Cancer Support Community Member Survey

My name is Amy Fehrenbach and I am a student at the University of Cincinnati. I am planning a game
night for you! Your input on this survey is valuable and will assist me in the planning of this program.
Directions: Check all that apply.
1. I would enjoy attending a game night.
Yes

No

2. A game I would enjoy playing is:

Jeopardy
Family Feud
Hollywood Squares

Wheel of Fortune
Bingo
Pictionary

Who Wants to be a Millionaire/Kahoot!

3. Which of the following program types have been most beneficial to you or you think would be most
beneficial to you?
Education (Cooking for Wellness, What a Difference a Laugh Makes, etc.)
Healthy Lifestyle (Mindfulness Meditation, Yoga, Zumba)
Social Connections (Knitting & More, Healthy Happy Hour)
4. I am interested in learning more about:
Nutrition, healthy eating habits and tips for healthy eating
Exercising and how to create a physically active lifestyle
Spiritual wellness and how to achieve peace and harmony in my life
How to improve my relationships with others and practice effective communication
How to better manage my stress levels
5. How long have you been attending programs at Cancer Support Community of Greater
Cincinnati/Northern Kentucky?
Less than 1 month
1-6 months
6 months-1 year
6. My gender is:
Male

Female

1-2 years
2-5 years
Greater than 5 years