Health Education Talks Form Health Education Talks Form Patient Details (optional): Full Name: Date of Birth: Parkbury House is trialling a series of health promotion and education talks to boost our patient's knowledge of common medical conditions and provide practical tips in helping you look after yourself and your family better. But first, we need some more information from you to help design the way we deliver these talks. We would be very grateful if you could answer the following questions to help us: Would you be interested in attending talks about health promotion and education? Yes No What specific health topics would you be interested in attending a talk on? e.g. what is asthma, dealing with stress, dispelling myths about HRT When would you prefer these talks to happen? Early evening Late evening Weekend morning Weekend afternoon Other Please specify: How long would you be able to join for? 30 minutes Hour Other Please specify: Submit