HIV, AIDS, and Hepatitis Prevention Survey Form Page HIV, AIDS, and Hepatitis Prevention Survey HiddenNext Steps: Install the Survey Add-OnThis form requires the Gravity Forms Survey Add-On. Important: Delete this tip before you publish the form.Training Art and Science of PAR Co-Occuring Disorders Motivational Interviewing CRSW Boot Camp Ethical Considerations HIV, AIDS, Hepatitis Prevention Suicide Prevention Name(Required) First Last Email(Required) Trainer's Name(Required)Cheryle PacapelliEileen DoyleJessica CarterJim WuelfingJohn BurnsJoy MoodyMichelle J. LennonPriscilla Matos1. Ease of obtaining training information Excellent Above Average Average Below average Poor 2. Learning environment and meeting space Excellent Above Average Average Below average Poor 3. Handouts and materials Excellent Above Average Average Below average Poor 4. The trainer’s scope of knowledge Excellent Above Average Average Below average Poor 5. The quality of the training information Excellent Above Average Average Below average Poor 6. Effectiveness of the trainer to convey the information Excellent Above Average Average Below average Poor 7. Overall training quality Excellent Above Average Average Below average Poor 8. What did you find useful during this training?9. What did you find wasn't useful in this training?10. The Trainer(s) showed active & sincere Interest in understanding needs and perspective of learners? 5 High 4 3 2 1 Low 11. Clarity of instructions: Delivery of instructions for activities were clear, articulate, & concise 5 High 4 3 2 1 Low 12. Interactive Learning Environment 5 High 4 3 2 1 Low 13. Rhythm & Flow: Keep the Learning Moving, steady pace; up-beat tempo 5 High 4 3 2 1 Low 14. Debriefing: Integrates a debriefing process into all activities, Links key concepts into debriefing process 5 High 4 3 2 1 Low 15. The trainer(s) created a space that felt safe to share and learn in. Very high quality High quality Neither high nor low quality Low quality Very low quality 16. I have a clearer understanding of risk factors for HIV as a result of this class. Extremely clear Very clear Somewhat clear Not so clear Not at all clear 17. have a clear understanding of populations impacted by HIV as a result of this class. Extremely clear Very clear Somewhat clear Not so clear Not at all clear 18.I have a clearer understanding of the impact of stigma and how I can better approach those in the treatment and recovery community impacted by HIV, AIDS and Hepatitis. Extremely clear Very clear Somewhat clear Not so clear Not at all clear 19. Any other comments or suggestions:20. Other training topics you would like offered:
