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* 1. How confident are you that you:

  Not at all confident* A little confident Somewhat confident Confident Very confident
Have mastered Module 1 Screening & Diagnosis?
Have mastered Module 2 Basic HIV Primary Care?
Have mastered Module 3 Antiretroviral Therapy?
Have mastered Module 4 Co-Occurring Conditions?
Have mastered Module 5 Prevention of HIV?
Have mastered Module 6 Key Populations?
Can provide support to your faculty peers on Module 1 Screening & Diagnosis?
Can provide support to your faculty peers on Module 2 Basic HIV Primary Care?
Can provide support to your faculty peers on Module 3 Antiretroviral Therapy?
Can provide support to your faculty peers on Module 4 Co-Occurring Conditions?
Can provide support to your faculty peers on Module 5 Prevention of HIV?
Can provide support to your faculty peers on Module 6 Key Populations?

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* 2. How would you rate the assistance you received from the Faculty Expert on:

  Very Unsatisfactory Unsatisfactory Neutral Satisfactory Very Satisfactory
Module 1 Screening and Diagnosis?
Module 2 Basic HIV Primary Care?
Module 3 Antiretroviral Therapy?
Module 4 Co-Occurring Conditions?
Module 5 Prevention of HIV?
Module 6 Key Populations?

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* 3. 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.  Your feedback will be used to improve future rounds of the TOT program.

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* 4. Your Name  and Institution:

0 of 4 answered
 

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