NONPROFIT PROGRAM IMPACT SURVEY CHECKLIST

Created by ChecklistGuro (https://checklistguro.com)

--- PROGRAM PARTICIPANT DEMOGRAPHICS ---
[ ] Age
[ ] Gender (Male, Female, Other, Prefer not to say)
[ ] Highest Level of Education Completed (Less than High School, High School Diploma/GED, Some College, Associate's Degree, Bachelor's Degree, Graduate Degree)
[ ] Household Income (Estimate) (Less than $25,000, $25,000 - $50,000, $50,001 - $75,000, $75,001 - $100,000, More than $100,000, Prefer not to say)
[ ] Zip Code

--- PROGRAM AWARENESS & ENROLLMENT ---
[ ] How did you first hear about this program? (Website, Social Media, Referral from a friend/family member, Community Organization, Flyer/Poster, Other)
[ ] If 'Other' above, please specify:
[ ] Approximately how long ago did you first hear about the program?
[ ] What were your primary reasons for enrolling in this program? (Personal Interest, Professional Development, Required by an Organization, Recommendation, Other)
[ ] Please briefly describe what you hoped to gain from participating in the program.

--- PROGRAM SATISFACTION ---
[ ] Overall, how satisfied were you with the program? (Very Satisfied, Satisfied, Neutral, Dissatisfied, Very Dissatisfied)
[ ] How helpful were the program materials? (Very Helpful, Helpful, Neutral, Not Very Helpful, Not at All Helpful)
[ ] On a scale of 1 to 10 (1 being not at all, 10 being extremely), how would you rate the instructors/facilitators?
[ ] Which aspects of the program did you find most enjoyable? (Select all that apply) (Workshops, Group discussions, Individual coaching, Guest speakers, Networking opportunities, Other)
[ ] Please describe what you liked most about the program.

--- KNOWLEDGE & SKILL GAIN ---
[ ] Rate your knowledge of [Specific Skill/Topic] before the program (1-10, 1 being no knowledge, 10 being expert)
[ ] Rate your knowledge of [Specific Skill/Topic] after the program (1-10, 1 being no knowledge, 10 being expert)
[ ] Which of the following skills did you improve the most? (Skill A, Skill B, Skill C, Skill D, Other (Please specify))
[ ] Please describe specific knowledge or skills you gained through the program.
[ ] Select the resources that were most helpful in gaining knowledge and skills. (Training materials, Instructor expertise, Peer interaction, Online resources, Mentorship)
[ ] How confident are you applying the new skills to real-world situations? (Not at all confident, Slightly confident, Moderately confident, Very confident, Extremely confident)

--- BEHAVIORAL CHANGE ---
[ ] Since participating in the program, approximately how much has your income increased (in $)?
[ ] Which of the following behaviors have you adopted as a result of the program? (Select all that apply) (Improved financial planning, Increased healthy eating, Volunteering in the community, Pursued further education/training, Started a business, Other (Please specify in LONG_TEXT below))
[ ] If 'Other' was selected above, please describe the behavior change.
[ ] On a scale of 1-10 (1 being not at all, 10 being extremely), how confident are you in maintaining these behavioral changes?
[ ] Approximately when did you first notice a change in your behavior?
[ ] To what extent has this program influenced your daily routines? (Not at all, Slightly, Moderately, Significantly, Completely)

--- PROGRAM IMPACT ON GOALS ---
[ ] Please describe the primary goals you had before participating in the program.
[ ] On a scale of 1-10 (1 being not at all, 10 being completely), how much has the program helped you progress towards those goals?
[ ] Please explain how the program helped you move closer to achieving your goals. Please be as specific as possible.
[ ] If applicable, what percentage of your original goal have you achieved thanks to this program?
[ ] Did you achieve your desired outcome from participating in this program? (Yes, No, Partially)
[ ] If you did not achieve your goal or only achieved it partially, what were the biggest challenges or obstacles?

--- OVERALL PROGRAM EFFECTIVENESS ---
[ ] On a scale of 1-10, how likely are you to recommend this program to others?
[ ] Overall, did the program meet your expectations? (Yes, exceeded expectations, Yes, met expectations, Somewhat met expectations, Did not meet expectations)
[ ] Please share any additional comments or feedback about the program's effectiveness.
[ ] How would you rate the program's value for the time and effort invested? (1-5, 5 being most valuable)
[ ] How well did the program prepare you for your intended outcome? (Very well prepared, Well prepared, Somewhat prepared, Not prepared at all)

--- SUGGESTIONS FOR IMPROVEMENT ---
[ ] What specific aspects of the program could be improved?
[ ] Do you have any suggestions for new activities or resources to be included in the program?
[ ] Which of the following aspects of the program could be made more accessible? (Location, Timing, Language, Materials, Technology)
[ ] How could the program better support your needs? (More individualized support, More group activities, More resources online, More opportunities for networking)
[ ] Is there anything else you would like to share about your experience with the program?

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