Health Fair Planning Template Pack Page 28
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32How did you hear about the health fair?
6.
TV (specify station)
Newspaper (which one?)
Word of mouth _________________
Other: ___________________________________________________________________________
7. Screenings, etc., I had today:
Blood Pressure
Blood Sugar
Cholesterol
Diabetes Education
Donated Blood
Donated Eye Glasses
EMS Ambulance Tour
Eye Screening
8. If you had an abnormality detected through screening, do you plan on getting a follow-up examination?
9. I would attend a health fair next year.
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!
27
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