GSHIV: Participant Survey 1

Hello: Global Strategies is evaluating the use of technology for education and training. We will ask you some questions. Your answers will be recorded and kept confidential. Anonymous information will be aggregated, evaluated and reported to help us develop future materials and show how the project is progressing.

Your participation is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw at any point. If you have questions at any time, you may contact Arthur Ammann, MD at 415-451-1814 or by email at [email protected].

Thank you very much for your time. If you agree to participate, please tick the I Agree box below, provide your contact information and start the survey by clicking the Continue button below.

I Agree

Home Address (City and County)

4. Bachelors or College Degree

5. Certified Midwife

6. Physician Assistant (PA)

8. Licensed Practical Nurse or Primary Nurse

Number of years of formal schooling:

Clinic where employed or organization representing (name and location):

5. Clinical supervisor

6. Non-clinical program manager

2. Non-clinical staff at a healthcare facility

3. Non-clinical program manager

4. Healthcare provider

5. Not involved in HIV care in Liberia

2. Non-clinical staff at a healthcare facility

3. Non-clinical program manager

4. Healthcare provider

5. Not involved in newborn care