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Ending the Epidemics in Indian Country ECHO: May 3, 2022

Cardea Services

Questions about this evaluation? Email info@cardeaservices.org.

We hope you found this educational offering both interesting and informative. Your anonymous responses will be used to plan future educational activities.

1. Please enter your unique identifying number using your birth month (mm), last two numbers of your cell phone number, and the first letter of your middle name. This number will be used to compare pre and post survey responses while keeping your responses anonymous.

Example: 0989S
Birth Month: September
Phone Number: 012-345-6789
Middle Name: Smith *This question is required.

2. How satisfied are you with this learning activity?

Very satisfied	Satisfied	Unsatisfied	Very unsatisfied
Very satisfied	Satisfied	Unsatisfied	Very unsatisfied

3.  As a result of this learning activity, how has your knowledge on this topic changed? *This question is required.

Improved a lot	Improved a little	Stayed the same	Got worse
Improved a lot	Improved a little	Stayed the same	Got worse

4. As a result of this learning activity, *This question is required.

Space Cell	Very likely	Likely	Unlikely	Very unlikely
I am able to manage the care of patient with HIV in my own practice	I am able to manage the care of patient with HIV in my own practice : Very likely	I am able to manage the care of patient with HIV in my own practice : Likely	I am able to manage the care of patient with HIV in my own practice : Unlikely	I am able to manage the care of patient with HIV in my own practice : Very unlikely
I am able to manage the care of patient with STIs in my own practice	I am able to manage the care of patient with STIs in my own practice : Very likely	I am able to manage the care of patient with STIs in my own practice : Likely	I am able to manage the care of patient with STIs in my own practice : Unlikely	I am able to manage the care of patient with STIs in my own practice : Very unlikely

5. I plan to make one change in practice based on what I learned in this activity. *This question is required.

Very likely	Likely	Unlikely	Very unlikely
Very likely	Likely	Unlikely	Very unlikely

Please describe any changes you plan to make in the work that you do. *This question is required.

Why are you unlikely to make a change? *This question is required.

Please enter an 'other' value for this selection.

6. Rate your AWARENESS of:

Space Cell	Not aware	Slightly aware	Aware	Very aware	Extremely aware
The risk factors for HIV transmission	The risk factors for HIV transmission: Not aware	The risk factors for HIV transmission: Slightly aware	The risk factors for HIV transmission: Aware	The risk factors for HIV transmission: Very aware	The risk factors for HIV transmission: Extremely aware
The risk factors for STI transmission	The risk factors for STI transmission: Not aware	The risk factors for STI transmission: Slightly aware	The risk factors for STI transmission: Aware	The risk factors for STI transmission: Very aware	The risk factors for STI transmission: Extremely aware
Labs and tests to screen for HIV	Labs and tests to screen for HIV: Not aware	Labs and tests to screen for HIV: Slightly aware	Labs and tests to screen for HIV: Aware	Labs and tests to screen for HIV: Very aware	Labs and tests to screen for HIV: Extremely aware
Labs and tests to screen for STI	Labs and tests to screen for STI: Not aware	Labs and tests to screen for STI: Slightly aware	Labs and tests to screen for STI: Aware	Labs and tests to screen for STI: Very aware	Labs and tests to screen for STI: Extremely aware
Strengths and protective factors for HIV diagnosis	Strengths and protective factors for HIV diagnosis: Not aware	Strengths and protective factors for HIV diagnosis: Slightly aware	Strengths and protective factors for HIV diagnosis: Aware	Strengths and protective factors for HIV diagnosis: Very aware	Strengths and protective factors for HIV diagnosis: Extremely aware
Strengths and protective factors for STI diagnosis	Strengths and protective factors for STI diagnosis: Not aware	Strengths and protective factors for STI diagnosis: Slightly aware	Strengths and protective factors for STI diagnosis: Aware	Strengths and protective factors for STI diagnosis: Very aware	Strengths and protective factors for STI diagnosis: Extremely aware
Promising interventions for HIV	Promising interventions for HIV: Not aware	Promising interventions for HIV: Slightly aware	Promising interventions for HIV: Aware	Promising interventions for HIV: Very aware	Promising interventions for HIV: Extremely aware
Promising interventions for STIs	Promising interventions for STIs: Not aware	Promising interventions for STIs: Slightly aware	Promising interventions for STIs: Aware	Promising interventions for STIs: Very aware	Promising interventions for STIs: Extremely aware

7. Rate your KNOWLEDGE of:

Space Cell	Very Poor	Poor	Fair	Good	Very good
Background/context of HIV in Indian Country	Background/context of HIV in Indian Country: Very Poor	Background/context of HIV in Indian Country: Poor	Background/context of HIV in Indian Country: Fair	Background/context of HIV in Indian Country: Good	Background/context of HIV in Indian Country: Very good
Background/context of STIs in Indian Country	Background/context of STIs in Indian Country: Very Poor	Background/context of STIs in Indian Country: Poor	Background/context of STIs in Indian Country: Fair	Background/context of STIs in Indian Country: Good	Background/context of STIs in Indian Country: Very good
Factors that make some people more at-risk to HIV	Factors that make some people more at-risk to HIV: Very Poor	Factors that make some people more at-risk to HIV: Poor	Factors that make some people more at-risk to HIV: Fair	Factors that make some people more at-risk to HIV: Good	Factors that make some people more at-risk to HIV: Very good
Factors that make some people more at-risk to STIs	Factors that make some people more at-risk to STIs: Very Poor	Factors that make some people more at-risk to STIs: Poor	Factors that make some people more at-risk to STIs: Fair	Factors that make some people more at-risk to STIs: Good	Factors that make some people more at-risk to STIs: Very good
Protective factors of HIV	Protective factors of HIV: Very Poor	Protective factors of HIV: Poor	Protective factors of HIV: Fair	Protective factors of HIV: Good	Protective factors of HIV: Very good
Protective factors of STIs	Protective factors of STIs: Very Poor	Protective factors of STIs: Poor	Protective factors of STIs: Fair	Protective factors of STIs: Good	Protective factors of STIs: Very good
Resources and interventions to address HIV	Resources and interventions to address HIV: Very Poor	Resources and interventions to address HIV: Poor	Resources and interventions to address HIV: Fair	Resources and interventions to address HIV: Good	Resources and interventions to address HIV: Very good
Resources and interventions to address STIs	Resources and interventions to address STIs: Very Poor	Resources and interventions to address STIs: Poor	Resources and interventions to address STIs: Fair	Resources and interventions to address STIs: Good	Resources and interventions to address STIs: Very good

8. Rate your INTENTIONS to:

Space Cell	Not likely at all	Not so likely	Likely	Very likely	Extremely likely
Talk to your patients about their risk for HIV	Talk to your patients about their risk for HIV: Not likely at all	Talk to your patients about their risk for HIV: Not so likely	Talk to your patients about their risk for HIV: Likely	Talk to your patients about their risk for HIV: Very likely	Talk to your patients about their risk for HIV: Extremely likely
Talk to your patients about their risk for STIs	Talk to your patients about their risk for STIs: Not likely at all	Talk to your patients about their risk for STIs: Not so likely	Talk to your patients about their risk for STIs: Likely	Talk to your patients about their risk for STIs: Very likely	Talk to your patients about their risk for STIs: Extremely likely
Conduct appropriate screening and assessments for HIV	Conduct appropriate screening and assessments for HIV: Not likely at all	Conduct appropriate screening and assessments for HIV: Not so likely	Conduct appropriate screening and assessments for HIV: Likely	Conduct appropriate screening and assessments for HIV: Very likely	Conduct appropriate screening and assessments for HIV: Extremely likely
Conduct appropriate screening and assessments for STIs	Conduct appropriate screening and assessments for STIs: Not likely at all	Conduct appropriate screening and assessments for STIs: Not so likely	Conduct appropriate screening and assessments for STIs: Likely	Conduct appropriate screening and assessments for STIs: Very likely	Conduct appropriate screening and assessments for STIs: Extremely likely
Recommend resources for patients diagnosed with HIV	Recommend resources for patients diagnosed with HIV: Not likely at all	Recommend resources for patients diagnosed with HIV: Not so likely	Recommend resources for patients diagnosed with HIV: Likely	Recommend resources for patients diagnosed with HIV: Very likely	Recommend resources for patients diagnosed with HIV: Extremely likely
Recommend resources for patients diagnosed with STIs	Recommend resources for patients diagnosed with STIs: Not likely at all	Recommend resources for patients diagnosed with STIs: Not so likely	Recommend resources for patients diagnosed with STIs: Likely	Recommend resources for patients diagnosed with STIs: Very likely	Recommend resources for patients diagnosed with STIs: Extremely likely

9. Rate your CONFIDENCE in:

Space Cell	Very poor	Poor	Fair	Good	Very good
Talking to patients about their risk for HIV	Talking to patients about their risk for HIV: Very poor	Talking to patients about their risk for HIV: Poor	Talking to patients about their risk for HIV: Fair	Talking to patients about their risk for HIV: Good	Talking to patients about their risk for HIV: Very good
Talking to patients about their risk for STIs	Talking to patients about their risk for STIs: Very poor	Talking to patients about their risk for STIs: Poor	Talking to patients about their risk for STIs: Fair	Talking to patients about their risk for STIs: Good	Talking to patients about their risk for STIs: Very good
Utilizing assessment tools for HIV	Utilizing assessment tools for HIV: Very poor	Utilizing assessment tools for HIV: Poor	Utilizing assessment tools for HIV: Fair	Utilizing assessment tools for HIV: Good	Utilizing assessment tools for HIV: Very good
Utilizing assessment tools for STI	Utilizing assessment tools for STI: Very poor	Utilizing assessment tools for STI: Poor	Utilizing assessment tools for STI: Fair	Utilizing assessment tools for STI: Good	Utilizing assessment tools for STI: Very good
Responding to assessment tools for HIV	Responding to assessment tools for HIV: Very poor	Responding to assessment tools for HIV: Poor	Responding to assessment tools for HIV: Fair	Responding to assessment tools for HIV: Good	Responding to assessment tools for HIV: Very good
Responding to assessment tools for STIs	Responding to assessment tools for STIs: Very poor	Responding to assessment tools for STIs: Poor	Responding to assessment tools for STIs: Fair	Responding to assessment tools for STIs: Good	Responding to assessment tools for STIs: Very good

10. Rate your ABILITY/SKILL to:

Space Cell	Very poor	Poor	Fair	Good	Very good
Talk to patients about risk factors for HIV	Talk to patients about risk factors for HIV: Very poor	Talk to patients about risk factors for HIV: Poor	Talk to patients about risk factors for HIV: Fair	Talk to patients about risk factors for HIV: Good	Talk to patients about risk factors for HIV: Very good
Talk to patients about risk factors for STIs	Talk to patients about risk factors for STIs: Very poor	Talk to patients about risk factors for STIs: Poor	Talk to patients about risk factors for STIs: Fair	Talk to patients about risk factors for STIs: Good	Talk to patients about risk factors for STIs: Very good
Provide preventative care for HIV	Provide preventative care for HIV: Very poor	Provide preventative care for HIV: Poor	Provide preventative care for HIV: Fair	Provide preventative care for HIV: Good	Provide preventative care for HIV: Very good
Provide preventative care for STIs	Provide preventative care for STIs: Very poor	Provide preventative care for STIs: Poor	Provide preventative care for STIs: Fair	Provide preventative care for STIs: Good	Provide preventative care for STIs: Very good
Understand patient’s experiences with HIV	Understand patient’s experiences with HIV: Very poor	Understand patient’s experiences with HIV: Poor	Understand patient’s experiences with HIV: Fair	Understand patient’s experiences with HIV: Good	Understand patient’s experiences with HIV: Very good
Understand patient’s experiences with STIs	Understand patient’s experiences with STIs: Very poor	Understand patient’s experiences with STIs: Poor	Understand patient’s experiences with STIs: Fair	Understand patient’s experiences with STIs: Good	Understand patient’s experiences with STIs: Very good
Provide treatment for HIV	Provide treatment for HIV: Very poor	Provide treatment for HIV: Poor	Provide treatment for HIV: Fair	Provide treatment for HIV: Good	Provide treatment for HIV: Very good
Provide treatment for STIs	Provide treatment for STIs: Very poor	Provide treatment for STIs: Poor	Provide treatment for STIs: Fair	Provide treatment for STIs: Good	Provide treatment for STIs: Very good