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. Author manuscript; available in PMC: 2010 Sep 15.
Published in final edited form as: Soc Work Ment Health. 2007 Jan 1;5(3/4):355–378. doi: 10.1300/J200v05n03_06

APPENDIX.

Exit Interview

(1) Since participating in CHAMP+ how connected or close do you feel to your child/caregiver?
Closer About the same Not close
(2) Since participating in CHAMP+, do you feel that the level of communication with your child/caregiver has changed?
More communication No change Less communication
(3) Since participating in CHAMP+, how comfortable do you feel discussing topics such as puberty?
More comfortable The same Less comfortable
(4) Since participating in CHAMP+, how comfortable do you feel discussing topics such as HIV?
More comfortable The same Less comfortable
(5) Since participating in CHAMP+, how comfortable do you feel discussing topics such as sex?
More comfortable The Same Less comfortable
(6) Since participating in CHAMP+, how confident are you that you can ask medical staff a question re: your/child’s HIV?
More confident The same Less confident
(7) Since participating in CHAMP+, how confident do you feel that you can initiate a conversation with you caregiver/child if there is something you want to talk about?
More confident The same Less confident
(8) Since participating in CHAMP+ how connected or close do you feel to your family?
Closer About the same Not close
(9) Since participating in CHAMP+, how connected or close do you feel to other CHAMP+ participants?
Closer About the same Not close
(10) Since participating in CHAMP+, how connected or close do you feel to CHAMP+ facilitators?
Closer About the same Not close
(11) Since participating in CHAMP+, how connected or close do you feel to the medical staff at Harlem Hospital?
Closer About the same Not close