Reporte Final de actividades de la Semana Binacional de Salud (SBS) 2018- Binational Health Week (BHW) 2018, Final Activities Report
Por favor completar la información correspondiente a los eventos que su consulado o agencia organizó para la SBS 2018. Si hay preguntas que no aplican por favor escriba "NA"/ Please complete this evaluation form regarding the events organized by your consulate or organizations during BHW 2018. If there is a question that is not applicable please write "NA"
Nombre de quien completa este reporte/ Name of who completes this report *
Your answer
Correo electrónico / Email address *
Your answer
Nombre de la organización / Name of organization *
Your answer
Tipo de organización/ Type of organization (Seleccione uno) *
Ciudad, Estado y País donde se encuentra/ City, State and Country *
Your answer
Número total de eventos organizados por su consulado o agencia/ Total number of events organized by your consulate or agency *
Si el evento se repite varios dias, cada dia cuenta como un evento. / If the same event happens more than one day, each day counts as one event.
Your answer
Número total de personas que asistieron a todos sus eventos / Total number of people that attended all your events *
Your answer
Tipo de eventos / Type of events *
Seleccione todos que correspondan / Select all that apply
Required
Número total de organizaciones participantes en todos los eventos/ Total number of participating organizations in all events *
Your answer
Número total de voluntarios o empleados que apoyaron con los eventos/ Total number of volunteers or staff that helped with the events *
Your answer
Número de servicios-pruebas médicas ofrecidas / Number of health services-screenings provided
Para las siguentes preguntas, por favor escriba el numero total de servicios-pruebas médicas que hicieron en sus eventos. Si no ofrecieron algunos de los servicios indicados escriba NA/ For the following questions, please write the total number of services-screenings that were conducted at your events. If you didn't offer any of the services indicated write NA
Presión arterial / Blood Pressure
Your answer
Colesterol / Cholesterol
Your answer
Glucosa/ Glucose
Your answer
Indice de Masa Corporal (IMC) / BMI
Your answer
VIH-SIDA / HIV-AIDS
Your answer
Examen oral (dental)/ Dental exam
Your answer
Examen de la vista / Eye exam
Your answer
Examen de audición/ Hearing exam
Your answer
Examen del seno / Breast exam
Your answer
Mamografía/ Mammogram
Your answer
Papanicolaou / Pap smear
Your answer
Salud Mental /Mental health
Your answer
Vacunas contra la Influenza / Flu vaccines
Your answer
Otras Vacunas / Other vaccines
Your answer
Inscripción Seguro Médico/ Health insurance sign-up
Your answer
Otro(s) /Other(s)
Indicar otro(s) servicio-prueba de salud y cantidad ofrecida por cada uno (Ej: prueba de osteoporosis (15), ) /Indicate other health service-screening and amount (e.g. osteoporosis test (15),)
Your answer
Comentarios / Comments
Hay algo en especial que quiera compartir sobre los eventos que su agencia organizó para la Semana Binacional de Salud 2018?/ Is there anything special you want to share about the BHW 2018 events that your agency organized?
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