2016 Nicki's Circle Support Groups Survey

NICKI'S CIRCLE SUPPORT GROUPS: The Colorado Ovarian Cancer Alliance (COCA) is dedicated to supporting women who have received an ovarian cancer diagnosis, as well as their caregivers. Please take a few minutes to share your thoughts on Nicki's Circle Support Groups.

1. In the last 12 months, how many Nicki's Circle Support Groups have you attended?

2. If you have attended more than once, what made you come back?

3. How long have you been attending Nicki's Circle Support Groups?

Less than 1 year
1 - 3 years
4 - 6 years
More than 7 years

4. How did you hear about Nicki's Circle Support Groups?

Physician/Hospital/Clinic? Please enter an 'other' value for this selection.
Family or Friend? Please enter an 'other' value for this selection.
Another Survivor? Please enter an 'other' value for this selection.
Online? Please enter an 'other' value for this selection.
Other (Please describe) Please enter an 'other' value for this selection.

5. For each of the Nicki's Circle Support Group(s) location(s) you have attended, please check the reason(s) why you have chosen that group location.

Space Cell	Convenience of Location	Time of Day	Day of Week	The People Who Attend	Other (please explain below)
Central - St. John's Cathedral	Central - St. John's Cathedral: Convenience of Location	Central - St. John's Cathedral: Time of Day	Central - St. John's Cathedral: Day of Week	Central - St. John's Cathedral: The People Who Attend	Central - St. John's Cathedral: Other (please explain below)
South - Sky Ridge Medical Center	South - Sky Ridge Medical Center: Convenience of Location	South - Sky Ridge Medical Center: Time of Day	South - Sky Ridge Medical Center: Day of Week	South - Sky Ridge Medical Center: The People Who Attend	South - Sky Ridge Medical Center: Other (please explain below)
Boulder - Tebo Cancer Center	Boulder - Tebo Cancer Center: Convenience of Location	Boulder - Tebo Cancer Center: Time of Day	Boulder - Tebo Cancer Center: Day of Week	Boulder - Tebo Cancer Center: The People Who Attend	Boulder - Tebo Cancer Center: Other (please explain below)
Telephone Group - Conference Call	Telephone Group - Conference Call: Convenience of Location	Telephone Group - Conference Call: Time of Day	Telephone Group - Conference Call: Day of Week	Telephone Group - Conference Call: The People Who Attend	Telephone Group - Conference Call: Other (please explain below)
Northern Colorado - UC Health Ft. Collins	Northern Colorado - UC Health Ft. Collins: Convenience of Location	Northern Colorado - UC Health Ft. Collins: Time of Day	Northern Colorado - UC Health Ft. Collins: Day of Week	Northern Colorado - UC Health Ft. Collins: The People Who Attend	Northern Colorado - UC Health Ft. Collins: Other (please explain below)

Comments

6. If you do not attend Nicki's Circle Support Groups regularly, or at all, why?

The locations do not work well for me.
The times do not work well for me.
I often do not feel up to it.
The size of the group is too big.
The size of the group is too small.
I would rather talk with someone one-to-one rather than in a group.
I do not find Nicki's Circle Support Groups helpful.
Other (Please describe below)

Comments

7. What suggestions do you have to address the barriers you experience to Nicki's Circle?

8. Please rate the following by checking the box that corresponds to your experience with Nicki's Circle Support Groups. How helpful are Nicki's Circle Support Groups in:

Space Cell	5 (especially helpful)	4 (very helpful)	3 (helpful)	2 (somewhat helpful)	1 (not helpful)
Being accessible with no cost/donation.	Being accessible with no cost/donation.: 5 (especially helpful)	Being accessible with no cost/donation.: 4 (very helpful)	Being accessible with no cost/donation.: 3 (helpful)	Being accessible with no cost/donation.: 2 (somewhat helpful)	Being accessible with no cost/donation.: 1 (not helpful)
Providing information on treatment options.	Providing information on treatment options.: 5 (especially helpful)	Providing information on treatment options.: 4 (very helpful)	Providing information on treatment options.: 3 (helpful)	Providing information on treatment options.: 2 (somewhat helpful)	Providing information on treatment options.: 1 (not helpful)
Providing resources.	Providing resources.: 5 (especially helpful)	Providing resources.: 4 (very helpful)	Providing resources.: 3 (helpful)	Providing resources.: 2 (somewhat helpful)	Providing resources.: 1 (not helpful)
Providing tips for managing side effects.	Providing tips for managing side effects.: 5 (especially helpful)	Providing tips for managing side effects.: 4 (very helpful)	Providing tips for managing side effects.: 3 (helpful)	Providing tips for managing side effects.: 2 (somewhat helpful)	Providing tips for managing side effects.: 1 (not helpful)
Lifting spirits/hopefulness.	Lifting spirits/hopefulness.: 5 (especially helpful)	Lifting spirits/hopefulness.: 4 (very helpful)	Lifting spirits/hopefulness.: 3 (helpful)	Lifting spirits/hopefulness.: 2 (somewhat helpful)	Lifting spirits/hopefulness.: 1 (not helpful)
Providing support/connection.	Providing support/connection.: 5 (especially helpful)	Providing support/connection.: 4 (very helpful)	Providing support/connection.: 3 (helpful)	Providing support/connection.: 2 (somewhat helpful)	Providing support/connection.: 1 (not helpful)
Increasing feelings of empowerment/contribution.	Increasing feelings of empowerment/contribution.: 5 (especially helpful)	Increasing feelings of empowerment/contribution.: 4 (very helpful)	Increasing feelings of empowerment/contribution.: 3 (helpful)	Increasing feelings of empowerment/contribution.: 2 (somewhat helpful)	Increasing feelings of empowerment/contribution.: 1 (not helpful)
Decreasing fears.	Decreasing fears.: 5 (especially helpful)	Decreasing fears.: 4 (very helpful)	Decreasing fears.: 3 (helpful)	Decreasing fears.: 2 (somewhat helpful)	Decreasing fears.: 1 (not helpful)

Comments

9. What recommendations do you have to make the groups more helpful?

2016 Nicki's Circle Support Groups Survey

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