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All Users: If you have downloaded any National Initiative materials, please complete Form 3 below. There are five short questions, plus two questions where you can share your comments. Please take the five minutes to complete this!

National Initiative Core Partners only: Please complete the Core Partner Registration form first. We encourage you to complete Forms 1 and 2 on a regular basis. Form 1 asks about dissemination and Form 2 asks about activities using National Initiative materials:

  •  If you are a core partner who has never submitted an evaluation form, you will be requested to provide your name and organization details (Core Partner Registration form).
  •  If you are a core partner who has completed these details, and whose web browser accepts cookies, then this data will be automatically entered for you the next time you submit Forms 1 & 2.

    • We realize that your time is valuable, and we appreciate your help in assessing the National Initiative materials.

    Please do not hesitate to contact NAHIC (phone: 415-502-4856; email: nahic@itsa.ucsf.edu), with any questions about these forms. If you prefer to download the forms, please click here.

    We are grateful for your help!

    Core Partners - Registration & Evaluation Forms

    1.  Core Partner Registration Form
    2.  Form 1: Materials Dissemination Log for Core Partners: This form allows Core Partners to keep a running log of organizations and individuals to whom they pass along National Initiative Materials.
    3.  Form 2: Activity & Feedback Form for Core Partners: This form will help us learn from Core Partners' organizations' utilization of National Initiative materials. We encourage Core Partners to add any details or information of creative presentations, activities, etc. that they wish.

    Other Professionals Engaged in the National Initiative - Evaluation Form

    1.  Form 3: National Initiative Adolescent Health Materials Response Form: This form will be used to gain feedback directly from Other Professionals engaged in the National Initiative whom receive National Initiative materials.

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    For technical information, permission to use text or images, or permission to link to the NAHIC site, please contact our webmistress at nahic@ucsf.edu.

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