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World hospice & palliative care day
Date
Many diseases, many lives, many voices,
palliative care for non-communicable conditions
.

Evaluation for World Hospice and Palliative Care Day and Voices for Hospices 2011

Please complete the evaluation form below for World Hospice and Palliative Care Day 2011. It will only take you approximately 10 minutes. This enables us to keep track of the activities that took place and measure the impact of the Day. By completing the evaluation form, it also ensures that your events and activities are recorded in the final report.


When you submit the form, this message will appear on the screen "Thank you for completing the World Hospice and Palliative Care Day and Voices for Hospices evaluation form for 2011." If any of the required fields - indicated with 2 red arrows - have not been field in the form will not be submitted.

We hope you enjoyed your events and activities this year!


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2011 evaluation
About you
Organisation type






About World Hospice and Paliative Care Day 2011 ('World Day')
How did you find out about World Day 2011?





What did you do to celebrate World Day in 2011? (Tick all that apply)









Many diseases, many lives, many voices - palliative care for non-communicable conditions
Did you relate your event or activities to the theme "Many diseases, many lives, many voices - palliative care for non-communicable conditions”?

Attendance
Who attended the event? (Tick all that apply)









Media coverage
Did your event get any press or media coverage? (Tick all that apply)







Policy makers
Did you engage with policy makers and/or governments?

World Day website
Did you register your event on the World Hospice and Palliative Care Day website? »

Did you use the materials on the website? (please tick all that apply)















Fundraising
Did you raise any funds through your event? »

How much did you raise? (US$)




If known, what will the funds be used for? (Tick all that apply)






The impact of World Hospice and Palliative Care Day
Did your event achieve its aim? »


Do you think your event increased awareness of the need for hospice and palliative care? »

In what ways has World Day 2011 impacted on hospice and palliative in your area? (Please tick all that apply and give more details about your answers in the box below)











Have you held activities for previous World Day and Voices for Hospices celebrations? (Tick all that apply)





Have previous activities for World Day and/or Voices for Hospices had any long term impact on hospice and palliative care in your area or country?


Future World Hospice and Palliative Care Days and Voices for Hospices
Are you happy with the date of Second Saturday of October for future World Days?