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Current Results for Health Fairs | Speaker Requests

1. Contact Information:

Total Number of Responses

8

2. I prefer to be contacted by:

Value

 

Count

 

Percent

Email

 

6

 

75.0

Phone

 

2

 

25.0

  

3. Organization/Company Requesting Outreach:

Latest User Responses:

Scott Zion Baptist Church
 

 

 

The Springs Nursing and Rehabilitation C
 

 

 

Wells Fargo Bank
 

 

 

Commonwealth of Virginia Campaign/VDOT
 

 

 

Scott Zion Baptist Church
 

 

 


View All Responses for question #3

4. Outreach being requested:

Value

 

Count

 

Percent

Komen Education Table

 

6

 

75.0

Presentation

 

1

 

12.5

Education Material Only

 

1

 

12.5

  

5. Event Name:

Latest User Responses:

Health Fair 2018
 

 

 

Woman's Health Seminar
 

 

 

Breast Cancer Awareness
 

 

 

CVC Luncheon
 

 

 

Pink Awareness Brunch
 

 

 


View All Responses for question #5

6. Event Location:

Latest User Responses:

Scott Zion Baptist Church 2602 Galts Mill Rd, Madison Heights, VA 24572
 

 

 

167 Spring Street, Hot Springs, Va 24445
 

 

 

7711 Planation Road Roanoke, VA
 

 

 

731 Harrison Ave Salem, VA 24153 The event will be in our auditorium.
 

 

 

2602 Galts Mill Road Madison Heights Va 24572
 

 

 


View All Responses for question #6

7. Event Date: (At a minimum, must be three weeks from today.)

Latest User Responses:

10/20/2018
 

 

 

10/16/2018
 

 

 

10/10/2018
 

 

 

11/14/2017
 

 

 

10/21/2017
 

 

 


View All Responses for question #7

8. Event set up time:

Latest User Responses:

1000
 

 

 

8:30 am
 

 

 

1:30
 

 

 

11:00 am
 

 

 

10:00
 

 

 


View All Responses for question #8

9. Event start time:

Latest User Responses:

1130
 

 

 

9:00
 

 

 

2:00
 

 

 

11:30 am
 

 

 

11:30
 

 

 


View All Responses for question #9

10. Event end time:

Latest User Responses:

1400
 

 

 

User Provided No Response
 

 

 

3:00
 

 

 

1:30pm
 

 

 

15:00
 

 

 


View All Responses for question #10

11. Expected number of attendees:

Responses

 

Min Value

 

Avg Value

 

Max Value

6

 

75

 

112.5

 

200

  


12. Target audience: (Mark all that apply)

Total Number of Responses 8

Value

 

Count

 

Percent

Women

 

8

 

100.0

Men

 

7

 

87.5

Working

 

6

 

75.0

Breast Cancer Survivors

 

3

 

37.5

General Audience

 

3

 

37.5

Young adults (18-25 yrs)

 

3

 

37.5

Co-Survivors

 

2

 

25.0

Caucasian

 

2

 

25.0

Underinsured/Uninsured

 

2

 

25.0

African-American

 

1

 

12.5

Retired

 

1

 

12.5

Unemployed

 

1

 

12.5

  

13. If Other, please explain:

Latest User Responses:

User Provided No Response
 

 

 

User Provided No Response
 

 

 

I would like a speaker to come talk to our employees about Breast Cancer awareness at my place of business- date and times in October are negotiable- whatever works best for your organization
 

 

 

User Provided No Response
 

 

 

User Provided No Response
 

 

 


View All Responses for question #13

14. How many other organizations will be present?

Responses

 

Min Value

 

Avg Value

 

Max Value

5

 

1

 

4.0

 

10

  


15. What equipment will be provided (chairs, table, tent, outlet, etc.)?

Latest User Responses:

Tables and chairs
 

 

 

We have tents, chairs, and tables
 

 

 

User Provided No Response
 

 

 

Tables, Chairs, and outlets will be available. This event will be in an indoor auditorium. We would like to donate a portion of the proceeds from the lunch to your charity. I understand this is not 3 weeks notice so I understand if you cannot attend.
 

 

 

chairs and tables and the fellowship hall
 

 

 


View All Responses for question #15

16. How long will the presentation be (10 min, 30 min, etc.)?

Latest User Responses:

User Provided No Response
 

 

 

15 to 30 min
 

 

 

30-60 minutes
 

 

 

No presentation
 

 

 

30 minutes
 

 

 


View All Responses for question #16

17. Will there be other speakers presenting?

Latest User Responses:

yes
 

 

 

Not sure yet
 

 

 

no
 

 

 

No presentation
 

 

 

yes
 

 

 


View All Responses for question #17