This toolkit was originally developed by PC Guinea.

The original has been revised by

OPATS for wide use and to include global health indicators. Please revise to align with your
programming as needed.

Questionnaire for the Monitoring and Evaluation of HIV and Life Skills Trainings

Volunteer Name: _____________________________ Sector: _______________________

Counterpart Name: ___________________________ Circle: PCV or Counterpart

Village and Prefecture/Sous-prefecture: __________________________________________

Did you participate in HIV/AIDS trainings before the PC HIV/AIDS and Life Skills Training
in Mamou? Yes / No
Did you learn new information from this training? Yes / No

If so, what? ________________________________________________________________

__________________________________________________________________________

My knowledge of HIV/AIDS after Life Skills:

1. Did not improve,
2. Slightly improved,
3. Greatly improved
My ability to speak and present in front of a group after Life Skills
1. Did not improve,
2. Slightly improved,
3. Greatly improved
After the Training I have
1. Not spoken with many people about HIV/AIDS,
2. Become a resource in the community by answering people’s questions concerning
HIV,
3. Held sensibilizations in my community
Since the Training I have
1. Not reviewed or used the materials given,
2. Reviewed the materials,
3. Discussed the materials with my PCV and/or community members

Since the Peace Corps HIV/AIDS and Life Skills Trainings in Mamou have you done any
HIV/AIDS education activities or projects? Yes / No

How many activities/projects? ________

If you did HIV/AIDS education before the HIV/Life Skills trainings, how has your approach
changed?
__________________________________________________________________________

__________________________________________________________________________

What else have you learned from the Life Skills trainings?
This toolkit was originally developed by PC Guinea. The original has been revised by
OPATS for wide use and to include global health indicators. Please revise to align with your
programming as needed.

__________________________________________________________________________
Activity/Project Questionnaire

What was the activity/project?

__________________________________________________________________________

__________________________________________________________________________

Date of activity/project: _____________ Where was the activity/project? _______________

What did you teach? _________________________________________________________

(Examples: Basic facts about HIV, Statistics, Transmission/Non-transmission, prevention,
consequences, condom demonstration)
Who was your audience? _____________________________________________________
Number of women ages 14-20: ________________
Number of men ages 14-20: __________________
Number of women over age 20: _______________
Number of men over age 20: _________________

What activities did you use to teach your material?

__________________________________________________________________________
(Examples: Games, Songs, Poetry, Theater, Group work, Discussion, Hands on condom
practice)
Did you include a question and answer period? Yes / No
Did you ask questions to check the audience’s comprehension? Yes / No
Did you use activities that you learned at the PC HIV/Life Skills Training? Yes / No

Which ones? _______________________________________________________________

Did you adapt these activities for your audience? Yes / No

How? _____________________________________________________________________

Was this a one-time sensibilisation or did you plan follow up sessions/activities? Yes / No

What was the overall level of knowledge in the community? __________________________

Before the presentation most people in the community knew

1. How HIV is transmitted,
2. How to prevent transmission,
3. The consequences if HIV spreads,
4. Where to get tested for HIV,
5. All of the above,
6. None of the above
Were there certain questions that people had or myths that you had to correct? Yes / No

Give some examples: ______________________________________________________

This toolkit was originally developed by PC Guinea. The original has been revised by
OPATS for wide use and to include global health indicators. Please revise to align with your
programming as needed.

________________________________________________________________________
Did you need funding for your project? Yes / No

How was it funded? _________________________________________________________