Health Fair Toolkit Page 25
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356. How did you hear about the health fair?
TV (specify station)
Radio (specify station)
Newspaper (which one?)
Poster (specify where)
Word of mouth _________________
Do not remember
Other: _____________________________________________________________________
7. Screenings, etc., I had today:
Blood Pressure
Flu Shots
Blood Sugar
Healthy Heart Evaluation
Cholesterol
Helicopter Tour
Diabetes Education
Hearing Screening
Donated Blood
Mammogram
Donated Eye Glasses
PSA Testing
EMS Ambulance Tour
Skin/Mole Screening
Eye Screening
8. If you had an abnormality detected through screening, do you plan on getting a follow‐up
examination?
Yes
No
9. I would attend a health fair next year.
Yes
No
10. Topics I would like to see at the next health fair: _ _________________________________________
__________________________________________________________________________________
11. General comments and suggestions (bad and good equally welcome): ________________________
__________________________________________________________________________________
12. Optional (so we can get further information from you about the above, if needed):
Name: ___________________________________________
Home Phone #: _ ___________________________________
Office Phone # ____________________________________
Thank you for your help!
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