Needs Assessment Tools

This section includes needs assessment tools from the national and regional AETCs.

General Training Needs Assessment Instruments

	New York/New Jersey AETC Annual Needs Assessment Survey [MS Word 340K] Source: New York/New Jersey AETC
	Community Provider Needs Assessment Profile [PDF 41K] Community Provider Needs Assessment Profile [MS Word 151K] Source: Pacific AETC
	Delta Region AETC Training Survey [PDF 131K] Source: Delta AETC
	Level II-IV Needs Assessment [PDF 115K] Date: 09/2002 Source: Florida/Caribbean AETC
	Healthcare Provider Training Needs Assessment [PDF 99K] Date: 09/2002 Source: Florida/Caribbean AETC
	HIV/AIDS Training Needs Survey [PDF 34K] Source: Florida/Caribbean AETC
	HIV/AIDS Care Providers Needs Assessment Survey [PDF 162K] Source: Mountain Plains AETC
	New England AETC Training Survey [PDF 123K] Source: New England AETC
	Clinical Training Needs Assessment Survey [PDF 201K] Source: New York/New Jersey AETC New York
	Key Informant Interview Guide: Tribal Health Care System Assessment for the Purpose of Developing an AIDS Response Team [PDF 219K] Source: Northwest AETC
	Key Informant Interview Guide: Assessment for HIV Training and Education Planning [MS Word 135K] Date: 10/2004 Source: Northwest AETC
	Individual Training Needs Assessment (Traditional Healers) [MS Word 117K] Date: 10/2004 Source: Northwest AETC
	Needs Assessment Survey [PDF 124K] Source: Texas/Oklahoma AETC
	Sample Focus Group Materials: Selection Criteria, Respondent Questionnaire, Facilitator's Guide [MS Word 52.5K] Date: 11/23/1999 Source: Source: Tools for Grantees: Needs Assessment Guide, HRSA. Note: This guide gives sample focus group participant selection criteria lists, a sample demographic questionnaire for focus group participants, and a sample question guide covering gaps in HIV/AIDS services for focus group facilitators.

Discipline-Specific Training Needs Assessment Instruments

Case Managers

	Individual Training Needs Assessment (Case Manager) [MS Word 117K] Date: 10/2004 Source: Northwest AETC

Dentists

	New York/New Jersey AETC Oral Health Needs Assessment Survey [MS Word 329K] Source: New York/New Jersey AETC
	Dental Continuing Education: Needs Assessment [PDF 131K] Source: Florida/Caribbean AETC
	Dental Professionals Needs Assessment Survey [PDF 154K] Source: Mountain Plains AETC
	Individual Training Needs Assessment (Dental Providers) [MS Word 116K] Date: 10/2004 Source: Northwest AETC

Dieticians

	Individual Training Needs Assessment (Dieticians/Nutritionists) [MS Word 166K] Date: 10/2004 Source: Northwest AETC

Laboratory Personnel

	Individual Training Needs Assessment (Laboratory Personnel) [MS Word 116K] Date: 10/2004 Source: Northwest AETC

Medical Providers (MD/DO, PA-C, ARNP)

	Assessing the HIV Training Needs of Medical Providers in the Southeast [PDF 144K] Source: Southeast AETC
	Individual Training Needs Assessment (Primary Care Providers: MDs, NPs, PAs) [MS Word 117K] Date: 10/2004 Source: Northwest AETC

Nurses

	Nursing HIV/AIDS Training Needs Survey [PDF 35K] Source: Florida/Caribbean AETC
	Individual Training Needs Assessment (Nursing Staff) [MS Word 87K] Date: 10/2004 Source: Northwest AETC

Other

	Individual Training Needs Assessment (Other Health Care/Social Service Providers and Paraprofessionals) [MS Word 116K] Source: Northwest AETC

Pharmacists

	Pharmacist HIV/AIDS Training Needs Survey [PDF 20K] Source: Florida/Caribbean AETC
	Pharmacist Needs Assessment Survey [PDF 165K] Source: Mountain Plains AETC
	Individual Training Needs Assessment (Pharmacists) [PDF 114K] Date: 10/2004 Source: Northwest AETC

Providers in Correctional Settings

	Correctional HIV/AIDS Training Needs Survey Linking Inmates Needing Care [PDF 36K] Source: Florida/Caribbean AETC
	HIV/AIDS Prison Providers Needs Assessment Survey [PDF 180K] Source: Mountain Plains AETC

Mental Health Professionals

	Individual Training Needs Assessment (Mental Health Professionals) [MS Word 115K] Date: 10/2004 Source: Northwest AETC

Testing and Counseling Specialists

	Individual Training Needs Assessment (Testing and Counseling Specialist) [MS Word 121K] Date: 10/2004 Source: Northwest AETC

Site-Specific Training Needs Assessment Instruments

Addiction Treatment Centers

	Training Needs Assessment for Physicians and Nurses in Addiction Treatment Agencies [PDF 139K] Source: New York/New Jersey AETC New Jersey
	Individual Training Needs Assessment (Chemical Dependency Counselors) [MS Word 105K] Date: 10/2004 Source: Northwest AETC

Clinical Settings

	Chart Abstraction Form [PDF 521K] Date: 11/30/2000 Source: National Evaluation AETC
	DAETC HIV Primary Care Training Assessment Tool [PDF 186K] Source: Delta AETC
	Health Care Site Needs Assessment Survey [PDF 144K] Source: National Minority AETC Mailed version
	Health Care Site Needs Assessment Survey [PDF 165K] Source: National Minority AETC Telephone survey version
	HIV/AIDS Assessment of Training Need for Family Medicine Clinics [PDF 99K] Source: Pacific AETC

Correctional Settings

	Correctional HIV/AIDS Training Needs Survey Linking Inmates Needing Care [PDF 36K] Source: Florida/Caribbean AETC
	HIV/AIDS Prison Providers Needs Assessment Survey [PDF 180K] Source: Mountain Plains AETC
	Title III Needs Assessment [PDF 92K] Source: Pacific AETC

Clinical Knowledge and Skills Assessment Instruments

	Medical Provider Survey [PDF 312K] Source: National Evaluation AETC

Miscellaneous

	Faculty Development Needs Assessment Survey [PDF 386K] Source: Mountain Plains AETC
	Participant Information Form [PDF 32K] Source: National Minority AETC
	Clinical Consultation Needs Assessment Survey [PDF 122K] Source: Southeast AETC