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Prevention with Positives Training Exchange Evaluation Form

1.Discipline and Primary Role:
  Physician
  Physician Assistant
  Advanced Practice Nurse
  Nurse Practitioner
  Nurse Midwife
  Nurse
  Other Health discipline (specify below)
  Social Worker
  Case Manager
  Mental Health Provider
  Substance Abuse Professional
  Health/HIV Educator
  Non Health discipline (specify below)
1a.If other discipline, please specify
2.If AETC, please select regional or national affiliation
2a.If local performance site (LPS), please specify site name
2b.If other training center, please select affiliation
2c.If other affiliation, please specify below
3.City
4.State, Territory, or Jurisdiction
5.Please indicate your reasons for participating in the Prevention with Positives (PwP) training exchange: (Check all that apply)
  I am interested in beginning to train on PwP
   I am currently training on PwP and I am interested in new materials
  I have used one/more of the materials already and wanted more insight into others' training experiences
  I have used one/more of the materials already and wanted the authors' guidance
  I am developing PwP materials and wanted to see what's already available for adaptation
  I had a specific question/problem I wanted addressed (please specify below)
5a.Specific question/problem:
5b.Other reasons for participating (please specify below)
6.Which of the materials were introduced to you for the first time during this training exchange? (Check all that apply)
  Promoting behavior change: employing motivational interventions (Robert Carroll)
  Encouraging safer sex and disclosure: message-framing, repetition, and reinforcement (Jean Richardson)
  Engaging patients: using self-study and patient education tools (Lucy Bradley-Springer)
  Prevention in primary care: integrating care and counseling (Linda Frank)
  Legal ramifications: addressing provider concerns (Carol Dawson-Rose)
7.Did the presentation of materials that you haven't used before lead you to consider using those materials in your own training?
YesNoNot sureNot applicable
8.Which of the materials have you used previously? (Check all that apply)
  Promoting behavior change: employing motivational interventions (Robert Carroll)
  Encouraging safer sex and disclosure: message-framing, repetition, and reinforcement (Jean Richardson)
  Engaging patients: using self-study and patient education tools (Lucy Bradley-Springer)
  Prevention in primary care: integrating care and counseling (Linda Frank)
  Legal ramifications: addressing provider concerns (Carol Dawson-Rose)
9.Did the presentation of materials that you have already used in training provide new insights or information that will assist you when using those materials in your own training?
YesNoNot sureNot applicable
10.Did you find the presenters' discussions of their own training experiences helpful in considering how the materials can be incorporated into your trainings?
YesNoNot sure
11.Please rate the length of the entire training exchange:
Just rightToo longToo short
12.Did you feel able to ask a question?
YesNo
13.Did you find it useful to hear answers to the questions of other participants?
YesNoNot sure
14.Would you recommend that similar training exchanges be offered in the future?
YesNo
14a.If not, please suggest a better method for sharing training materials:
15.Were you able to download the accompanying files?
YesNo
16.Were the call-in instructions complete and understandable?
YesNo
17.What advice would you give us about using this type of format in the future?
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