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Module 3 - Positive Deviance Initiative

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Appendix 3 B: Sample Format for Reporting on the PDI Booster Questionnaire<br />

Newly adopted<br />

behaviors<br />

1.<br />

Determinant factors Barriers/obstacles Actions/arguments for<br />

overcoming obstacles<br />

Profile of other new<br />

adopters/ non-adopters<br />

2.<br />

3.<br />

4.<br />

Quotes<br />

11

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