HealthFull Words Fund Post-Program Form

Please complete the HealthFull Words Fund Post-Program Form within two weeks of the conclusion of your event. Contact WesWELL with any questions.

Program
Program Name
Program Date

Contact Person
Name
Email
Phone

Attendance & Feedback
Approximately how many people were witness to your program?	Wesleyan Students Non-Wesleyan Students Faculty/Staff Other

How did the participants respond to the program?
Other than funding, how else could WesWELL support your health education efforts in the future?

Thank you!

revised 12/06/2011