Section 1 of 1
Interfaith Cancer Support Group
The Interfaith Cancer Support Group is a contemplative support group with an interfaith focus for people who are currently in treatment for or in remission for cancer. The group aims to be a place of mutual support and reflection, and is facilitated by a NJIC3 staff member. The group currently meets on Wednesdays from 3:00-4:00pm EST.
Jenn Altman
Jenn Altman
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Email Address: altman.jenn@gmail.com
Email Address: altman.jenn@gmail.com
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Currently, this group is meeting on Wednesdays from 3:00-4:00pm ET. Are you able to join at this time?
Currently, this group is meeting on Wednesdays from 3:00-4:00pm ET. Are you able to join at this time?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
YES
NO
Other…
Add option
…
Answer key
(0 points)
Loading...
If you are unable to join the support group, would you like one on one support calls with a staff member?
If you are unable to join the support group, would you like one on one support calls with a staff member?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Optional: When were you diagnosed with cancer?
February 2023
Optional: When were you diagnosed with cancer?
February 2023
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Optional: if you are currently in treatment, what is your support system like?
Los of support, but struggling because none of my support has been through what I am going through.
Optional: if you are currently in treatment, what is your support system like?
Los of support, but struggling because none of my support has been through what I am going through.
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Is there any way that NJIC3 could support you in your cancer journey?
Is there any way that NJIC3 could support you in your cancer journey?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Rides to medical appointments
One on one support for prayers, phone calls etc.
Assistance applying for social services
Help finding care providers and other cancer care resources
Other…
Add option
…
Answer key
(0 points)
Loading...
How did you hear about the support group? Heard about it from the awesome Austin Morreale ;)
How did you hear about the support group? Heard about it from the awesome Austin Morreale ;)
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Received a direct email from NJIC3
Received an email that was forwarded to me
Flyer
Other…
Add option
…
Answer key
(0 points)
Loading...
Link to Sheets
Message for respondents
This form is no longer accepting responses
Summary
Question
Individual
Insights
Total points distribution
Loading...
Settings
Responses
Manage how responses are collected and protected
Presentation
Manage how the form and responses are presented
Defaults
Form defaults
Settings applied to this form and new forms
Question defaults
Settings applied to all new questions