth guest?

Yes

Eighth guest's details

Title*

Name*

First Last

Eighth guest's food choices

Starter

Homemade chicken terrine, using Sutton Hoo-raised chicken, toasted focaccia, pickles and baby watercress salad

Potted wild mushroom paté, with homemade mushroom ketchup, toasted focaccia, pickles and baby watercress salad

Main course

21-day aged beef bavette steak, whipped garlic butter, served with french fries, watercress and radish salad

Roasted butternut squash wellington, served with pommes pont neuf, sage and squash sauce, watercress and radish salad

Dessert

Homemade 54% chocolate and hazelnut tart, served with Cornish clotted cream

54% potted chocolate water mousse, poached fruit, toasted coconut and chocolate soil (allergen free)

Do you have any food allergies we should be aware of?

Would you like to add a ninth guest?

Yes

Ninth guest's details

Title*

Name*

First Last

Ninth guest's food choices

Starter

Homemade chicken terrine, using Sutton Hoo-raised chicken, toasted focaccia, pickles and baby watercress salad

Potted wild mushroom paté, with homemade mushroom ketchup, toasted focaccia, pickles and baby watercress salad

Main course

21-day aged beef bavette steak, whipped garlic butter, served with french fries, watercress and radish salad

Roasted butternut squash wellington, served with pommes pont neuf, sage and squash sauce, watercress and radish salad

Dessert

Homemade 54% chocolate and hazelnut tart, served with Cornish clotted cream

54% potted chocolate water mousse, poached fruit, toasted coconut and chocolate soil (allergen free)

Do you have any food allergies we should be aware of?

Would you like to add a tenth guest?

Yes

Tenth guest's details

Title*

Name*

First Last

Tenth guest's food choices

Starter

Homemade chicken terrine, using Sutton Hoo-raised chicken, toasted focaccia, pickles and baby watercress salad

Potted wild mushroom paté, with homemade mushroom ketchup, toasted focaccia, pickles and baby watercress salad

Main course

21-day aged beef bavette steak, whipped garlic butter, served with french fries, watercress and radish salad

Roasted butternut squash wellington, served with pommes pont neuf, sage and squash sauce, watercress and radish salad

Dessert

Homemade 54% chocolate and hazelnut tart, served with Cornish clotted cream

54% potted chocolate water mousse, poached fruit, toasted coconut and chocolate soil (allergen free)

Do you have any food allergies we should be aware of?

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Your Experience survey

Menu selection for A Hospice Exclusive: Gala Evening 2025

Your details

Your food choices

Second guest's details

Second guest's food choices

Third guest's details

Third guest's food choices

Fourth guest's details

Fourth guest's food choices

Fifth guest's details

Fifth guest's food choices

Sixth guest's details

Sixth guest's food choices

Seventh guest's details

Seventh guest's food choices

Eighth guest's details

Eighth guest's food choices

Ninth guest's details

Ninth guest's food choices

Tenth guest's details

Tenth guest's food choices

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