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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