Search    GO ›

Activity Report form

1. Contact information

1. Are you a member of the World Heart Federation?*

 
 
 

3. What type of organization are you?*

 
 
 
 
 
 
 
 
 
 
 
2. World Heart Day activity details

3. Which type of activities did you carry out?*

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
3. Key image and theme

1. Do you think the 'One World, One Home, One Heart' theme was a good one?*

 
 
 

2. Please tick the most appropriate below. It helps my campaign if the World Heart Day Key image:

 
 

3. Did you use the 'One World, One Home, One Heart' key image?*

 
 
 

4. Did your World Heart Day activities focus on the 'One World, One Home, One Heart' theme?*

 
 
 

5. Did you translate the campaign material?*

 
 
 
4. Campaign kit

1. Members: which campaign material did you use?*

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2. Members: which campaign material you found most useful? (please grade from 0 to 6, 0=not useful / 6=very useful)

Save the date

 
 
 
 
 
 
 

PR Ideas

 
 
 
 
 
 
 

Key image 'One World, One Home, One Heart'

 
 
 
 
 
 
 

Poster

 
 
 
 
 
 
 

Leaflet

 
 
 
 
 
 
 

PPT Presentation to approach local sponsors

 
 
 
 
 
 
 

Employers Resource Guide

 
 
 
 
 
 
 

Press Release (member version for your local adaptation) in English

 
 
 
 
 
 
 

Press Release (member version for your local adaptation) in Spanish

 
 
 
 
 
 
 

World Heart Federation Global Press Release

 
 
 
 
 
 
 

Key message document

 
 
 
 
 
 
 

Briefing document for media spokespeople

 
 
 
 
 
 
 

Gathering Real-life Insights Toolkit

 
 
 
 
 
 
 

3. Members: is there any additional material you would like World Heart Federation to develop for your future World Heart Day campaigns?

 
 

4. Non members: which material did you use?

 
 
 
 
 
 
 
 
5. Media activities

1. Did you carry out activities to encourage local media to write stories about World Heart Day?*

 
 
 

2. Members: did the Gathering real-life insights toolkit help you gather case studies to reach out to your local media?

 
 

If yes, are you willing to share your case studies with the World Heart Federation?

 
 

3. If you disseminated a press release, did you use or adapt the one provided by the World Heart Federation?

 
 

4. Members: if you are based in a Spanish- speaking country, did you find the translated press release (member version) useful?

 
 

5. Which media did you approach?

 
 
 
 
 
 
 
 
 
 
 
 
 
 

6. In which types of media did you get coverage for your World Heart Day activities?

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

8. Type of coverage:

 
 
 
 
 
 

13. Do you feel that the World Heart Day campaign has enabled you to build relationships with journalists, which may help your future campaigns?

 
 

14. Social media: Did you add the 'One World, One Home, One Heart' twibbon to your Facebook/Twitter profile to show your support to the campaign?

 
 
 
 

15. Did you disseminate the twibbon to your friends, colleagues, members?

 
 
6. Additional questions

1. Has your organization taken any steps to help families in your country lead heart healthier lives in their homes, e.g. by hosting an “Eat at home with the family” awareness week, or other community event?

 
 

2. Are you planning on running World Heart Day next year?*

 
 
 
 

3. Do you follow the World Heart Federation on Twitter? (http://twitter.com/worldheartfed)

 
 

4. Have you joined the World Heart Federation and World Heart Day pages on Facebook? (http://www.facebook.com/worldheartfederation)

 
 

5. Do you find the news/information distributed on these Twitter and Facebook pages of interest?

 
 
2012
7. Profile your World Heart Day activities

You can attach up to 10 files.

(max 1Mb per file, up to to 10 files)
(If you upload files larger than max size, you may loose the data entered.)

(max 3Mb, one file only)
(If you upload files larger than max size, you may loose the data entered.)

4. Do you agree to have your activities and pictures -as listed in this questionnaire- profiled on the World Heart Federation website?

 
 

* Mandatory fields