* 1. Agency:

* 2. Date of talk:

* 3. Number of people in the audience:

* 4. Speaker name(s):

* 5. How would you rate the efficacy of the PowerPoint presentation in assisting participants’ learning in HIV and sexual health? (Not applicable in some presentations).

* 6. How would you rate the speakers’ personal story of HIV in assisting with participants’ learning in HIV and sexual health?

* 7. How would you rate the Q&A opportunities in assisting with participants’ learning in HIV and sexual health?

* 8. How would you rate the speakers’ ability to empower participants to protect their sexual health from HIV and other STIs?

* 9. How would you rate the speakers’ ability to empower the participants to address HIV mythology, stereotyping, stigma and discrimination?

* 10. Are there any general comments you would like to provide?

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