Education/Outreach/Prevention - PRESENTATIONS REPORT






Provide Details
 
Who Presented? *

First/Last Name
 
Date of Presentation

 
Describe Your Partner/Audience *

e.g., Jeff Davis School Board
 
Describe the Service/Subject Presented *

e.g., Car seat education
 
Were “Live Healthy Georgia” materials used? *

     
 
How Many Participated? *

 
Number of Participants by Age Group

 
How many were between 18 and 34?

 
How many were between 35 and 64?

 
How many were >65?

 
Number of Participants by Gender

 
How many male participants?

 
How many female participants?

 
Number of Participants by Racial Group/Ethnicity

 
How many were Black?

 
How many were White?

 
How many were some other group?

 
How many were of Hispanic origin?

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