Speaker Details First Name Last Name Email Is there a co-speaker? Yes No Co-speaker First Name Last Name Date of Talk Name of organisation or school How would you rate your ability to gauge the audience’s prior knowledge of HIV, sexual health and the topics and additional topics on the request form? * Excellent Very Good Good Fair Poor How would you rate you and your co-speaker’s ability to deliver the talk in an engaging and interactive way whilst keeping on time? * Excellent Very Good Good Fair Poor How would you rate the presentations and discussion in terms of suitability for the audience? * Excellent Very Good Good Fair Poor How would you rate the audience’s engagement with you as the speaker? * Excellent Very Good Good Fair Poor How would you rate the discussion of HIV and stigma with the audience? * Excellent Very Good Good Fair Poor How would you rate the impact on the audience of the presenter sharing their story of living with HIV? * Excellent Very Good Good Fair Poor What was the quality of questions, comments and interactions of participants to your story/presentation? On reflection is there anything you would have done or said differently with this talk? How do you feel personally after the presentation? Are there any general comments you would like to provide?
