Form 1 HIVIS Workshop Participant Satisfaction Survey

OMB #0925-0648

Exp date 05/31/2021

NIH OAR & NIMH Virtual Workshop Series

Participant Satisfaction Survey

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Survey Title:

NIH OAR and NIMH HIV-Related Intersectional Stigma (HIVIS) Workshop Participant Satisfaction Survey

Survey Instructions:

Please take 10 minutes to participate in the HIVIS post-workshop survey to provide us input on each of the three phases and to share with us your overall impressions. The survey is voluntary, and your name is not required.

If you experience difficulties accessing the survey or have questions about it, please contact Greg.

The HIVIS planning team thanks you!

Survey:

Name (optional): [open text]

Role such as research, community or health department, federal government (optional): [open text]

Workshop role (optional) (check all that apply)

• Speaker; Moderator; WG Facilitator; WG Notetaker; WG Report Out Presenter; WG Report Writer

NOTE:

• Optional items are marked; all others are required

• All 1-5 scales will use the following response labels:

  • 1=Very Low; 2=Low; 3=About Right; 4=High; 5=Very High

Phase I: Answer the following questions thinking about the Opening Session on 7/13:

Attend on 7/13?	Yes or No
Satisfaction?	Scale 1-5
Organization?	Scale 1-5
Informative?	Scale 1-5
Like? (optional)	Open text
Dislike? (optional)	Open text

Phase II: Answer the following questions thinking about the workgroups (WG) from ~7/20-9/4:

WG assignment?	1-4
Attend any WG call?	Yes or No
Number of WG calls attended?	1-4
Satisfaction?	Scale 1-5
Organization?	Scale 1-5
Informative?	Scale 1-5
Time Commitment?	Scale 1-5
Like? (optional)	Open text
Dislike? (optional)	Open text

Phase III: Answer the following questions thinking about the Final Report Out Session on 9/18:

Attend on 9/18?	Yes or No
Satisfaction?	Scale 1-5
Organization?	Scale 1-5
Informative?	Scale 1-5
Like? (optional)	Open text
Dislike? (optional)	Open text

Post-Workshop: What are three (or more) specific action steps that you see as needed and plausible (the tools, methods, and/or evidence-base exists for what you are proposing) to better understand, and especially, address HIV-related intersectional stigma?

Specifically for EHE?	Open text
In general (not EHE specific)?	Open text

Overall Workshop: Thinking about the virtual 3-phase workshop overall:

Please enter 3+ words that best describe your thoughts about it	Open text
Satisfaction?	Low to high – scale 1-5
Time Commitment?	Low to high – scale 1-5

Final Remarks:

How could this workshop (or future workshops) be improved?	Open text
Is there anything else you would like to share?	Open text