CANCER THRIVING & SURVIVING POST WORKSHOP SURVEY

    Please answer ALL questions

    .

    Your ID (First two letters of your first name, first two letters of your last name, last two numbers of your birth year)

    1. The leaders were well prepared.

    Strongly AgreeAgreeDisagreeStrongly Disagree

    2. The classes were well organized.

    Strongly AgreeAgreeDisagreeStrongly Disagree

    3. As a result of this workshop, I have made changes to my lifestyle, i.e. health eating, exercise, etc.

    Strongly AgreeAgreeDisagreeStrongly Disagree

    4.I would recommend this workshop to a friend or relative.

    Strongly AgreeAgreeDisagreeStrongly Disagree

    5. What other changes have you made as a result of this class?

    6. Was this program helpful to you in gaining skills/tools to manage your overall health as a survivor and/or caregiver.

    YesNoSomewhat

    7. Will you continue to use action planning as a tool?

    NoYesNot sure

    8. What topic area would you rate as the most beneficial to you? (Choose from the dropdown menu)

    9. Are there specific topics you are interested in learning more about -- such as nutrition, integrative medicine (meditation, yoga), advanced directives, pain management, fatigue, etc?

    NoYes

    If Yes, please specify topics.

    10. After taking this workshop, I am more confident that I can manage my chronic condition(s). (rate 1-10 with, with 1 being not confident at all and 10 being totally confident)

    12345678910

    11. Other Comments or suggestions?