Speaker name:

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* 1. Speaker name:

Co-speaker's name:

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* 2. Co-speaker's name:

Date of talk:

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* 3. Date of talk:

School/agency:

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* 4. School/agency:

Did the session keep to time?

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* 5. Did the session keep to time?

How would you rate your ability to gauge the audience’s prior knowledge of HIV, sexual health and the topics and additional topics on the request form?

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* 6. How would you rate your ability to gauge the audience’s prior knowledge of HIV, sexual health and the topics and additional topics on the request form?

What type of introduction was done? Please note who did the introduction in the comment box.

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* 7. What type of introduction was done? Please note who did the introduction in the comment box.

How appropriate was the introduction for this audience?

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* 8. How appropriate was the introduction for this audience?

How would you rate you and your co-speaker’s ability to deliver the introduction in an engaging and interactive way whilst keeping on time?

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* 9. How would you rate you and your co-speaker’s ability to deliver the introduction in an engaging and interactive way whilst keeping on time?

What was the quality of questions, comments and interactions of participants to the introduction?

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* 10. What was the quality of questions, comments and interactions of participants to the introduction?

How would you rate your ability to deliver key messages on the requested topics and additional topics embedded in your story whilst keeping to time?

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* 11. How would you rate your ability to deliver key messages on the requested topics and additional topics embedded in your story whilst keeping to time?

Thinking about the request form's brief and the sensitivities for this presentation, how would you rate your ability to adjust/tailor your presentation?

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* 12. Thinking about the request form's brief and the sensitivities for this presentation, how would you rate your ability to adjust/tailor your presentation?

What was the quality of questions, comments and interactions of participants to your story/presentation?

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* 13. What was the quality of questions, comments and interactions of participants to your story/presentation?

To what extent did staff/facilitators acknowledge the contribution of your story to participants’ understanding of the selected topics?

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* 14. To what extent did staff/facilitators acknowledge the contribution of your story to participants’ understanding of the selected topics?

Are there any general comments you would like to provide?

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

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