Chapter Post Activity Evaluation Form
To be completed by Committee Chair for each event.
I. GENERAL INFORMATION
Committee Name:
Committee Chairperson:
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Activity Name:
Activity Date:
Start & End date, total service hours spent on this activity, from planning to the close of the final event.
Activity Time:
Activity Location(s):
Virtual
Face-to-Face
Provide Specific Details on Activity Location(s):
Total Expenses:
II. PROGRAMMATIC THRUSTS
Was the national, regional, or chapter initiative as identified in the preliminary report addressed?
Yes
No
Were the thrusts, as indicated on the preliminary report met?
Yes
No
Address the "no" responses, if any:
III. SUMMARY & OBJECTIVE(S)
Brief Summary of Activity:
Were all the objectives met as described in the preliminary report for this activity?
Yes
No
IV. DEMOGRAPHICS
Total # of Attendees:
Groups:
Breakdown the amount of families and individuals.
Age Groups:
How many participants in each age group? 11-14, 11-17, 14-18, 18-25, 26-40, 41-60, over 60
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V. COLLABORATIONS
List specific collaborations from committee/organization and the community.
VI. EVALUATION METHOD
Which method(s) did you use for feedback on the activity?
Survey
Focus Group
Individual Interviews
Other
VII. METHOD(S) OF PUBLICITY
Did this program receive media coverage?
Newspaper/magazine, Radio, Podcast, Social Media (which platforms? Please list #likes, #shares and #hashtags from your social media posts)
VIII. EQUIPMENT USED
List the equipment used and its benefit to the activity.
IX. SUGGESTED AREAS FOR IMPROVEMENT
Provide input on how areas to improve the activity, if any.
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