Cancer Companion Participant Study

We are honored to have your assistance with this important project. 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 us at [email protected] to schedule a time to talk.



FAMILY: Considering the people to whom you are related by birth, marriage, adoption,

etc…
How many relatives do you see or hear from at least once a month?
How many relatives do you feel at ease with that you can talk about private matters?
How many relatives do you feel close to such that you could call on them for help?

FRIENDSHIPS: Considering all of your friends including those who live in your

neighborhood
How many friends do you feel at ease with that you can talk about private matters?
How many of your friends do you see or hear from at least once a month?
How many friends do you feel close to such that you could call on them for help?

Please answer these questions again as though you were NOT involved in Cancer Companions.

FAMILY: Considering the people to whom you are related by birth, marriage, adoption,

etc…
If you were not involved in Cancer Companions, how many relatives would you see or hear from at least once a month?
If you were not involved in Cancer Companions, how many relatives would you feel close to such that you could call on them for help?
If you were not involved in Cancer Companions, how many relatives would you feel at ease with that you can talk about private matters?

FRIENDSHIPS: Considering all of your friends including those who live in your

neighborhood
If you were not involved in Cancer Companions, how many of your friends would you see or hear from at least once a month?
If you were not involved in Cancer Companions, how many friends would you feel at ease with that you could talk about private matters?
If you were not involved in Cancer Companions, how many friends would you feel close to such that you could call on them for help?
During my involvement with Cancer Companions, my loneliness has...
Social isolation is defined as a lack of meaningful and continuous communication. During my involvement with Cancer Companions, my social isolation has...
Would you be interested in sharing your story on a zoom video to be shared on our website and social media?
Please click all that apply. I am
First Name
0/50
Last Name
0/50
Name of church you attend
0/50
Email
0/50
Street Address
0/250
City
0/50
State Abbreviation
0/50
Zip Code
0/50
In what month and year (mm/yyyy) did you last interact with a Cancer Companions volunteer or read their materials?
0/50
Which address is this?
0/250
What type of cancer(s) diagnosis have you received? (If caregiver, please answer your loved one's diagnosis.)
0/250
What stage is your cancer? (If stage changed, put the most recent stage.)
0/250
In which month and year (mm/yyyy) were you first diagnosed? (If caregiver, please answer your loved one's diagnosis.)
0/50
In which month and year was your last treatment? (If caregiver, please answer your loved one's diagnosis.)
0/50
If you have experienced a recurrence, in which month and year was your most recent diagnosis? (If caregiver, please answer your loved one's diagnosis.)
0/50
In what month and year did you join a Cancer Companion group Bible Study or receive your first phone call from a Cancer Prayer Partner?
0/50
What is today's day, month and year?
0/50
Birthdate
0/50
If you are a cancer caregiver, are you currently in the role of cancer caregiver? Yes/No. If no, why?
0/500
Gender at birth
How are you involved with Cancer Companions?
Would you like to receive a monthly Christian cancer e-newsletter with Christian devotionals, songs, and inspirational stories?
Anything else you would like to share with us?
0/500
Submit Survey
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