This document is a tool that Consumer Advisory Boards can use to self-assess their work to identify what is working and to make changes where needed. This self-assessment module is designed for Ryan White Programs that already have CABs and use of this module is completely voluntary. The questions in this module are to be answered by members of CABs. A standing committee of the CAB, such as an evaluation, planning, or executive committee, may consider and recommend the use of this module. Alternatively, an ad hoc group of five to ten individuals may be convened to make recommendations about whether to use the module. This same group should also decide at the outset whether these results will be shared and, if so, with whom and how this will be done.