* 1. Agency:

* 2. Type of facility:

* 3. Date of talk:

* 4. Number of people in the audience:

* 5. Speaker(s) name:

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

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

* 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)

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

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

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

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

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

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

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

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