FHIA ACTIVITY REPORT
Please note, you do not have to fill out all sections of this form. If you have any questions, please contact FHIA@tranow.com.
Church Name
*
Event Name
*
Date & Time
*
Total Number of Attendees
*
Summarize activity in a few short sentences
*
Did your health ministry provide transportation for this activity?
YES
NO
If yes, how many rides were provided?
How many hours of service did your health ministry team provide for this activity?
Did you provide Blood Pressure Checks?
YES
NO
If yes, how many?
Did your health ministry provide food for this activity?
Yes
No
Approx. cost of this activity?
What other services did your health ministry team provide? Eg; table with resources, health speakers, etc
Did you work with any outside groups for this activity? Please list below.
Attach your event photos below.
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