SITE NAME:
	Type: With whom # of attendees	Frequency: When	Documents Used	Comments | Additional details
Meetings
Focus Groups
Invited presentation and discussion at special meetings (such as community advisory board meetings)
Ad hoc meetings with community leaders
Open Public Forum etc (e.g. health fairs, radio talk show)
	With whom/where # of surveys completed	When (Time period)	Documents Used
Survey Interviews
	to whomapprox # of mailings sent	When (Time period)	Document(s) mailed
Mailings
	Type:	Name:	Frequency:	Documents Distributed
Public Media
	Type:	Details:	Frequency:	Documents used
In-Hospital Resources
	Type	Details	Frequency	Documents used
Other