| Program Monitoring (check)___ |
Program Evaluation (check)___ |
|
| ITEM |
YES |
NO |
DATE |
|
| 1. Monitoring process | | | |
- when program was initiated
| ___ | ___ | ______ |
- when program was in place
| ___ | ___ | ______ |
| 2. Evaluation process | | | |
- when program was initiated
| ___ | ___ | ______ |
- when program was in place
| ___ | ___ | ______ |
| 3. Evaluation emerges from/supports monitoring process |
___ | ___ | ______ |
| 4. Program goals are clear | ___ | ___ | ______ |
| 5. Program objectives are clear and relate to each goal | ___ | ___ | ______ |
| 6. Evaluation questions are developed for each goal/objective | ___ | ___ | ______ |
7. Data source specified for each evaluation question:
Source:_____________________ |
___ | ___ | ______ |
| 8. Monitored program scope and impact in terms of: | | | |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| 9. Evaluated program scope and impact in terms of: |
| | |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| 10. Determined data collection tools: | | | |
- anecdotal evidence/word-of-mouth
| ___ | ___ | ______ |
| ___ | ___ | ______ |
- records (reduced absenteeism, increased volunteerism, increased use of services, competitive edge in recruiting, etc.)
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
- studies (internal and external)
| ___ | ___ | ______ |
| ___ | ___ | ______ |
- other:______________________
| | | |
| 11. Determined schedules for: | | | |
| | | |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
- other:____________________
| | | |
| | | |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| | | |
| 12. Determined monitor(s): | | | |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| 13. Determined evaluator(s): |
| | |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| 14. Estimated evaluation costs | ___ | ___ | ______ |
| 15. Determined needed resources for costs | | | |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| 16. Determined type and scope of analyses | ___ | ___ | ______ |
17. Sought and acquired suggestions/final approval(s) to conduct evaluation | | | |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| 18. Based on recommended revisions: | | | |
- recruited/oriented/trained monitors
| ___ | ___ | ______ |
- recruited/oriented/trained evaluators (as appropriate)
| ___ | ___ | ______ |
- implemented monitoring process
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| 19. Collected information/data | ___ | ___ | ______ |
| 20. Organized, analyzed, and summarized data/information | | | |
- program activities completed on schedule
| ___ | ___ | ______ |
- activities related to program objectives
| ___ | ___ | ______ |
| ___ | ___ | ______ |
- program's impact measured
| ___ | ___ | ______ |
- goals and objectives achieved
| ___ | ___ | ______ |
| ___ | ___ | ______ |
- program products developed
| ___ | ___ | ______ |
- program products assessed
| ___ | ___ | ______ |
21. Prepared informal/formal reports
Format:_________________ | ___ | ___ | ______ |
| 22. Disseminated results to: | | | |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| 23. Used results for purposes of: | | | |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
- program institutionalization
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
- adapting/changing policies
| ___ | ___ | ______ |
| | | |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
- other:___________________
| | | |
| 24. Evaluated the monitoring process and used results to modify/improve: | | | |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
| ___ | ___ | ______ |
- other:_____________________
| | | |
25. Evaluated the evaluation and used the results to modify/improve the evaluation | ___ | ___ | ______ |