Information for Health Fairs that have taken place April 1, 2020 – June 30, 2020 Facilitator's Name* First Last Facilitator's Agency* Host Organization(s)* Name of the organization that has organized the eventEvent Name Event Address* City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County*AtlanticBergenBurlingtonCamdenCape MayCumberlandEssexGloucesterHudsonHunterdonMercerMiddlesexMonmouthMorrisOceanPassaicSalemSomersetSussexUnionWarrenContact Person First Last Phone (Event Contact)Email (Event Contact) Event Date* MM slash DD slash YYYY Program EvaluationWillingness of group to learn4321Score from 1-4, 4 begin the highest. Program Setting4321Score from 1-4, 4 begin the highest. Participation from group4321Score from 1-4, 4 begin the highest. Program coordinator4321Score from 1-4, 4 begin the highest. Did the audience save the Poison Help line as a contact in their cell phones?YesNoN/A (children's program)Do you feel this program should be contacted for another program in the future? Yes No If yes, when? If no, why?Additional CommentsMaterials Distributed at SiteFill in a quantity for each field Phone Stickers (English)*Phone Stickers (Spanish)*Babysitter (English)*Babysitter (Spanish)*Carbon Monoxide (English)*Carbon Monoxide (Spanish)*Your Poison Center (English)*Your Poison Center (Spanish)*Keep Your Family Safe/PIYH (English)*Keep Your Family Safe/PIYH (Spanish)*Magnets (English)*Magnets (Spanish)*Dila a una amiga Medicine Spoons*Poison Help Stickers (English)*Poison Help Stickers (Spanish)*Wallet Cards*Poster - Pets Get Poisoned Too*Poster - Mistaken Identity*Poster - Medicine Safety*Poster - Poison Center Services (English)*Poster - Poison Center Services (Spanish)*Pens*Pencils*Magnifier*Pop Socket*