Children Health Festival Pre-Registration Question Title Name: Question Title Cell Number: Question Title Email Address: Question Title Location of Residence: Ayesha Manzil Bahadurabad Buffer Zone Clifton Defence DHA F.B. Area Garden East Garden West Gulshan-e-Iqbal Gulstan-e-Johar Jamshed Road Karimabad KDA Kharadar Liaquatabad Malir Muhammad Ali Society Nazimabad New Town North Nazimabad PECHS PIB Saddar Shara-e-Faisal University Road Any other area (please specify) Question Title Are you: Male Female Question Title Are you or someone in your immediate family, a current AKUH employee or student? Yes No Question Title Including yourself, how many people would be attending the event? Adults Children Question Title How did you get to know abut this event? Please select as many as applicable. Ad in Dawn Ad in Jang SMS Email Through friends or family Banners/Posters etc. within AKUH Other (please specify) Question Title Which of the following AKUH services have you or your immediate family used in the last 2 years? Please select as many as applicable. Labs Consulting Clinics Inpatient (Got admitted) Emergency Have not used AKUH services during the last two years Other (please specify) Question Title Please let us know why you are interested in this event. Please select as many as applicable. Health information sessions Food and games Family outing event Other (please specify) Page1 / 1 100% of survey complete. Done