This document contains a modified version of the SHOWeD instrument to facilitate discussion in support groups for a Photovoice project. The instrument contains 4 questions: (1) why the participant took a particular picture and what it means, (2) how the picture relates to their or their family's health, (3) how the community can improve services or resources, and (4) how the participant felt about taking the pictures. The instrument was modified from one used in previous PhotoVoice methodology research.