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Western > Resources > Planning and Best Practices > Step 7 > Evaluation 5c > Worksheet

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Example Process Evaluation Worksheet
(adapted from Prevention Plus III)

This worksheet can be used to help you evaluate whether you have implemented your program's activities as planned.

Part A: What activities were planned? (Include a brief description of the components of the program. Ask yourself: "What did we actually do to prepare this and implement it?" Form a chronology of events constituting this program and a quantity indicator for each.)

Activity

Date

Quantity Planned

Quantity Actual

       
       
       
       

Quantity Totals:
Number of sessions __________(s) length of time for each ___________ (hr) total hours of activity (s x hr) __________________________

What written materials were available?

Total distributed

 

Manuals, brochures

 
 

other

 

Total other services delivered:

 
 
 
 

What topics or activities were planned but not covered?
What happened that these were not accomplished?

Activity

Problem

   
   
   

Part B: When was the program actually implemented (dates of activities, length of time for each) and who were the participants?

Date

Length of the activity

Percentage of time goal

Attendance

Percentage of attendance goal

         
         
         
         
         
         
         

Total Number

Total hrs

Percentage of goal

Total Number (average of all sessions)

         
         
         

Who was missing that you'd hoped to have participate in the program?

   
   
   

What explanations can be offered for the discrepancy between the projected and the actual participation?

   
   
   

Evaluating Participants Responses to Activities and Programs

Part C: How did participants evaluate the activities?

Part D: What feedback can be used to improve the program for the future?

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Page last updated: 11/13/2008