2023 Patient & Care Partner Support Group Member Survey
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Please take a few moments to let us know about your experience with the CLL Society Patient & Care Partner Support Group. Your feedback will allow us to demonstrate the value and impact of these groups, and call attention to ways in which we can improve the experience for you and other members of the CLL/SLL community. Thank you in advance for your time.
The primary CLL Society Support Group that I attend is:
-- Select --
Atlanta Metro CLL Support Group
Boston CLL Support Group
Central Florida CLL Support Group
Central Massachusetts CLL Support Group
Chicago CLL Support Group
Cincinnati CLL Support Group
City of Hope CLL Support Group
Denver CLL Support Group
DFW – Dallas Area CLL Support Group
Fort Lauderdale CLL Support Group
Houston-area CLL Support Group
Long Island CLL Support Group
Milwaukee CLL Support Group
Montreal CLL Support Group
Nashville CLL Support Group
New Jersey CLL Support Group
New Orleans and Surrounding Areas CLL Support Group
New York City CLL Support Group
Northeast Ohio CLL Support Group
Oberlin, OH, CLL Support Group
Orange County CLL Support Group
Orlando CLL Support Group
Philadelphia CLL Support Group
Portland CLL Support Group
Raleigh Area CLL Support Group
Rochester NY CLL Support Group
Sacramento CLL Support Group
Salt Lake City CLL Support Group
San Diego CLL Support Group
San Francisco area CLL Support Group
Seattle and All Points North CLL Support Group
Seattle-Olympic Peninsula CLL Support Group
Suncoast CLL Support Group (Sarasota)
Toronto CLL Support Group
Twin Cities CLL Support Group
Washington DC-area CLL Support Group
West LA CLL Support Group
Western North Carolina CLL Support Group
Physicians with CLL Support Group
Central Watch and Wait Support Group
Eastern Watch and Wait Support Group
Western Watch and Wait Support Group
If you attend more than one Support Group for meetings, please select the other Support Groups below: (Optional)
Atlanta Metro CLL Support Group
Boston CLL Support Group
Central Florida CLL Support Group
Central Massachusetts CLL Support Group
Chicago CLL Support Group
Cincinnati CLL Support Group
City of Hope CLL Support Group
Denver CLL Support Group
DFW – Dallas Area CLL Support Group
Fort Lauderdale CLL Support Group
Houston-area CLL Support Group
Long Island CLL Support Group
Milwaukee CLL Support Group
Montreal CLL Support Group
Nashville CLL Support Group
New Jersey CLL Support Group
New Orleans and Surrounding Areas CLL Support Group
New York City CLL Support Group
Northeast Ohio CLL Support Group
Oberlin, OH, CLL Support Group
Orange County CLL Support Group
Orlando CLL Support Group
Philadelphia CLL Support Group
Portland CLL Support Group
Raleigh Area CLL Support Group
Rochester NY CLL Support Group
Sacramento CLL Support Group
Salt Lake City CLL Support Group
San Diego CLL Support Group
San Francisco area CLL Support Group
Seattle and All Points North CLL Support Group
Seattle-Olympic Peninsula CLL Support Group
Suncoast CLL Support Group (Sarasota)
Toronto CLL Support Group
Twin Cities CLL Support Group
Washington DC-area CLL Support Group
West LA CLL Support Group
Western North Carolina CLL Support Group
Physicians with CLL Support Group
Central Watch and Wait Support Group
Eastern Watch and Wait Support Group
Western Watch and Wait Support Group
Please answer all questions, whether or not you are the patient.
Concerning Living with CLL/SLL:
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I am more comfortable with my or the patient’s CLL or SLL diagnosis since attending my local CLL Society Support Group.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I feel more supported by a new network of friends whose lives also have been touched by CLL or SLL since attending my local CLL Society Support Group.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Concerning CLL/SLL Knowledge and Management:
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I am more knowledgeable about CLL or SLL since attending my local CLL Society Support Group.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I am more involved in my or the patient’s CLL or SLL management since attending my local CLL Society Support Group.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I have changed the management of my or the patient’s CLL or SLL since attending my local CLL Society Support Group (i.e. different testing, treatments, or treatment teams).
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Concerning the Primary Local CLL Society Support Group:
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I would recommend my primary local CLL Society Support Group to other CLL or SLL patients and families.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I am pleased with the leadership and facilitation of my primary local CLL Society Support Group.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
What webinar topics are you most interested in? Please rank your top choices with #1 being the most important.
Integrative Medicine Approaches in CLL – Including Supplements, Exercise, Lifestyle
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Managing Side Effects of Common CLL/SLL Medications
-- Select --
1
2
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11
Diagnosis, When to Treat, Common B Symptoms - Including Fatigue
-- Select --
1
2
3
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5
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9
10
11
Mental Health – Coping with Anxiety During Watch and Wait
-- Select --
1
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3
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5
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10
11
Cardiovascular Concerns in CLL
-- Select --
1
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Treatments in CLL - include newer options like pirtobrutinib, bispecifics, and CAR-T, include known side effects
-- Select --
1
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11
General Immunity and CLL
-- Select --
1
2
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9
10
11
COVID-19 and Other Infectious Diseases
-- Select --
1
2
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9
10
11
ASH Research Highlights
-- Select --
1
2
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Improving Communication with Your Healthcare Team
-- Select --
1
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Palliative Care and Hospice
-- Select --
1
2
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9
10
11
If not included above, what other webinar topics would you be interested in CLL Society hosting?
If you are interested in attending a CLL-focused support group that is organized around a shared characteristic, please select all that apply below.
CLL or SLL patients or care partners 50 years of age or younger
Care partners to a person with CLL or SLL
CLL or SLL patients without care partners
Double refractory – failed two or more treatments, aggressive CLL, and/or Richter’s Transformation
I am not interested in these options
Other, please specify:
Please select your preference about scheduling some of your support group meetings in-person.
Remain virtual for all meetings, I am uncomfortable with meeting in-person
Occasional in-person meetings, but only if they are hosted outside
Occasional in-person meetings that can be hosted inside
Other, please specify
Which best describes your role with CLL or SLL? Please select all that apply:
CLL or SLL patient
Care partner to a CLL or SLL patient
Loved one of CLL or SLL patient (but not the primary care partner)
Healthcare professional
Prefer not to say
Other, please specify:
What is your age?
What is your gender?
Male
Female
Transgender Female
Transgender Male
Non-binary/ Non-Conforming
Gender Variant/ Third gender
Prefer not to say
Prefer to identify as (please specify):
Please specify your race and ethnicity; select all that apply:
White or Caucasian
Hispanic or Latino
Black or African American
Asian or Asian American
Indigenous, First Nation, American Indian or Alaska Native
Native Hawaiian or Pacific Islander
Middle Eastern or North African
Don’t know / Not sure
Prefer not to say
Please provide any additional comments or feedback you would like to share with CLL Society:
Please note, all comments are anonymous unless you wish to include your name and contact information.
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