Speaker First Name * Last Name * Phone Number * Email * Co-speaker's Name Date of Talk * Day12345678910111213141516171819202122232425262728293031 Day MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Year20192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041 Year School/Agency * Did the session keep on time? Yes No 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? * - Select -ExcellentGoodAveragePoor What type of introduction was done? Please note who did the introduction in the Speaker Name (Introduction) field. * - Select -PSB what and whereHIV, STI, safer sexOn whiteboardHIV and Sexual Health PowerPoint presentation Speaker Name (Introduction) * How appropriate was the introduction for this audience? * - Select -ExcellentGoodAveragePoorNA How appropriate was the introduction for this audience? NA 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? * - Select -ExcellentGoodAveragePoor What was the quality of questions, comments and interactions of participants to the introduction? * - Select -ExcellentGoodAveragePoorNA What was the quality of questions, comments and interactions of participants to the introduction? NA 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? * - Select -ExcellentGoodAveragePoor What was the quality of questions, comments and interactions of participants to your story/presentation? * - Select -ExcellentGoodAveragePoor To what extent did staff/facilitators acknowledge the contribution of your story to participants’ understanding of the selected topics? * - Select -ExcellentGoodAveragePoor Thinking about the request form's brief and the sensitivities for this presentation, how would you rate your ability to adjust/tailor your presentation? * - Select -ExcellentGoodAveragePoor Are there any general comments you would like to provide? Leave this field blank Submit