Health Education (screenshots)

Status: Original and derived artifacts are available for this document.

Download: pdf

ATSDR Health Education Form (ARMSS Screenshots)
X

Create Activity
Activity Type
Hea lth Ed ucation
Request ed Sou rce

V

Requested Sou rce Det ails (Opt ional}

I --rotenterc,r

Pl/ m ud,rq iraiv,C:ual

rorr:es.

Request Descript ion

Source POC (O ptional}

n J ot rt r "") P1/ me 1dl'lq

L.)c, nat erJte c,ny Pl mctudl'lq

div d " r c,r, e

m 1/Vldu 1/ 'la

Coop Program 0

0 Yes
® No

Jurisd iction
ATSOR

V

Choose Safe Places for Early Care and Educat ion €)

0 Yes
® No
Activity Name

Section

Cu rrent POC

Team/Reg ion
V

Planned Start Date:
2023-05-02

V

V

Notes (Optiona I)

I• I
fi

-

Edit Health Education
Request and Activity Info o
Sit e lnfo o
Sites

MiH¥f.li+:M
Documentso

EMUl··,"IIN:i
Description

Document

Uploaded Date

Uploaded By

Actions

(No documerits uploaded)

Health Ed ucat ion Details o

Form Approved
OMB No. 0923-0057
Exp. Date 09/30/2023
ATSDR estimates the average public reporting burden for this collection of information as 4 minutes response, including the time for reviewing instructions, searching existing
data/information sources, gathering and maintaining the data/information needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a
person is not required to respond to a collection of information unless it displays a current valid OMB Control Number. Send comments regarding this burden estimate or any other aspect of
this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS H21-8, Atlanta, Georgia 30333;
ATTN: PRA (0923-0057).

Edit Health Education
Actual Stilrt Dat e

Complete Date

Dw:ription

Training Details
Deli very M ethod

Commu nity Intervention lniti.\t ive

Direct Tniinil'lg Provider

HE/Cl Training Method

Number of People Unde!'mnding Pathv,,ays

Number of P,e,ople Knowi ng Contact for Concerns

Participant Evaluation
Number of Community Partid ~ nts

Number of People Understanding Health Risk

M aterials Evaluation
Were M aterials Distributed?
O Yes
~ NO

Number of People Receilf'ing Mat eri;ds

Numbe r of People Underst;inding Materials

Number of Materials Distributed Eledroniully

Numbe r of Materials Distributed Non•Electroniu lly