Community Impact Process Evaluation Form
Please help us evaluate the community impact process by answering the following questions.
Overall, how would you rate the community impact process?
*
1
2
3
4
5
The goals of the process were clearly communicated.
*
Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
How inclusive did you find the process for all community members?
*
Not Inclusive
1
2
3
4
Highly Inclusive
5
1 is Not Inclusive, 5 is Highly Inclusive
How effective was the communication throughout the process?
*
Very Ineffective
1
2
3
4
Very Effective
5
1 is Very Ineffective, 5 is Very Effective
Which aspect of the process do you feel worked best?
*
Community engagement
Clarity of goals
Transparency
Inclusivity
Other
Please rate the following aspects of the process:
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Rows
Poor
Fair
Good
Excellent
Timeliness
1
2
3
4
Participant engagement
5
6
7
8
Resource availability
9
10
11
12
Outcome measurement
13
14
15
16
Did you encounter any barriers during the process?
*
Yes
No
How likely are you to participate in future community impact processes?
*
Not Likely
1
2
3
4
Very Likely
5
1 is Not Likely, 5 is Very Likely
What outcomes do you feel were achieved through this process?
*
Improved community relationships
Increased awareness
Policy or program changes
Resource mobilization
Other
Please share any additional comments or suggestions about the process.
Submit Evaluation
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