Health Fair Toolkit Page 21
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35SAMPLE EXHIBITOR’S INFORMATION TALLY SHEET
[Name of Health Fair] – Health Screens & Services
Please return to _____________ (health fair coordinator or county Extension agent)
Name of organization: ___________________________________________________________
Contact person: ________________________________________________________________
Phone: _______________________________________________________________________
E‐mail: _______________________________________________________________________
Service provided: _______________________________________________________________
Number of volunteers involved: ___________________________________________________
Number of hours each volunteer participated at health fair: _____________________________
Hourly rate per hour of volunteer time (Independent Sector, 2012, rate $22.14/hour): _ _______
Health Screen Name
Number Administered
Cost per Screening
Health Advice Provided
Number of Conferences
Cost per Conference
Giveaway Items
Number of Items
Cost per Item
Educational Handouts
Number Distributed
Cost per Handout
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Parent category: Business