HCHR Participant Feedback

Before you begin

Share your experience in the language you prefer

Your feedback will help us understand the retreat experience and improve the support offered to future HCHR participants.

Your responses will be handled respectfully and used for programme learning.

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Select your language

You can complete the feedback form in one of four languages.

EnglishEnglish हिन्दीHindi తెలుగుTelugu मराठीMarathi

Participant information

Your details

Please share your basic contact details before beginning the feedback questions.

Full name *

Phone number *

Email ID Optional

Your details will be handled with care and used only for this feedback process.

Your experience

Your Quality of Life

Select the response that best reflects your experience for each statement.

1Not at all 2A little 3Somewhat 4Quite a bit 5Very much

01 I feel sad

1 Not at all 2 A little 3 Somewhat 4 Quite a bit 5 Very much

02 I am satisfied with how I am coping with my illness

1 Not at all 2 A little 3 Somewhat 4 Quite a bit 5 Very much

03 I am losing hope in the fight against my illness

1 Not at all 2 A little 3 Somewhat 4 Quite a bit 5 Very much

04 I feel nervous

1 Not at all 2 A little 3 Somewhat 4 Quite a bit 5 Very much

05 I worry about dying

1 Not at all 2 A little 3 Somewhat 4 Quite a bit 5 Very much

06 I worry that my condition will get worse

1 Not at all 2 A little 3 Somewhat 4 Quite a bit 5 Very much

07 I am able to work (include work at home)

1 Not at all 2 A little 3 Somewhat 4 Quite a bit 5 Very much

08 My work (include work at home) is fulfilling

1 Not at all 2 A little 3 Somewhat 4 Quite a bit 5 Very much

09 I am able to enjoy life

1 Not at all 2 A little 3 Somewhat 4 Quite a bit 5 Very much

10 I have accepted my illness

1 Not at all 2 A little 3 Somewhat 4 Quite a bit 5 Very much

11 I am sleeping well

1 Not at all 2 A little 3 Somewhat 4 Quite a bit 5 Very much

12 I am enjoying the things I usually do for fun

1 Not at all 2 A little 3 Somewhat 4 Quite a bit 5 Very much

13 I am content with the quality of my life right now

1 Not at all 2 A little 3 Somewhat 4 Quite a bit 5 Very much

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Meaning and inner well-being

Your Spiritual Well-Being

Select the response that best reflects your experience for each statement.

1Not at all 2A little 3Somewhat 4Quite a bit 5Very much

01 My life has been productive

1 Not at all 2 A little 3 Somewhat 4 Quite a bit 5 Very much

02 I have a reason for living

1 Not at all 2 A little 3 Somewhat 4 Quite a bit 5 Very much

03 My life lacks meaning and purpose

1 Not at all 2 A little 3 Somewhat 4 Quite a bit 5 Very much

04 I feel a sense of purpose in my life

1 Not at all 2 A little 3 Somewhat 4 Quite a bit 5 Very much

05 I feel at peace

1 Not at all 2 A little 3 Somewhat 4 Quite a bit 5 Very much

06 I have trouble feeling peace of mind

1 Not at all 2 A little 3 Somewhat 4 Quite a bit 5 Very much

07 I feel a sense of harmony within myself

1 Not at all 2 A little 3 Somewhat 4 Quite a bit 5 Very much

08 I am able to reach down deep into myself for comfort

1 Not at all 2 A little 3 Somewhat 4 Quite a bit 5 Very much

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Thoughts and concerns

Living After Cancer

Select one response for each statement using the labelled 0–4 scale.

01 I think about the possibility that my cancer will come back or get worse.

0 Never 1 Rarely 2 Sometimes 3 Often 4 All the time

02 I have difficulty concentrating on activities because thoughts about cancer returning disturb me.

0 Not at all 1 A little 2 Moderately 3 A lot 4 Completely

03 When I think about cancer returning, I feel worried or anxious.

0 Not at all 1 A little 2 Moderately 3 A lot 4 Completely

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Your support needs

What Would Help You

Tell us what support would be most useful and what may make it difficult to access.

01Which forms of support would you find most helpful as part of your cancer care or recovery?

Select all that apply

Dietary guidance and cancer-specific nutrition education Yoga adapted for people with cancer (gentle, evidence-based) Meditation and mindfulness-based stress reduction Breathing exercises (pranayama) Music, art, or expressive therapies Spiritual or philosophical discussions and support Peer support groups with other cancer patients and survivors Caregiver support and education sessions Information on managing treatment side effects through lifestyle Mind-body relaxation techniques None of the above

02What are the main barriers that prevent you from accessing holistic or integrative wellness support?

Select all that apply

I was not aware that such programmes exist My healthcare provider has not recommended or mentioned it My healthcare provider advised me against it I do not have time or energy due to illness or treatment I am not sure whether it is effective or safe There are no such programmes available near where I live Cost is a barrier — I cannot afford it Language — programmes are not available in my language I already have good access to such support Other

03Would you attend a free four-session wellness programme like HCHR if it were offered in your city?

Yes, definitely Yes, probably Not sure Probably not No

04Do you own a smartphone and use WhatsApp regularly?

Yes — I use a smartphone and WhatsApp daily Yes — I have a smartphone but rarely use WhatsApp I have a smartphone but use it with help from a family member No — I use a basic phone only No — I do not own a mobile phone

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In your own words

Your Message to Us

This question is optional. Share only what you feel comfortable telling us.

What is the one thing you most wish your healthcare provider had told you—or done differently—regarding your emotional, mental or spiritual well-being during your cancer journey?

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Final step

Consent and Submission

Please review and confirm both statements before submitting your feedback.

Voluntary participation I confirm that my participation in this survey is completely voluntary, that I have not been pressured to participate, and that I may stop at any time without any consequence to my care or relationship with any organisation. Use of anonymous responses I consent to my anonymous, non-identifiable responses being used for research and publication.

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