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1.
Are you or have you ever been a mental health or health care
professional ?(Please list your credentials)
2.
Please tell us if you have had any classes or seminars that are
relevant.
3.
What is your present occupation?
4.
Have you facilitated a support group before or had facilitator
training?
5.
Have you participated in a volunteer activity that required a
long-term commitment? Please explain the type of activity and how long of a
commitment was performed
6.
Are you willing to make a commitment to run the support group for six
months?
7.
How long have you had lupus?
8.
What do you think are some of the most difficult issues to deal with
when a person has lupus?
9.
Has anyone ever urged you to try an unproven supplement and what was
your response?
10.
How would you describe your philosophy of life and how have you come
to terms with lupus?
11.
If you are not able to make a support group meeting, who will your
co-facilitator be?
12.
Do you have a location and meeting date/time set-up? If yes, please
provide information.
13.
Would you be willing to travel to Seattle to attend facilitator
training or attend a support group meeting?
14.
Please provide the names, addresses and telephone numbers of two
people as references who would support your becoming a facilitator.
A.
B.
15.
Please tell us your reasons for wanting to start a support group and
any qualifications you feel would be an asset.
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