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Diabetes and the Eyes Educator Course Trainee Follow-Up Survey

In the last year, you were trained by Prevent Blindness affiliate and/or one of our partners in the Diabetes + the Eyes Educator Course– providing you with tools to educate others about eye health.

We would like you to complete this short survey so we can access how useful the training was in your work and what information you may need in the future. It should take no more than 5 minutes of your time to respond to this survey. The information you provide from this survey will support future investments in vision and eye health. Thank you for your time!

Name
Address
How can we refer to you in the story?
Would you consent to a further interview?
Do you give Prevent Blindness Georgia permission to edit or summarize your story to fit different platforms while maintaining its integrity?
Please describe the services you have received from Prevent Blindness Georgia and let us know how Prevent Blindness Georgia has impacted your life.

Need some help thinking of what to say? Consider these Questions!

1. Tell us about yourself and your background 2. Why did you seek services from PBGA? 3. What challenges were you facing before you received services from PBGA? 4. How did these challenges impact your daily life? How did you feel during this tim? 5. Describe the moment you realized things needed to change or that you needed help? 6. How did PBGA come into your life? 7. What services did you receive from PBGA? 8. Describe a specific moment with PBGA that stands out to you? 9. How has your life changes since receiving support from PBGA? 10. What are some of the biggest improvements or changes you've noticed? 11. If you could share one piece of advice or insight with someone facing similar challenges, what would it be? 12. Why do you think its important to share you story?
Can we use photographs or videos of you with your story?
Story and Photo Release & Consent Agreement
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Max. file size: 10 MB.
Max. file size: 10 MB.