Community Program Evaluation Planning Questionnaire Form
Use this questionnaire to plan how your community program will be evaluated, ensuring clarity on goals, outcomes, methods, and reporting.
Program Name
*
Briefly describe the purpose of the program
*
What are the primary goals of this evaluation?
*
Who is the main target audience for this program?
*
Which key outcomes will you measure?
*
Rows
Importance
Measurable?
Outcome 1
1
2
Outcome 2
3
4
Outcome 3
5
6
Select the evaluation methods you plan to use
*
Surveys
Interviews
Focus Groups
Observation
Document Review
Other
What are your main data sources?
*
Program Participants
Staff/Facilitators
Administrative Records
External Partners
Other
When will the evaluation take place?
*
How will you define and measure success?
*
Rows
Indicator
How will it be measured?
Success Indicator 1
Success Indicator 2
Success Indicator 3
What are your reporting needs?
*
Written Report
Presentation/Slides
Dashboard/Visual Summary
Meeting/Discussion
Other
Additional notes or considerations
Submit
Should be Empty: