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Cancer Companions Program Impact Study
You are invited to answer several questions about your experience with Cancer Companions in an ongoing survey (participation requested every 6 months). Participation in this survey is completely voluntary, and the alternative is not to participate. Reporting of the findings will be done using aggregated data that cannot be traced to an individual respondent, and data will be kept confidential.

THANK YOU for agreeing to add your voice to the body of research data on faith-based cancer programing. We appreciate you sharing your time and knowledge with us. Your responses will help us better understand Christ-centered holistic cancer care, and inform faith-based cancer programming in the future. 

We are aware that some of the topics may be sensitive for you. If you feel that you would like to discuss this experience, feel free to contact Julie Stranglein at Julie@cancercompanions.org to schedule a time to talk.

Sincerely,
Cancer Companions Oncology Advisory Board.
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Which, if any program have you participated in?  *
Required

How are you involved with Cancer Companions? 

In what month and year (mm/yyyy) did you join a Cancer Companion group Bible Study or receive your first phone call from a Cancer Prayer Partner
Please describe the parts of the program you liked or found beneficial.

Please describe the parts of the program you would change: 

The thing I want you to know about my Cancer Companions experience: 

Over the last two weeks, how often have you been bothered by the following problems? *
Not at all
Several days
More than half the days
Nearly every day
N/A
Feeling nervous, anxious, or on edge?
Not being able to stop or control worrying?
Feeling down, depressed, or hopeless?
Little interest or pleasure in doing things?
In the last two weeks, has Cancer Companions helped make you feel less anxious?
 *

In the last two weeks, has Cancer Companions helped make you feel less sad? 

 *
On a scale from 1 to 5, how has your faith been impacted by your participation in Cancer Companions programs?  *
Not impacted
Greatly impacted

For each of the following statements check the choice that best indicates the extent of your agreement or disagreement as it describes your personal experience: 

Strongly agree
Moderately agree
Agree
Disagree
Moderately disagree
Strongly disagree
I don’t find much satisfaction in private prayer with God
I don't know who I am, where I came from, or where I'm going
I believe that God loves me and cares about me
I feel that life is a positive experience
I believe that God is impersonal and not interested in my daily situations
I feel unsettled about my future
I have a personally meaningful relationship with God
I feel very fulfilled and satisfied with life
I don't get much personal strength and support from my God
I feel a sense of well-being about the direction my life is headed in
I believe that God is concerned about my problems
I don't enjoy much aobut life
I don't have a personally satisfying relationship with God
I feel good about my future
My relationship with God helps me not to feel lonely
I feel that life is full of conflict and unhappiness
I feel most fulfilled when I'm in close communion with God
Life doesn't have much meaning
My relation with God contributes to my sense of well-being
I believe there is some real purpose for my life

Please click all that apply. I am

 *
Yes
No
currently in cancer treatment
post cancer treatment
a cancer caregiver
a loved one of a cancer patient
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