Ragsdale spent two weeks in a hospital in India before being transferred back to the U.S., where she required medical care for several weeks. Today, Ragsdale says she spends at least one day a week in therapy to treat her injuries but that her quality of life, overall, has only improved since the attack.
"I'm doing great. I'm better than I have ever felt prior to this," she said.
Ragsdale plans on getting the large scar on her thigh tattooed with a dragon, a symbol she had been teaching slain teen Naomi to draw before the attack.
"The hardest part of the entire recovery was that I thought Naomi was safe under the table," said Ragsdale, beginning to cry.
Asked whether she suffers from flashbacks or survivor's guilt, Ragsdale says she has not, instead deciding to look at the attack, her wound and her friends' murders as a choice.
"Everything in your life can become blessings if you choose to look at it in that light," said Ragsdale, who travels around the country speaking at schools about the attack.
"It's part of my job now to make sure that children don't think guns are the answer," said Ragsdale. "I forgave [the boy who shot me] almost automatically."
Charles Cannon, who as the spiritual master of the Synchronicity Foundation, was also in Mumbai during the attack, has a similar outlook to Ragsdale's. Cannon, along with Kia Scherr, the wife and mother of Alan and Naomi Scherr, created the One Life Alliance in response to the shootings.
The alliance will kick off the anniversary -- Thanksgiving Day -- with a webcast to inspire and encourage conversation about the sacredness of life, according to Cannon.
Cannon spent the hours during the two-day siege barricaded in his hotel room silently, afraid of attracting the attention of terrorists.
"In those moments you don't know if the next moment everything is going to blow up or if gunmen are going to break down the door and kill you," said Cannon. "I was just hoping as best I could and using what I know about meditation to keep still."
Scherr had not gone on the trip and was in Florida when she got the call that her husband of 15 years and her daughter were in the hotel that was under attack.
"I was in shock, I think I dropped the phone and fell to the floor," said Scherr. "We created so many hopeful scenarios. We thought that they must be in their rooms or that perhaps they escaped, crawled out. We didn't know."
While the rest of America celebrates Thanksgiving, Scherr and Cannon will attend a memorial service for her husband and daughter Thursday. Scherr says that the forgiveness she has for the terrorists has helped her heal.
"Forgiveness allows me to go on and allow me to have peace within myself," she said.
As for Ragsdale, she plans on spending Thanksgiving with her family, but not in the home where her three children and husband first learned of the attacks in India.
"I will spend the day remembering the blessings of all the special people who are no longer here," said Ragsdale. "I will raise a glass –we already got champagne – to them.
"Of course there is a hole, but I'll fill that hole with love," she said.