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SHARP Customer Feedback

 

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Todays date is:

	MM		DD		YYYY
MM/DD/YYYY	Todays date is:   MM/DD/YYYY   Month	/	Day	/	Year

Which of the following best describes the health promotion and wellness area in which you work?

Which of the following best describes the health promotion and wellness area in which you work?   BUMED NMSC OPNAV NETC NMETC HQ USMC MCCS-Semper Fit Navy Medical Treatment Facilities Navy fleet Commands USMC field Commands Navy Reserve command USM Reserve Command

Other (please specify)

Please rate the quallity of NMCPHC SHARP services

	I am not familiar with or have not used this	not needed	unsatisfactory	marginal	satisfacory	excellent
policy advocacy	*Please rate the quallity of NMCPHC SHARP services policy advocacy I am not familiar with or have not used this	policy advocacy not needed	policy advocacy unsatisfactory	policy advocacy marginal	policy advocacy satisfacory	policy advocacy excellent
expert consultation	expert consultation I am not familiar with or have not used this	expert consultation not needed	expert consultation unsatisfactory	expert consultation marginal	expert consultation satisfacory	expert consultation excellent
capacity building / training	capacity building / training I am not familiar with or have not used this	capacity building / training not needed	capacity building / training unsatisfactory	capacity building / training marginal	capacity building / training satisfacory	capacity building / training excellent
population health analysis	population health analysis I am not familiar with or have not used this	population health analysis not needed	population health analysis unsatisfactory	population health analysis marginal	population health analysis satisfacory	population health analysis excellent
ready-to-use educational / prevention products	ready-to-use educational / prevention products I am not familiar with or have not used this	ready-to-use educational / prevention products not needed	ready-to-use educational / prevention products unsatisfactory	ready-to-use educational / prevention products marginal	ready-to-use educational / prevention products satisfacory	ready-to-use educational / prevention products excellent

Other (please specify)

Please rate these SHARP products and services

	never used by me	not needed by me	unsatisfactory	marinal	satisfactory	excellent
HIV-STI Prevention Counseling Course	*Please rate these SHARP products and services HIV-STI Prevention Counseling Course never used by me	HIV-STI Prevention Counseling Course not needed by me	HIV-STI Prevention Counseling Course unsatisfactory	HIV-STI Prevention Counseling Course marinal	HIV-STI Prevention Counseling Course satisfactory	HIV-STI Prevention Counseling Course excellent
Sexual Partner Services Course	Sexual Partner Services Course never used by me	Sexual Partner Services Course not needed by me	Sexual Partner Services Course unsatisfactory	Sexual Partner Services Course marinal	Sexual Partner Services Course satisfactory	Sexual Partner Services Course excellent
Promoting Sexual Health in Military Populations Course	Promoting Sexual Health in Military Populations Course never used by me	Promoting Sexual Health in Military Populations Course not needed by me	Promoting Sexual Health in Military Populations Course unsatisfactory	Promoting Sexual Health in Military Populations Course marinal	Promoting Sexual Health in Military Populations Course satisfactory	Promoting Sexual Health in Military Populations Course excellent
STI 101 for Non-clinicians Course	STI 101 for Non-clinicians Course never used by me	STI 101 for Non-clinicians Course not needed by me	STI 101 for Non-clinicians Course unsatisfactory	STI 101 for Non-clinicians Course marinal	STI 101 for Non-clinicians Course satisfactory	STI 101 for Non-clinicians Course excellent
For Ladies Only Intervention	For Ladies Only Intervention never used by me	For Ladies Only Intervention not needed by me	For Ladies Only Intervention unsatisfactory	For Ladies Only Intervention marinal	For Ladies Only Intervention satisfactory	For Ladies Only Intervention excellent
Reproductive Health Intervention	Reproductive Health Intervention never used by me	Reproductive Health Intervention not needed by me	Reproductive Health Intervention unsatisfactory	Reproductive Health Intervention marinal	Reproductive Health Intervention satisfactory	Reproductive Health Intervention excellent
SHARP self-study courses	SHARP self-study courses never used by me	SHARP self-study courses not needed by me	SHARP self-study courses unsatisfactory	SHARP self-study courses marinal	SHARP self-study courses satisfactory	SHARP self-study courses excellent
SHARP Toolbox CD or DVD	SHARP Toolbox CD or DVD never used by me	SHARP Toolbox CD or DVD not needed by me	SHARP Toolbox CD or DVD unsatisfactory	SHARP Toolbox CD or DVD marinal	SHARP Toolbox CD or DVD satisfactory	SHARP Toolbox CD or DVD excellent
SHARP Posters	SHARP Posters never used by me	SHARP Posters not needed by me	SHARP Posters unsatisfactory	SHARP Posters marinal	SHARP Posters satisfactory	SHARP Posters excellent
Navy Sexual Health Films	Navy Sexual Health Films never used by me	Navy Sexual Health Films not needed by me	Navy Sexual Health Films unsatisfactory	Navy Sexual Health Films marinal	Navy Sexual Health Films satisfactory	Navy Sexual Health Films excellent
SHARP Guideline - Targeted Condom Access	SHARP Guideline - Targeted Condom Access never used by me	SHARP Guideline - Targeted Condom Access not needed by me	SHARP Guideline - Targeted Condom Access unsatisfactory	SHARP Guideline - Targeted Condom Access marinal	SHARP Guideline - Targeted Condom Access satisfactory	SHARP Guideline - Targeted Condom Access excellent
SHARP Factsheets	SHARP Factsheets never used by me	SHARP Factsheets not needed by me	SHARP Factsheets unsatisfactory	SHARP Factsheets marinal	SHARP Factsheets satisfactory	SHARP Factsheets excellent

Other (please specify)

In my opinion and experience, products and services offered by NMCPHC SHARP are:

	Strongly Disagree	Disagree	Neither Agree nor Disagree	Agree	Strongly Agree
Unique (not available elsewhere)	*In my opinion and experience, products and services offered by NMCPHC SHARP are: Unique (not available elsewhere) Strongly Disagree	Unique (not available elsewhere) Disagree	Unique (not available elsewhere) Neither Agree nor Disagree	Unique (not available elsewhere) Agree	Unique (not available elsewhere) Strongly Agree
Trusted	Trusted Strongly Disagree	Trusted Disagree	Trusted Neither Agree nor Disagree	Trusted Agree	Trusted Strongly Agree
Responsive to my requests for assistance	Responsive to my requests for assistance Strongly Disagree	Responsive to my requests for assistance Disagree	Responsive to my requests for assistance Neither Agree nor Disagree	Responsive to my requests for assistance Agree	Responsive to my requests for assistance Strongly Agree
Valued by me / my customers	Valued by me / my customers Strongly Disagree	Valued by me / my customers Disagree	Valued by me / my customers Neither Agree nor Disagree	Valued by me / my customers Agree	Valued by me / my customers Strongly Agree
Evidence-based	Evidence-based Strongly Disagree	Evidence-based Disagree	Evidence-based Neither Agree nor Disagree	Evidence-based Agree	Evidence-based Strongly Agree

Other (please specify)

Things NMCPHC SHARP could do to help me reduce HIV, STI and unplanned pregnancy:

Things NMCPHC SHARP could do to help me reduce HIV, STI and unplanned pregnancy:

Things the Navy or Marine Corps could do to reduce HIV, STI and unplanned pregnancy:

Things the Navy or Marine Corps could do to reduce HIV, STI and unplanned pregnancy: