Abstract: Majority of deaths occur in hospital in modern era and most of them are due to chronic non-communicable diseases. End-of-life care has significant impact on overall image of care and the impression of health care services among family members. The study looked at theFamily perspectives on end-of-life care in a tertiary care medical facility of Sri Lanka. Questionnaire used was adapted from previously published and validated instrument called Quality of Dying and Death (QODD) is used. Five aspects of end-of-life care was assessed. Results of the family survey showed that significant shortcomings on the care at the end of life with regards to all 5 aspects of care assessed.It was recommended to introduce training on end of life care for everyone in the health care team.