This “Accessing Health Information Service Log” is to be filled out by the community trainer/health education advocate each time he/she is looking for health information as a direct service for the community or community member:

Name of Trainer/Health Education Advocate:                                                                                            

Date:                                                                                     

Location:                                                                                              

Health Information Need (reason for service):                                                                                               

Was the needed health information found? Yes/No                                                                                 

If the information wasn't found, what obstacles prevented a successful search?                                                                                                

If the information was found, were there obstacles that you first had to overcome?  What were they?                                                                                    

Which websites, databases, search engines and other online resources were used?                                                                                          

Please return this form to your training coordinator or send directly to the project coordinator at: Accessing Health Information Project, Box 359959, 325 Ninth Avenue, Seattle, WA 98104-2499.

(01/22/02)