Community Program Impact Assessment
Help us evaluate the effectiveness and impact of our non-profit community program by sharing your experience and feedback.
Participant Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Which community program are you providing feedback on?
*
Please Select
Youth Empowerment Workshop
Community Clean-Up Initiative
Adult Literacy Classes
Senior Support Program
Other
How did you participate in the program?
*
Participant
Volunteer
Staff/Organizer
Other
Please rate the following aspects of the program:
*
Rows
Excellent
Good
Fair
Poor
Program content
1
2
3
4
Facilitator effectiveness
5
6
7
8
Organization & logistics
9
10
11
12
Communication before/during program
13
14
15
16
How satisfied are you with your overall experience?
*
1
2
3
4
5
Please indicate your level of agreement with the following statements:
*
Rows
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
The program met my expectations
17
18
19
20
21
I learned new skills or knowledge
22
23
24
25
26
I feel more connected to my community
27
28
29
30
31
I would recommend this program to others
32
33
34
35
36
What positive changes or benefits have you experienced as a result of participating in this program?
*
What suggestions do you have to improve the program?
Please select your age group:
Please Select
Under 18
18-24
25-34
35-49
50-64
65 or older
Prefer not to say
Please select your gender:
Female
Male
Non-binary / Third gender
Prefer not to say
Submit Assessment
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