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Nonprofits & Community

Programme Impact Assessment Survey

Ask beneficiaries what changed – the outcomes evidence funders ask for.

5 questions · 1 page · about 3 minutes to answer · fully editable after you start

Funders want outcomes, and outcomes live with the people your programme served. This assessment asks beneficiaries directly: what changed for them, which parts of the programme mattered most, what would have helped more – self-reported change scores plus stories, the combination grant reports are built from.

Field it three to six months after programme completion, not at the graduation glow. Anonymous mode raises honesty; a few consented stories with names raise funding.

Template preview

This is a picture of every question as a respondent would see it, so nothing on it can be clicked or typed into. Use this template to get your own editable copy.

Opens in the Light theme, or in your own default theme if you have set one — change it anytime to any of the 4 built-in looks, or build your own on a paid plan.

Page 1

Since the programme

This survey asks what difference the programme has made for you. Your answers help us understand what works and what to improve. It takes about 3 minutes.

Q1.Overall, how much has the programme changed things for you?*

12345678910
No changeLife-changing

Q2.How much did each part help?

Not muchSomewhatA great deal
The training or sessions
One-on-one support
Materials and resources
The community of participants

Q3.Describe one concrete thing that is different in your life now.*

Respondent types their answer here…

Q4.What did the programme NOT help with that you still need?

Respondent types their answer here…

Q5.May we share your story (anonymised) with funders?

  • Yes
  • Yes, and you may use my first name
  • No

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