Health Expo Evaluation Question Title * 1. Gender: Male Female OK Question Title * 2. Are you a FBCG member? Yes No OK Question Title * 3. Age 21 and Under 22 to 34 35 to 44 45 to 54 55 to 64 65 and Over OK Question Title * 4. How did you hear about the Health Expo? Check all that apply. FBCG News (Announcement) Poster in church Flyer Newspaper (which one?) Facebook/Twitter TV /Radio(indicate station) FBCG website/calendar Advertisement/Poster in community FBCG Member/Word of Mouth Do not remember Other (please indicate) OK Question Title * 5. In general, how would you rate the Health Expo? Excellent Good Fair Poor OK Question Title * 6. What attracted you to the Health Expo? (Please select all that apply.) Health Expo was free Convenience Curious about health Recently health felt bad/poor Was attending the combined fellowship and stayed for health fair Heard about it on TV/Radio Other (please specify) OK Question Title * 7. What screenings did you have today: Check all that apply. Blood Pressure Blood Sugar/Glucose Body Mass/Body Fat/BMI Breast Screening Cholesterol Colon Cancer Assessment Dental/Oral Cancer Facial Derma Scan Fat Analysis Foot Screening (ankle/joint) Glaucoma Testing Hearing Test HIV Testing Kidney Screening Lung Function Testing Prostate Screening Vision Testing Other (please indicate) None (please indicate reason) OK Question Title * 8. How do you rate your overall health? Excellent Good Fair Poor OK Question Title * 9. How do you plan on using any of the Health Expo information you received? (Please select all that apply.) I do not plan to use the information. I plan to read the pamphlets for my own benefit. I plan to share information with friends, relatives, or neighbors. I plan to see a doctor within the next week to one month. I found that I had a health problem I did not know about previously. I found that someone in my family has a health problem we did not about previously. I learned about one or more health agencies and their services that I did not know about previously. OK Question Title * 10. Please check all that apply. I have been told by a doctor high blood pressure. I have been told by a doctor I am obese. I have been told by a doctor I have diabetes. I eat little or no fruits and vegetables each day. I smoke cigarettes or tobacco products. I never exercise. OK Question Title * 11. What would you like to see next year? more fitness demonstrations more cooking demonstrations more mental health information more community resources OK Question Title * 12. My favorite Exhibitors/Booths/Activities were: OK Question Title * 13. My favorite speakers were: OK Question Title * 14. Do you plan any changes in the things you normally do as a result of anything you learned or participated in at the health expo? Yes No OK Question Title * 15. General comments/suggestions OK DONE