PIE Toolkit
4d Story record sheet
4d Story form
Name of storyteller: …………………………………..Id no…………Age:……Gender:
M/ F
Type of disability: ……………………………………………………………………….. Date
………………………..
Event when story arose (indiv interview/ FGD) ..........…………………………....
Document story here: (write in 1st person – ie as if person is talking
eg. I was going to market and I met someone……. Then I……. after that my family…….
etc
My story is about: (you can pick more than one)
Health
Education
Livelihood
Social
Empowerment
My story:
¨
happened because of the CBR programme
¨
happened without the involvement of the CBR programme
If this is a story about mainly positive change, ask the story-teller if this is likely to be
temporary or permanent
How long do you think this positive change will last?
This (positive) change is not going to last This (positive) change seems permanent
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If this is a story about mainly negative change, ask the story-teller if this is likely to be
temporary or permanent.
How long do you think this negative change will last?
This (negative) change is not going to last This (negative) change seems permanent
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