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Planning a Health Fair: Evaluation of the Health Fair

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Evaluation of the Health Fair

Your name  _________________________          
Date ________________________

Thank you for participating in the Health Fair. In order to plan for future events, we would appreciate answers to the following questions:

1. How would you rate the Health Fair in general?

Excellent      Fair         Poor

Comments

 

2. Do you plan any changes in the things you normally do as a result of anything you learned or participated in at the Health Fair, such as taking a class or stopping smoking?

Yes _____________       No _______________

Comments

 

3. How do you plan on using any of the Health Fair information received today? Please check all the ways you plan to use the information you received today.

_____I do not plan to use the information.
_____I plan to read pamphlets for my own benefit.
_____I plan to share information with friends, relatives, or neighbors.
If so, how many?
_____I plan to see a doctor.
_____I found that I had a health problem I did not know about before.
_____I found that someone in my family had a health problem we did not know about before.
_____I learned about one or more health agencies and their services that I did not know about before.

4. List your favorite exhibitors/booths/activities and speakers.

My favorite exhibitors/booths/activities                              



My favorite speakers

 

 

5. Why did you come to the Health Fair? Check all that apply.

_____Free
_____ Convenient
_____ Curious about health
_____ Felt badly recently
My family came _______
I was at the location anyway _______
Other __________________________

6. 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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  • Montana State Library
  • P.O. Box 201800, 1515 East 6th Avenue
  • Helena, MT 59620-1800
  • Phone: (406) 444-3115
  • Fax: (406) 444-0266
  • msl.mt.gov