Agency:

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* 1. Agency:

Type of facility:

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* 2. Type of facility:

Date of talk:

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* 3. Date of talk:

Number of people in the audience:

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* 4. Number of people in the audience:

Speaker(s) name:

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* 5. Speaker(s) name:

Have you received/accessed the Positive Caring Handbook and Key Fact Sheets (either the electronic version or the hard copy)? 

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* 6. Have you received/accessed the Positive Caring Handbook and Key Fact Sheets (either the electronic version or the hard copy)? 

How do you rate the Positive Caring Handbook and the Key Fact Sheets

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* 7. How do you rate the Positive Caring Handbook and the Key Fact Sheets

How would you rate the efficacy of the PowerPoint presentation in assisting participants' learning in HIV, ageing and sexual health? (Not applicable in some presentations)

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

How would you rate the speakers'personal story of HIV in assisting with participants' learning in HIV, ageing, health and well being?

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* 9. How would you rate the speakers'personal story of HIV in assisting with participants' learning in HIV, ageing, health and well being?

How would you rate the Q&A opportunities in assisting with participants' learning in HIV, ageing, health and well being?

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* 10. How would you rate the Q&A opportunities in assisting with participants' learning in HIV, ageing, health and well being?

How would you rate the speaker's ability to empower participants to practice standard precautions effectively with ageing people living with HIV?

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* 11. How would you rate the speaker's ability to empower participants to practice standard precautions effectively with ageing people living with HIV?

How would you rate the speakers'ability to empower the participants to address HIV mythology, stereotyping, stigma and discrimination?

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

How would you rate your understanding of sexuality and gender diversity?

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* 13. How would you rate your understanding of sexuality and gender diversity?

How would you rate your knowledge to practice inclusive person centered care?

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* 14. How would you rate your knowledge to practice inclusive person centered care?

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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