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World Breastfeeding Week 2001 - Feedback Form (Evaluation form)

Activities completed during the World Breastfeeding Week (1-7 August 2001)

Name Title

Organization

Address

City State Pin Code

Phone: Country Code Area Code Tel No. 

Fax: Country Code Area Code Fax No. 

Email:

A) Please tick mark the activities conducted by you.

Informed - people about core information

Initiated campaign

Arranged talk/lecture

Distributed pamphlets

Arranged public meeting

Arranged photo exhibition

Arranged Press Conference/release

Conducted Radio Program

Advocacy meetings with Health department, Social Welfare department

Translation of the document (specify the language)

Send - emails with core information

Other actions (please specify)

B) What was the most useful material for the above activities?

C) How many people participated in the activities?

  • Number of women     
  • Number of men          
  • Number of children    

Add extra details, if needed

D) Do you think the activities organised by you would have impact on the prople?

Yes      No

E) Please specify the problems/challenges faced by you in communicating these messages and organising the activities.

If yes, please specify the type of impact

F) Would you like us to put your name and contact information on the BPNI website

Yes      No