Process Evaluation Plan Form
Please complete this questionnaire to outline your process evaluation plan. Your responses will help structure and guide a thorough and effective evaluation.
Process Name
*
Brief Description of the Process
*
Primary Objective of the Evaluation
*
Key Stakeholders Involved
*
Evaluation Criteria (Select all that apply)
*
Efficiency
Effectiveness
Timeliness
Compliance
Stakeholder Satisfaction
Other
Evaluation Methods
*
Surveys/Questionnaires
Interviews
Focus Groups
Document Review
Observation
Other
Planned Start Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Anticipated End Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Anticipated Challenges or Barriers
How confident are you in the success of this evaluation plan?
*
Not confident
1
2
3
4
Very confident
5
1 is Not confident, 5 is Very confident
Submit Evaluation Plan
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