Question Title

* 1. Name

Question Title

* 3. Phone

Thank you for your interest in the VF’s Navigating Your Vasculitis Journey course—a live, six-week virtual learning opportunity offering behavioral strategies to help those recently diagnosed with vasculitis manage life with a chronic illness.

Building on the Navigating Your Vasculitis Journey guidebook, this free course brings participants together for six weekly 90-minute Zoom sessions to connect, learn, and grow in a supportive setting. Sessions will be held on Thursdays from 10:00–11:30 am Central Time, beginning January 22 and running through February 26, 2026.

Course dates include: January 22, January 29, February 5, February 12, February 19, February 26. Participation in the course is limited to those who can commit to attending each week.

Applications must be received by Friday, December 5. All applications will be reviewed by the course instructor, who may also conduct brief interviews before acceptance. Accepted participants will receive additional information on course registration.

Note: You do not have to take the course to benefit from the Navigating Your Vasculitis Journey Guidebook. The guidebook is self-guiding, self-paced, and is available to everyone.

Please take a few moments to complete the following questionnaire.

Question Title

* 4. I understand that this is a live, interactive course and I commit to attending each Thursday from January 22 - February 26. (We recognize that something unexpected may occur which could prevent you from attending a meeting.)

This course is an educational offering that is designed to provide instruction. There will be opportunities to engage in interactive elements, ask clarifying questions about the information and exercises provided in the Navigating Your Journey guidebook, and share experiences of using the guidebook. The information shared in the guidebook and course does not constitute medical or psychological advice. This is not a support group or a therapeutic group. Participants are discouraged from sharing their unique medical or psychological history during the meetings. Participants will not be provided medical or psychological services during the meetings. Participants will be coached to set personal goals that are health related using the resources provided. Participants are responsible for consulting with their personal healthcare providers regarding specific treatments.

Question Title

* 5. I have read the statement above and understand that this is an interactive educational course.

Question Title

* 6. Is there a specific aspect of wellbeing (or health promoting behaviors) you would like to focus on during the course? A specific aspect of wellbeing could be: improve sleep, eat regularly, daily exercise/movement, better communication with your loved ones or care team, feeling connected to activities you previously enjoyed, etc. (You are welcome to change your focus during the course if something else seems more relevant to you.)

Question Title

* 7. On a scale of 1-10, where 10 is extremely important and 1 is unimportant, how important is it to you to learn skills to make this lifestyle change that will support you in navigating your vasculitis journey with more ease?

Unimportant Extremely Important
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 8. Outside of disease activity & treatment, what concerns you most about your ability to manage living with vasculitis right now? (For example: fatigue, social connection, balancing care giving for self & others, managing work and illness demands, improving life satisfaction, etc.)

Question Title

* 9. How does the one aspect of wellbeing you stated in question 6 help you better manage living with vasculitis right now?

Question Title

* 10. On a scale of 1 to 10, where 10 is extremely confident and 1 is not at all confident, how confident are you in your ability to make a meaningful change in this aspect of living life with vasculitis after the course?

Not At All Confident Extremely Confident
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 11. In the past (pre or post vasculitis diagnosis), what has gotten in the way of making a desired lifestyle change? (i.e. being more active, changing eating habits, meditating regularly, limiting screen time, etc.)

Question Title

* 12. In the past (pre or post vasculitis diagnosis), what has helped you make a desired lifestyle change? (i.e. being more active, changing eating habits, meditating regularly, limiting screen time, etc.)

Question Title

* 13. Thinking about everything going on in your life at this time and over the next three months, on a scale of 1 to 10, where 10 is extremely ready and 1 is not at all ready, how ready are you to make a meaningful change in this one aspect of living life with vasculitis?

(The Navigating Your Vasculitis Journey class is offered multiple times a year. Don’t feel pressured to take the course before you are ready. Living well with vasculitis is a marathon, not a sprint. You will find the course to be most helpful when you have time and energy to devote to learning and applying course concepts, and are at a place in your journey where you are ready to make specific behavior changes to support your mental and physical health.)

Not At All Ready Extremely Ready
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 14. What would allow you to feel one degree more ready to make change in this one aspect of your wellbeing? (For example, if you are at a 6 for readiness how could you be at a 7?)

Question Title

* 15. What would allow you to feel one degree more confident in your ability to make a change in this one aspect of wellbeing? (For example, if you are at a 7 for confidence how could you be at an 8?)

This course requires outside reading and completion of content application activities. We anticipate participants will need an additional 60-90 minutes each week (in addition to the 90 minute virtual class time) to complete this work.

Question Title

* 16. I have _______ hours each week to invest in learning the course material and working on my wellbeing goal.

Question Title

* 17. With what type of vasculitis were you diagnosed?

Question Title

* 18. What year were you diagnosed?

Question Title

* 19. What year were you born?

Thank you for taking the time to thoughtfully complete this questionnaire. Due to the small group nature of this course there may not be room for all applicants to participate in this cohort. You will receive an email by December 20 with information on how to register for the course, or letting you know that you are on the waitlist for the next cohort if the class has reached capacity.

If you have any questions, please email Ed Becker at ebecker@vasculitisfoundation.org

T