Health Literacy & Your Health Center — Module 2 Post-Evaluation Form

Resources for Health Literacy

Question Title

* 1. Registration

Name

Organization

Address

Address 2

City/Town

State

Zip

Email

Phone

Question Title

* 2. Additional Contact Information

Credentials (M.D., N.P., N.A., etc.)

Role in your organization (Provider, Office Manager, Educator, other, etc.)

Question Title

* 3. The primary patient education (consumer health) resource from the National Library of Medicine is _________________________.