Survey - National Health Professional Association Members Who Have Completed NHC modules

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* 1. Please check one response on each row. If you checked “not at all confident”, “a little confident”, “very unsatisfactory” or “unsatisfactory” on any row, please explain the reasons why at the bottom of the page.

	Not at all confident*	A little confident	Somewhat confident	Confident	Very confident	Did not complete this module
Have mastered HIV Screening & Diagnosis?	Have mastered HIV Screening & Diagnosis? Not at all confident*	Have mastered HIV Screening & Diagnosis? A little confident	Have mastered HIV Screening & Diagnosis? Somewhat confident	Have mastered HIV Screening & Diagnosis? Confident	Have mastered HIV Screening & Diagnosis? Very confident	Have mastered HIV Screening & Diagnosis? Did not complete this module
Have mastered Basic HIV Primary Care?	Have mastered Basic HIV Primary Care? Not at all confident*	Have mastered Basic HIV Primary Care? A little confident	Have mastered Basic HIV Primary Care? Somewhat confident	Have mastered Basic HIV Primary Care? Confident	Have mastered Basic HIV Primary Care? Very confident	Have mastered Basic HIV Primary Care? Did not complete this module
Have mastered Antiretroviral Therapy?	Have mastered Antiretroviral Therapy? Not at all confident*	Have mastered Antiretroviral Therapy? A little confident	Have mastered Antiretroviral Therapy? Somewhat confident	Have mastered Antiretroviral Therapy? Confident	Have mastered Antiretroviral Therapy? Very confident	Have mastered Antiretroviral Therapy? Did not complete this module
Have mastered Co-Occurring Conditions?	Have mastered Co-Occurring Conditions? Not at all confident*	Have mastered Co-Occurring Conditions? A little confident	Have mastered Co-Occurring Conditions? Somewhat confident	Have mastered Co-Occurring Conditions? Confident	Have mastered Co-Occurring Conditions? Very confident	Have mastered Co-Occurring Conditions? Did not complete this module
Have mastered Prevention of HIV?	Have mastered Prevention of HIV? Not at all confident*	Have mastered Prevention of HIV? A little confident	Have mastered Prevention of HIV? Somewhat confident	Have mastered Prevention of HIV? Confident	Have mastered Prevention of HIV? Very confident	Have mastered Prevention of HIV? Did not complete this module
Have mastered HIV Key Populations?	Have mastered HIV Key Populations? Not at all confident*	Have mastered HIV Key Populations? A little confident	Have mastered HIV Key Populations? Somewhat confident	Have mastered HIV Key Populations? Confident	Have mastered HIV Key Populations? Very confident	Have mastered HIV Key Populations? Did not complete this module

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* 2. Have you used the material you learned in the following NHC modules? For each row, please check one of the four shaded columns.

	No	Didn’t complete this module	Have not had opportunity to use the information yet	Yes
HIV Screening & Diagnosis?	HIV Screening & Diagnosis? No	HIV Screening & Diagnosis? Didn’t complete this module	HIV Screening & Diagnosis? Have not had opportunity to use the information yet	HIV Screening & Diagnosis? Yes
Basic HIV Primary Care?	Basic HIV Primary Care? No	Basic HIV Primary Care? Didn’t complete this module	Basic HIV Primary Care? Have not had opportunity to use the information yet	Basic HIV Primary Care? Yes
Antiretroviral Therapy?	Antiretroviral Therapy? No	Antiretroviral Therapy? Didn’t complete this module	Antiretroviral Therapy? Have not had opportunity to use the information yet	Antiretroviral Therapy? Yes
Co-Occurring Conditions?	Co-Occurring Conditions? No	Co-Occurring Conditions? Didn’t complete this module	Co-Occurring Conditions? Have not had opportunity to use the information yet	Co-Occurring Conditions? Yes
Prevention of HIV?	Prevention of HIV? No	Prevention of HIV? Didn’t complete this module	Prevention of HIV? Have not had opportunity to use the information yet	Prevention of HIV? Yes
HIV Key Populations?	HIV Key Populations? No	HIV Key Populations? Didn’t complete this module	HIV Key Populations? Have not had opportunity to use the information yet	HIV Key Populations? Yes

If yes, briefly describe how you have used the information you learned in the module

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* 3. Do you have any suggestions on how the NHC modules could be improved?