Cancer United | Cancer Support Charity

1. Full Name

Other? Please state...

6. Are you currently receiving treatment?

Yes, please go to question 7

No, please state last course of treatment in the box below and then go to question 8

Other? Please state...

10. Which of the following best describes you?

The classes have helped me to maintain my physical activity levels throughout my cancer treatment

The classes have helped me to improve my physical activity levels throughout my cancer treatment

The classes have not made any difference to my physical activity levels throughout my cancer treatment

The classes have helped me to maintain my physical activity levels post my cancer treatment

The classes have helped me to improve my physical activity levels post my cancer treatment

The classes have not made any difference to my physical activity levels post my cancer treatment

11. Which of the following best describes you?

The classes have helped me to maintain my emotional/mental wellness throughout my cancer treatment

The classes have helped me to improve my emotional/mental wellness throughout my cancer treatment

The classes have not made any difference to my emotional/mental wellness levels throughout my cancer treatment

The classes have helped me to maintain my emotional/mental welness post my cancer treatment

The classes have helped me to improve my emotional/mental wellness levels post my cancer treatment

The classes have not made any difference to my emotional/mental wellness levels post my cancer treatment

12. Which of the following best describes you?

The classes have helped me to maintain my social interaction with others throughout my cancer treatment

The classes have helped me to improve my social interaction with others throughout my cancer treatment

The classes have not made any difference to my social interaction with others throughout my cancer treatment

The classes have helped me to maintain my social interaction with others post my cancer treatment

The classes have helped me to improve my social interaction with others post my cancer treatment

The classes have not made any difference to my social interaction with others post my cancer treatment

13. What are your main benefits of attending CUFitter classes?

14. What are the main struggles you find attending CUFitter classes? (This may include physical, emotional and social aspects that you are experiencing)

15. Would you be happy for us to contact you in 3 months time?

Yes

Thanks for submitting!