Program Evaluation Rationale Form
Please provide your rationale and assessment for the program using the fields below. All responses are confidential and used solely for evaluation purposes.
Program Name
*
Evaluator Name
First Name
Last Name
Evaluation Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Evaluation Objective
*
Please explain your rationale for evaluating this program
*
How relevant is the rationale to the program’s goals?
*
Not relevant
1
2
3
4
Highly relevant
5
1 is Not relevant, 5 is Highly relevant
Clarity of the rationale provided
*
1
2
3
4
5
Is the rationale evidence-based?
*
Yes
Partially
No
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