Workshop Evaluation Form - Hiv Prevention Trials

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Stakeholder Engagement Toolkit for HIV Prevention Trials
Orientation to the Toolkit and Practice for Selected Tasks in Step 4 and Step 7
WORKSHOP EVALUATION FORM
Day/Month/Year
Please take a few minutes to share your feedback on this event. Your feedback will enable us to plan for future
events and improve our activities and materials. We thank you in advance for your participation.
Section I. Representation
1. Please check the role(s) that best describe your current function within the HPTN?
Site Community Educator
CAB Representative
Other: _________________________
Section II. Overall Experience
1. Please use the 5-point scale below and rate the training on the following items. (Circle one number for
each item.)
Rating Scale:
5=Very Good
4=Good
3=Fair
2=Poor 1=Very Poor
Content
5
4
3
2
1
Organization
5
4
3
2
1
Design of learning activities
5
4
3
2
1
Created interest in the topic
5
4
3
2
1
Involvement of participants
5
4
3
2
1
Opportunities for practice
5
4
3
2
1
Pace of delivery
5
4
3
2
1
Training materials/participant handouts
5
4
3
2
1
General overall impression
5
4
3
2
1
Usefulness of subject matter for me
5
4
3
2
1
professionally
Usefulness of subject matter for me personally
5
4
3
2
1
Stakeholder Engagement Toolkit for HIV Prevention Trials—Workshop Evaluation Form, Aug 2014
Page 1 of 2
Stakeholder Engagement Toolkit for HIV Prevention Trials
Orientation to the Toolkit and Practice for Selected Tasks in Step 4 and Step 7
WORKSHOP EVALUATION FORM
Day/Month/Year
Please take a few minutes to share your feedback on this event. Your feedback will enable us to plan for future
events and improve our activities and materials. We thank you in advance for your participation.
Section I. Representation
1. Please check the role(s) that best describe your current function within the HPTN?
Site Community Educator
CAB Representative
Other: _________________________
Section II. Overall Experience
1. Please use the 5-point scale below and rate the training on the following items. (Circle one number for
each item.)
Rating Scale:
5=Very Good
4=Good
3=Fair
2=Poor 1=Very Poor
Content
5
4
3
2
1
Organization
5
4
3
2
1
Design of learning activities
5
4
3
2
1
Created interest in the topic
5
4
3
2
1
Involvement of participants
5
4
3
2
1
Opportunities for practice
5
4
3
2
1
Pace of delivery
5
4
3
2
1
Training materials/participant handouts
5
4
3
2
1
General overall impression
5
4
3
2
1
Usefulness of subject matter for me
5
4
3
2
1
professionally
Usefulness of subject matter for me personally
5
4
3
2
1
Stakeholder Engagement Toolkit for HIV Prevention Trials—Workshop Evaluation Form, Aug 2014
Page 1 of 2
Section III. Your Personal Experience- Summary Questions
1. What was the MOST valuable experience you had or information you received during this workshop?
2. What was the LEAST valuable experience you had or information you received during this workshop?
3. Please comment on what additional knowledge and skills training is needed for you or others at your site?
4. If you could CHANGE ONE THING, what would you ask us to do differently?
5. Additional Comments:
Stakeholder Engagement Toolkit for HIV Prevention Trials—Workshop Evaluation Form, Aug 2014
Page 2 of 2

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