Nonprofit Program Impact Survey Checklist

Measure your nonprofit's success! This Program Impact Survey Checklist ensures you gather crucial data, assess effectiveness, and demonstrate impact to donors & stakeholders. Get actionable insights and refine your programs for maximum social good.

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Program Participant Demographics

1 of 8

Gathering basic information about participants to understand program reach and potential biases.

Age

Gender

Highest Level of Education Completed

Household Income (Estimate)

Zip Code

Program Awareness & Enrollment

2 of 8

Assessing how participants learned about the program and their reasons for enrolling.

How did you first hear about this program?

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?

Please briefly describe what you hoped to gain from participating in the program.

Program Satisfaction

3 of 8

Measuring participant satisfaction with various aspects of the program delivery.

Overall, how satisfied were you with the program?

How helpful were the program materials?

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)

Please describe what you liked most about the program.

Knowledge & Skill Gain

4 of 8

Evaluating whether participants have acquired knowledge and skills as a result of the program.

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?

Please describe specific knowledge or skills you gained through the program.

Select the resources that were most helpful in gaining knowledge and skills.

How confident are you applying the new skills to real-world situations?

Behavioral Change

5 of 8

Exploring whether the program has led to changes in participants' behaviors or actions.

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)

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?

Program Impact on Goals

6 of 8

Determining if the program has helped participants achieve their specific 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?

If you did not achieve your goal or only achieved it partially, what were the biggest challenges or obstacles?

Overall Program Effectiveness

7 of 8

Gathering overall feedback on the program's impact and value.

On a scale of 1-10, how likely are you to recommend this program to others?

Overall, did the program meet your 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?

Suggestions for Improvement

8 of 8

Collecting open-ended suggestions from participants to enhance the program.

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?

How could the program better support your needs?

Is there anything else you would like to share about your experience with the program?

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