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Heart Rhythm Week 2013 - Your Evaluation

We would be grateful if you could fill out this short evaluation form to ensure that next year's Heart Rhythm Week is even better! Your feedback is important to us.

Please be reassured that your feedback will remain confidential.

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* 1. Please could you supply some basic details about yourself

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* 2. Supporter information. Please tick the relevant box

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* 3. What best describes you?

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* 4. How did you learn about Heart Rhythm Week?

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* 5. Have you supported Heart Rhythm Week before?

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* 6. Which activities did you participate in? (Please tick all that apply)

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* 7. If you took part in media awareness during Heart Rhythm Week, did you find the support you received useful?

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* 8. For those of you who held a pulse check/ECG screening event, how many pulse checks were taken and how many people were detected with irregular pulses?

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* 9. Were you happy with the response from your awareness activity?

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* 10. Do you feel that the key messages were clear on the Heart Rhythm Week campaign resources?

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* 11. Please evaluate the following aspects of Heart Rhythm Week 2013

  Unsatisfactory Needs improvement Average Above Average Excellent
Communications and advertising of Heart Rhythm Week
Support given for your activity
Quality of materials provided in your pack
Quantity of materials provided in your pack

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* 12. Please comment on anything which would improve your Heart Rhythm Week experience for next year

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* 13. Will you be supporting Heart Rhythm Week in your area next year?

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* 14. Would you be happy to incorporate fundraising into your awareness activity next year?

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* 15. We are looking to change the theme of Heart Rhythm Week in 2014. Do you have any ideas about a new message for the week?

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