Name: 

Using a scale of 1 (not effective) through 5 (highly effective), please fill in the number next to how effectively this self-teaching manual enabled you to meet each of the following objectives.	Not Effective		Highly Effective
	1	2	3	4	5
1. Discuss the epidemiology and natural history of Chlamydia trachomatis (CT).
2. Identify the clinical presentation and diagnosis.
3. Identify your state’s screening criteria.
4. Describe specimen collection techniques.
5. Understand the basic principles, utility and interpretation of commonly used laboratory tests for diagnosis of chlamydial infection.
6. Teach elements and process of data collection.
7. Effectively analyze and evaluate aggregate client demographics.
8. Identify the components of a quality assurance program for CT screening in the clinic.
9. Identify essential information that must be presented to the client.
10. Identify strategies to facilitate behavior change.
11. Describe treatment recommendation for CT and appropriate regimen based on patient profile.
12. Rate the effectiveness of the self-teaching module.

13. Were the objectives related to the overall purpose?  Yes No

14. How long did it take you to complete this activity?
     hours minutes