Course Evaluation
Thank you for participating in the e-mail course, Meeting the
FP/RH Needs of Clients Living with HIV/AIDS in Low-Resource Settings. By completing this evaluation, you will help us
determine how we can improve the course.
The evaluation is designed only to find out how useful and convenient you found this course to be. Please give us your
honest opinion. We appreciate positive feedback, but we would very much like you to tell us what you did not like as well.
You may complete the evaluation using one of the three methods:
- Online - click the link to go to an online version of
this evaluation:
http://www.zoomerang.com/survey.zgi?L222DTF68AMWBCL43A49P0A2
- E-mail - copy and paste this questionnaire into an e-mail and send it
to repro@jhpiego.net
- Fax - Print the questionnaire and fax it to Natalie
Culbertson in the USA at 1-410-537-1476.
Thank you.
Instructions
Read each of the following questions and indicate your answer. For multiple-choice questions, put an X in the space in front of
your answer. For questions that ask you to rate each of the items using a scale, put the number that corresponds to your
answer in the space in front of each item. For fill-in-the-blank questions, type your answer next to the question.
1. E-mail address:
2. Country where you currently work:
3. Age:
4. Sex:
A. ___Female
B. ___Male
5. Profession (Mark all that apply):
A. ___Physician/Specialist
B. ___Nurse
C. ___Midwife
D. ___Student
E. ___Administrator/Manager
F. ___Other (please specify)__________________________________
6. How long in this position: ___________
7. Do you currently provide care for HIV-positive patients?
A. ___Yes
B. ___No
8. If yes, approximately how many HIV-positive patients do you provide care for each month? ___
9. Do you currently provide family planning counseling or services?
A. ___Yes
B. ___No
10. If yes, approximately how many clients do you see each month? ____
11. Why did you decide to take this course? (Mark all that apply)
A. ___I am working in the field of HIV/AIDS
B. ___I am working in the field of family planning
C. ___I am working in the field of maternal health
D. ___I am interested in working in the field of HIV/AIDS
E. ___I am a student
F. ___I work for an NGO
G. ___I work for the Ministry of Health
H. ___General interest
12. Please mark an X next to the three (3) topics that will be the MOST useful to you in your work.
A. ___Lesson 1: Fundamentals of Reproductive Health and HIV/AIDS
B. ___Lesson 2: Risk Assessment/Identification
C. ___Lesson 3: Prevention of Sexual Transmission of HIV
D. ___Lesson 4: Counseling the HIV-Positive Client about Family Planning
E. ___Lesson 5: Barrier Methods of FP, Dual Protection, Emergency Contraception
F. ___Lesson 6: Hormonal Methods, IUDs, Fertility Awareness Methods, and VSC
G. ___Lesson 7: Other Reproductive Health Issues
H. ___Lesson 8: Prevention of Mother-to-Child Transmission
I. ___Lesson 9: Infection Prevention for Healthcare Workers
J. ___Lesson 10: Summary and Key Issues
13. Has this course increased your ability to provide FP services to clients who are or could be HIV-positive?
A. ___Yes
B. ___Somewhat
C. ___No
14. Please explain your answer above. _______________________
15. Please mark an X next to the functions this course has helped you perform more easily or effectively.
A. ___Discuss HIV/AIDS risk behavior
B. ___Counsel on dual protection
C. ___Advise on how to negotiate condom use with sexual partner
D. ___Discuss use of new methods
E. ___Dispel client's myths or fears
F. ___Discuss important reproductive health issues as they relate to HIV/AIDS such as cervical cancer
G. ___Counsel women on issues related to mother-to-child transmission including breastfeeding
H. ___Follow standard precautions for infection prevention
I. ___Other (please specify)____________________________________
16. What have you learned about the FP needs of clients with HIV/AIDS that you did not know before you took the course?
17. What was not included in the course that you would like added to the next course?
18. What was your pretest score?
A. ___90-100%
B. ___80-89%
C. ___70-79%
D. ___60-69%
E. ___50-59%
F. ___<50%
G.___ Did not take the pre-test
19. What was your post-test score?
A. ___90-100%
B. ___80-89%
C. ___70-79%
D. ___60-69%
E. ___50-59%
F. ___<50%
G.___ Did not take the post-test
20. Did you have any difficulty reading the lessons?
A. ___Yes
B. ___No
21. If Yes, what difficulties did you have? (Mark all that apply)
A. ___I did not have time
B. ___I found the material too difficult
C. ___I have difficulty understanding English
D. ___The lesson was not relevant to my work duties
E. ___Other (please specify) ________________________
22. How difficult did you find the information in the following lessons and tests?
Using the following scale, please mark the number that corresponds with your answer.
1=Very easy
2=Easy
3=Difficult
4=Very difficult
A. ___Pre-course Test
B. ___Lesson 1: Fundamentals of Reproductive Health and HIV/AIDS
C. ___Lesson 2: Risk Assessment/Identification
D. ___Lesson 3: Prevention of Sexual Transmission of HIV
E. ___Lesson 4: Counseling the HIV-Positive Client about Family Planning
F. ___Lesson 5: Barrier Methods of FP, Dual Protection, Emergency Contraception
G. ___Lesson 6: Hormonal Methods, IUDs, Fertility Awareness Methods,
& VSC
H. ___Lesson 7: Other Reproductive Health Issues
I. ___Lesson 8: Prevention of Mother-to-Child Transmission
J. ___Lesson 9: Infection Prevention for Healthcare Workers
K. ___Lesson 10: Summary and Key Issues
L. ___Post-course Test
23. How useful did you find each of the following course materials in understanding the course organization and the
content?
Using the following scale, please mark the number that corresponds with your answer.
1=Not useful
2=Useful
3=Very useful
A. ___Pre-course Test
B. ___Quizzes
C. ___Quiz answers
D. ___Learning exercises
E. ___Learning exercises answers
F. ___References and additional readings
G. ___Post-course Test
24. Was the number of lessons (10):
A. ___Too few
B. ___The right number
C. ___Too many
25. Which computer did you most often use to take this course?
(Mark only one)
A. ___In my own office
B. ___At home
C. ___In the school computer lab
D. ___In the department in which I work (shared)
E. ___Cyber café
F. ___Other (Please specify)____________________________________
26. How did you find about this course?
A. ___Read about it on a listserv
B. ___Recommendation from a colleague
C. ___Saw it on ReproLine
D. ___Read about it on another website
E. ___Other (Please specify) ____________________________________
27. Would you recommend this course to a colleague?
A. ___Yes
B. ___No
C. ___Maybe
28. What did you like the most about this course? ________________
29. What did you like the least about this course?________________
30. What other topics would you be interested in learning about through an e-mail or online (website) course?_____________________
Thank you for completing this survey and this course.
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