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U S Department of Health and Human Services www.hhs.govOffice of Public Health and Science
WomensHealth.gov - The Federal Source for Women's Health Information Sponsored by the H H S Office on Women's Health
1-800-994-9662. TDD: 1-888-220-5446
National Women's Health Week - May 9–15, 2010
National Women's Health Week - May 9–15, 2010

National Women's Health Week - May 9–15, 2010

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NWHW starts in 51 days!       | Find Events | Register Your Events |


Success in Four Easy Steps! 1-Plan, 2-Register, 3-Promote, 4-Evaluate 1 - Plan 2 - Register 3 - Promote 4 - Evaluate success in 4 easy steps!

Participant Satisfaction Survey

Participant Satisfaction Survey

Microsoft Word Document icon Customizable template (Word file,70 KB)


  1. 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

  2. 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        

  3. Overall, how would rate this event? (please select one)
    • Excellent
    • Very good
    • Average
    • Poor

  4. How likely would you recommend this event to others? (please select one)
    • Very likely
    • Somewhat likely
    • Somewhat unlikely
    • Very unlikely

  5. Are there any health topics that you wished were covered, but were not? (please list)
    ___________________________________________________________
    ___________________________________________________________
    ___________________________________________________________
    ___________________________________________________________

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

flowerNeed more help?

  • For help with the NWHW Web site, including problems registering your organization or activity or placing orders, or to inquire about your order status, please contact womenshealth.gov at 800-994-9662 or use our online contact form to send us a message.

  • For more help with event planning in your community, media outreach, and partnerships contact our NWHW activity outreach coordinator Elizabeth Osborn at 202-842-3600 ext. 245 or at eosborn@hagersharp.com.

Content last updated January 25, 2010.

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