Program Theory of Change Evaluation Form
Please provide your assessment of the program’s theory of change, including its logic, assumptions, and supporting evidence.
Evaluator Name
*
First Name
Last Name
Evaluator Email Address
*
example@example.com
Program Name
*
Date of Evaluation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
How clearly are the program's goals defined?
*
Not clear at all
1
2
3
4
Very clear
5
1 is Not clear at all, 5 is Very clear
To what extent do the program activities logically lead to the intended outcomes?
*
Not at all
1
2
3
4
Completely
5
1 is Not at all, 5 is Completely
Please rate the strength of evidence supporting the program’s theory of change.
*
1
2
3
4
5
Assumptions Underlying the Theory of Change
Rows
Clarity
Plausibility
Evidence
Assumption 1
1
2
3
Assumption 2
4
5
6
Assumption 3
7
8
9
What are the main strengths of the program’s theory of change?
What are the main weaknesses or gaps in the program’s theory of change?
How likely is the program to achieve its intended outcomes?
*
Very unlikely
Unlikely
Neutral
Likely
Very likely
Additional Comments or Recommendations
Submit Evaluation
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