Updated October 2023, effective January 2024

Download Health Promotion Activity Planning Template (2 pages DOCX)

This form is to be used to support and guide interns through the selection and planning process for an appropriate and relevant activity (health promotion, health service, public health initiative).

The purpose of this tool is to provide interns with structured guidance on which to base the design, implementation and evaluation of a specific health promotion, service or public health initiative which is intended to maintain and/or improve the health of members of the public.

Interns should work through this template as they consider which activity to undertake. It may be used iteratively to identify both positive reasons for a particular activity as well as any constraints that may make it unviable.

Interns do not need to complete the template in order of the sections but should use them to guide the research and reflection which leads to the choice of the final activity. Interns should share their findings from use of this template with their supervisor as a means of structuring discussions and refining the proposed activity. The template should include information relevant to the activity but does not need to be overly detailed.

Refer to the Health Promotion Activity - Preceptor and intern user guide for further information on how to use this tool.

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