Every Second Counts Toolkit

"Every Second Counts" Stroke Awareness Request Form

Please complete this survey to request the "Every Second Counts" graphic files free of charge. Once your request is submitted, you will be directed to a new page to download the graphic files.

Your contact information:

Name:

Facility or Organization:

Phone number:

Email:

Please indicate which graphic files you wish to use: (choose all that apply)

Bus Ad

With the MDH logo
Without the MDH logo

Infographic Fact Sheet

With the MDH logo
Without the MDH logo

Social Media Graphics

With the MDH logo
Without the MDH logo

Poster

With the MDH logo
Without the MDH logo

Billboard

With the MDH logo
Without the MDH logo

Newpaper Ad

With the MDH logo
Without the MDH logo

Intended audience(s)

Setting(s)

Type of activity/activities

Hanging posters
Distributing handouts in your organization
Distributing handouts at community events

Social media posts
Posting on an intranet or website
Using materials in presentations or lectures

Including in newsletters
Placing newspaper ads
Other

Please provide additional details about your planned activities.

Do you plan to evaluate the reach and/or impact of these activities?

Yes
No
Unsure

Please briefly describe how you intend to evaluate your toolkit activities.

How did you hear about the "Every Second Counts" toolkit?

For help with planning and implementing stroke awareness activities please see the "Every Second Counts" Stroke Communications Toolkit, or email us at health.stroke@state.mn.us.

Thank you!