Survey-first Session (Before and During

Chemotherapy)

1. Before chemotherapy would you describe your life as:

a. Happy
b. Normal
c. Depressing
2. Before chemotherapy were you active? (Sports,
activities, schooletc.)
a. Yes
b. No
3. Before chemotherapy was your family and life at
home better and more stable?
a. Yes
b. No
4. Before chemotherapy did you have a more active
social life?
a. Yes
b. No
5. Describe yourself and life before chemotherapy in
three words.

6. Did you ever feel severely depressed during

chemotherapy?
a. Yes
b. No

7. Did you ever experience unwanted thoughts during

chemotherapy? (Such as suicidal thoughts)
a. Yes
b. No

Survey-Last Session

1. Do you feel like your personality has changed to

the better or worse after these sessions?
a. Better
b. Worse
2. Do you feel like you improved your social life and
made more friends after these sessions?
a. Yes
b. No
3. Do you feel like your psychic has improved after
these sessions?
a. Yes
b. No
4. Do you feel like your communication skills have
improved after these sessions?
a. Yes
b. No
5. Do you notice any change to your life at home and
with your family?
a. Yes
b. No
6. Would you keep going to these sessions regularly if
they were offered? And do you think they actually
made a difference in your life?
a. Yes
b. No
7. Describe yourself now after the sessions in three
words.