This design features a graphic design with a patriotic theme. On the left side, there is a black and white American flag with a black ribbon superimposed on it. The ribbon has a white star and a white ribbon symbol. On the right side, there is a bold, black text that reads "STROKE AWARENESS" with a red ribbon symbol above it. The background of the image is red and white stripes, reminiscent of the American flag. The overall design suggests a campaign or awareness effort related to stroke awareness.