Organisation/Agency Details Existing Contact Organisation/Agency Name * Email * Date of Talk * Day12345678910111213141516171819202122232425262728293031 Day MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Year2019202020212022202320242025202620272028202920302031 Year Number of Participants * Speaker(s) * Have you received/accessed the Positive Caring Handbook and Key Fact Sheets (either the electronic version or the hard copy)? * - Select -YesNoOther (please specify) Have you received/accessed the Positive Caring Handbook and Key Fact Sheets (either the electronic version or the hard copy)? Other (please specify) How do you rate the Positive Caring Handbook and the Key Fact Sheets you received/accessed * - Select -ExcellentGoodAveragePoorNA How do you rate the Positive Caring Handbook and the Key Fact Sheets you received/accessed NA How would you rate the efficacy of the PowerPoint presentation in assisting participants' learning in HIV, ageing and sexual health? * - Select -ExcellentGoodAveragePoorNA How would you rate the efficacy of the PowerPoint presentation in assisting participants' learning in HIV, ageing and sexual health? NA How would you rate the speakers'personal story of HIV in assisting with participants' learning in HIV, ageing, health and well being? * - Select -ExcellentGoodAveragePoorNA How would you rate the speakers'personal story of HIV in assisting with participants' learning in HIV, ageing, health and well being? NA How would you rate the Q&A opportunities in assisting with participants' learning in HIV, ageing, health and well being? * - Select -ExcellentGoodAveragePoorNA How would you rate the Q&A opportunities in assisting with participants' learning in HIV, ageing, health and well being? NA How would you rate the speaker's ability to empower participants to practice standard precautions effectively with ageing people living with HIV? * - Select -ExcellentGoodAveragePoorNA How would you rate the speaker's ability to empower participants to practice standard precautions effectively with ageing people living with HIV? NA How would you rate the speakers' ability to empower the participants to address HIV mythology, stereotyping, stigma and discrimination? * - Select -ExcellentGoodAveragePoorNA How would you rate the speakers' ability to empower the participants to address HIV mythology, stereotyping, stigma and discrimination? NA How would you rate your understanding of sexuality and gender diversity? * - Select -ExcellentGoodAveragePoorNA How would you rate your understanding of sexuality and gender diversity? NA How would you rate your knowledge to practice inclusive person centered care? * - Select -ExcellentGoodAveragePoorNA How would you rate your knowledge to practice inclusive person centered care? NA Are there any general comments you would like to provide? Leave this field blank Submit
