Womens Health Symposium Evaluation Form

How would you rate the overall panelists’ knowledge of their respective subject matter And the usefulness of the informatio:

Which workshop did you attend today?:

Would you recommend that these workshops be offered again?:

Yes

If no, please explain why? :

Would you recommend that these presenters lead workshops again? :

Yes

If no, explain why? :

Other:

Was the Symposium of benefit to you? :

Yes

why not?:

What topics would you like to see included in future Women’s Health Symposiums?:

Do you plan to change anything that you normally do as a result of something you learned today?:

Yes

How will you use the educational materials you received today at the Women’s Health Symposium?:

I plan to read the pamphlets for my own benefit

I plan to share with friends, family and neighbors

I plan to see a doctor

I do not plan to use the information

Other plans:

If any of your screening results were out of your normal range, do you plan to follow up with a doctor?:

Yes

If yes, how soon; or why not?:

How did you enjoy the breakfast sponsored by General Mills and Honey Nut Cheerios?:

What General Mills products do you currently use (i.e. Honey Nut Cheerios, Nature Valley, Yoplait, etc.)?:

Did you pick up information from the BET Foundation?:

Yes

id you pick up information from the General Mills booth?:

Yes

What changes would you recommend to the Women’s Health Symposium?:

Optional Information

May we contact you regarding your comments?:

Yes

Name:

Phone/Email:

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