National Women's Health Week National Women's Health Week		A project of the U.S. Department of Health and Human Services Office on Women's Health


We're still celebrating! The celebration continues through June 30!

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Participant satisfaction survey

Home > Activity planning resources > Event planning guides and templates > Participant satisfaction survey

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
For giving information on things you can do to improve your health
For helping you to eat healthier, exercise more, or take other steps to lead a healthier life
For helping you decide to visit the doctor for a screening or a checkup

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)
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
How could this event have been improved? (please describe)
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________

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Email womenshealth@hhs.gov for help with National Women's Health Week, including problems with registration or questions about holding and promoting an event.
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Content last updated April 15, 2013.

womenshealth.gov
A federal government website managed by the Office on Women's Health in the Office of the Assistant Secretary for Health at the U.S. Department of Health and Human Services.
200 Independence Avenue, S.W. • Washington, DC 20201