Participant satisfaction survey
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Customizable template (Word, 70 KB)
- How did you hear about this event? (please select all that apply)
- Newspaper
- Radio
- Organization newsletter, bulletin, or calendar
- Internet
- Word of mouth
- Some other way
- Event rating
Event Rating
How you would rate this event:
(please select one for each item) |
Excellent |
Very good |
Average |
Poor |
For giving health information that you did not know before |
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For giving information on things you can do to improve your health |
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For helping you to eat healthier, exercise more, or take other steps to lead a healthier life |
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For helping you decide to visit the doctor for a screening or a checkup |
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- Overall, how would rate this event? (please select one)
- Excellent
- Very good
- Average
- Poor
- How likely would you recommend this event to others? (please select one)
- Very likely
- Somewhat likely
- Somewhat unlikely
- Very unlikely
- Are there any health topics that you wished were covered, but were not? (please list)
___________________________________________________________
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- How could this event have been improved? (please describe)
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Need help?
- For help with the National Women's Health Week website, including problems registering your organization or event, please contact womenshealth.gov or use our online contact form to send us a message.
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Content last updated February 8, 2012.
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