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* 1. Enter your first/given name and last name/surname:

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* 2. Enter the name of your site:

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* 3. In which country do you currently live?

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* 4. What is your country of origin?

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* 5. Which organizations or networks have sponsored or overseen trials conducted at your site?

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* 6. What is your role/job?

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* 7. How many years have you worked in the HIV research field (treatmment, prevention, etc.) in any capacity?

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* 8. How many years have you been involved in planning or conducting stakeholder engagement as part of your work? 

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* 9. What types of HIV research do you have experience with?

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* 10. What is your level of familiarity with AVAC's Good Participatory Practice Guidelines?

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* 11. What device will you mostly use to access the course content?

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* 12. How will you be accessing internet for the course?

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* 13. Which browser will you mostly use when accessing the course?

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* 14. To what extent do you agree with the following statements about your level of confidence your abilities related to stakeholder engagement?

  Agree strongly Agree somewhat Neither agree or disagree Disagree somewhat Disagree strongly
I am confident that I can explain the rational for early and sustained stakeholder engagement to my collegues
I am confident that I can develop clear and measurable stakeholder engagement objectives for a biomededical HIV prevention trial
I am certain that I can explain how my stakeholder engagement activities will improve my site's trial conduct.
I am certain that I can identify which stakeholders are most important to develop long-term partnerships with at my trial site for different stages of the research process.
I am confident that I can identify the GPP topic areas that are the highest priority for my trial site (examples might include:L determining the standard of prevention in trials, ensuring appropriate post-trial access to an effective product.)
I am confident that, if executed, the current site stakeholder engagement plan will build, support and sustain relationships with key stakeholders.
I am confident that my site's current stakeholder engagement plan outlines a clear set of strategies to obtain sufficient input from stakeholders on key issues.

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* 15. To what extent do you agree with the following statements about your intentions to plan and implement stakeholder engagement?

  Agree strongly Agree somewhat Neither agree nor disagree Disagree somewhat Disagree strongly
I plan to engage key stakeholders in all stages of the research process, including planning, trial conduct, and results dissemination and analysis at my trial site.
I plan to conduct at least five stakeholder engagement activities within the next six months.
I plan to use at least three different advisory mechanisms to engage stakeholders over the next six months (e.g. community forum, CAB meeting, key informant interview, etc.)
I plan to monitor my stakeholder engagement activities and identify indicators of success.

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* 16. What do you hope to get out of this course?

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