Health
Fair Providers Assessment/Feedback
Name
Address
Telephone
Thank
you for contributing to the Jeremiah Burke Health Fair.
Please comment on today's event. How can we do better in the future?
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Student
Assessment /Feedback on Health Fair
Name
(optional)
Teacher
List
4 Health Care Providers (booths you visited) with whom you talked.
_______________________________________________________________
_______________________________________________________________
What
service do these Health Care Groups provide?
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Where
are they located?
______________________________________________________________
_______________________________________________________________
_______________________________________________________________
What
did you like about the Health Fair?
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
How can
we improve the Health Fair?
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
|