2009-2010 PHR National Student Program Evaluation Survey

2009-2010 PHR National Student Program Evaluation

1. Optional: Please indicate your name and school.

Optional: Please indicate your name and school. First name:
Last name:
School:

2. Have you participated in any of the following PHR National Student Program activities this academic year (2009-2010)?

Please check all that apply.

Have you participated in any of the following PHR National Student Program activities this academic year (2009-2010)? Please check all that apply. Signed a PHR Online Petition or Action Alert

Attended an event organized by your Chapter

Participated in the Fall Action (needle exchange postcards)

Participated in the World AIDS Day Action

Participated in the Global Health Week of Action in April

Attended a Regional Advocacy Institute

Attended the National Student Conference at Boston University

Other (please specify)

3. Please rate your interest in the following PHR issues.

	Not interested	Interested	Very interested
Darfur Survival Campaign	Please rate your interest in the following PHR issues. Darfur Survival Campaign Not interested	Interested	Very interested
Conflict Emergency Response	Conflict Emergency Response Not interested	Interested	Very interested
Global Health Action Campaign	Global Health Action Campaign Not interested	Interested	Very interested
Health and Human Rights Education	Health and Human Rights Education Not interested	Interested	Very interested
Asylum	Asylum Not interested	Interested	Very interested
Campaign Against Torture (CAT)	Campaign Against Torture (CAT) Not interested	Interested	Very interested

1. Chapter Members

1. Optional: Please indicate your name and school.

2. Have you participated in any of the following PHR National Student Program activities this academic year (2009-2010)? Please check all that apply.

3. Please rate your interest in the following PHR issues.

2. Have you participated in any of the following PHR National Student Program activities this academic year (2009-2010)?

Please check all that apply.