1. HEALTH HEART PROJECT Participant and Family Questionnaires

2. PARTICIPANT QUESTIONNAIRE Talking Points

3. FAMILY QUESTIONNAIRE Talking Points

4. Participant and Family Questionnaires ROLE PLAY Groups of 8 – divided by sites With each group: 4 sets of 2 In each pair: 1 - program staff 1- participant/family member of participant

5. ROLE PLAY 1 st pair: Staff member covers talking points about completing the questionnaire and begins with the 1 st section of the Participant Questionnaire 2 nd and 3 rd pair: completing the Participant Questionnaire and participant asking questions of the staff member 4 th pair: The Family Questionnaire – talking points and participant’s family member asking questions.

6. ROLE PLAY Suggested Participant personalities: Compliant Stubborn Difficulty reading Too much on their mind to concentrate Any variations/combination

7. PARTICIPANT QUESTIONNAIRE: 3 sections: Questions 1 – 36(Section on Knowledge) Questions 37 - 59(Sections On your health, physical activity, eating) Questions 59 – 115 (Sections on Alcohol use to end of questionnaire) FAMILY QUESTIONNAIRE

8. Challenges and solutions on poster paper regarding the process Appoint one small group spokesperson to report back to large group