Community Service Survey

Family Medicine Interest Group

FMIG Network Funding Initiative

Please provide the following information
Your name
Title (if student, please indicate it here)
FMIG Name
Medical School
FMIG Student Contact
FMIG Faculty Advisor
Academic Year
Did your FMIG participate in any of the following community service activities?
Please provide the following numbers
AAFP sponsored Tar Wars programs AAFP sponsored AIM (Americans in Motion) Community health fair Student-run free health clinic Primary Care WeekCommunity- or school-based wellness/health education programsOther
For each of the above categories, can you estimate how many medical students were involved in these activities during the 15-16 academic school year?
For each of the above categories, can you estimate the number of community members that benefited from these activities?
For each of the above categories, can you estimate the number of volunteer hours that it took to put on the event?
How many total medical students from your school participated in a community service activity through your FMIG this academic year?

Progress: 100%