<% call thought %> <%end if%> World Breastfeeding Week 2002 - Feedback Form (Evaluation form) Activities completed during the World Breastfeeding Week (1-7 August 2002) Name Title Organization Address District 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 the theme, Breastfeeding Healthy Mothers & Healthy Babies Information 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 information on the theme 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
Activities completed during the World Breastfeeding Week (1-7 August 2002)
Name Title
Organization
Address
District 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 the theme, Breastfeeding Healthy Mothers & Healthy Babies
Information 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 information on the theme
Other actions (please specify)
B) What was the most useful material for the above activities?
C) How many people participated in the activities?
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