HEALTHY WOMEN, HEALTHY MOTHERS:
AN INFORMATION
GUIDE
Recipients of Healthy Women, Healthy Mothers: An Information Guide are requested to complete the following evaluation form and return it to Family Care International (FCI). Your comments and suggestions are crucial for enabling us to assess the value of our materials and plan for future publications to be distributed in Africa and elsewhere.
Please fill in your name and address in the space below, then answer the following questions, using a scale of one to five as shown. Additional comments are welcome, and can be written in at the end of each section, or in response to the questions at the end of the form. A mailing label with FCI's address is provided. If you would like to receive additional copies of Healthy Women, Healthy Mothers or its companion publications for free (1 -4 copies of each publication), please complete the order form on the last page.
Name__________________________________________________
Title___________________________________________________
Organisation Address _____________________________________
Telephone ____________ Fax ______________ email___________
Please tell us how you are using Health Women, Healthy Mothers (check all that apply):
As a reference for developing educational materials (pamphlets, posters, etc...)
For counselling/face-to-face discussions
For training (specify who is being trained):_____________________
Other (please specify):________________________________
A. OVERALL/CONTENT |
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3. How relevant is the information in the book?.......... |
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4. How comprehensive are the contents? .................. |
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5. How technically accurate are the contents?............ |
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6. How clear and easy to understand is the writing?... |
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7. How appropriate is the reading level?..................... |
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B. ILLUSTRATIONS |
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2. How culturally appropriate are the illustrations?... |
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3. How well are the illustrations linked to the text?.... |
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4. In terms of the number of illustrations, does the book have:
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C. BOXES |
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2. How well do the boxes summarise the major points of the book?............................................ |
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D. INDEX |
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1. Did you use the index? | | | | | |
2. How useful is the index?.................................. |
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3. How easy was it to use?.................................. |
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4. In terms of the number of entries, does the index have:
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E. GLOSSARY |
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2. How useful is the glossary?.............................. |
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3. How understandable are the definitions?.......... |
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F. DESIGN |
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1. How would you rate the overall design of the book (size, layout, binding, etc.)?.................... |
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2. How would you rate the cover?................................ |
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3. How would you rate the size and design of the type? |
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4. How would you rate the spiral binding?................... |
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5. Do you think the size of the book is:
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Comments:____________________________________________________ |
If you have time, we would appreciate your responses to the following questions:
1. What chapters of the book do you think are most
useful? Why?
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2. What chapters of the book do you think are least
useful? Why?
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3. Were there any sections of the book which you found
culturally inappropriate? In what
way?
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4. Were there any topics that were not fully covered or were
oversimplified? Which? Are there any topics that should be added to the book?
Which?...................................................................
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5. Were there any sections or chapters where the wording was
confusing or unclear?
Which?
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6. Do you think any of the illustrations should be changed? If
so, how?
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7. Do you think the design of the book should be changed? If so,
how?...................
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Thank you for your time and assistance. Feel free to provide any additional comments or suggestions.
If you would like additional copies of FCI's publications (up to 4 are free), please specify below:
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Family Care International
588 Broadway, Suite
503
New York, NY 10012, USA
Tel: 1 (212)
941-5300
Fax: 1 (212)
941-5563