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Worksheet for support group work
1.
Worksheet for Taking Pictures for Photovoice Project: Bring this worksheet with you (one for each picture) to your support group meeting. What question is related to the picture? ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Date Picture was taken: _____________________________________________________________________________ What is this picture of: _____________________________________________________________________________ Write down in a couple of sentences or a paragraph on why you took this picture? What does it mean to you? ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ **Are you willing to share this picture and your above story with Joyce (researcher for project) to be used to increase knowledge and understanding of what it is like to live with Parkinson’s disease or to live with someone who has Parkinson’s disease? ______ Yes ________No If yes, please sign your name: _________________________________________________________Date:________________ Signature to allow pictures and stories to be used for publication/public
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