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with pictures - Health and Disability Commissioner

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8. Daily activities<br />

(Circle one statement that applies to you.)<br />

* I don’t need support <strong>with</strong> daily activities. Please go to item 9.<br />

* I may need support <strong>with</strong> daily activities. Please read information<br />

below.<br />

a) Using toilet<br />

I can:<br />

You can support me <strong>with</strong>:<br />

Things to be aware of:<br />

b) Washing/ Taking shower<br />

I can:<br />

You can support me <strong>with</strong>:<br />

Things to be aware of:<br />

c) Grooming & personal hygiene<br />

I can:<br />

You can support me <strong>with</strong>:<br />

Things to be aware of:<br />

8

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