ࡱ>  @ Khbjbj00 jRbRb ~42hb|2Kx """"#T&DU'K!K!K!K!K!K!K$lMROvEKi'##''EK""K+++'X""K+'K++BD" P3sQ(d7C3GK0KMC64P(4P,D22D44PD|''+'''''EKEK226M+X226PROCESS EVALUATION PLANNING CHECK LIST A process evaluation is a management tool for ensuring accountability, identifying implementation challenges, and pinpointing gaps that need to be addressed. Used to track your progress as a project evolves, a process evaluation measures outputs and ensures that you have conducted activities as planned (for example, by counting the number of people you have trained or the meals you have served). It can also help you drill down to identify subset populations (telling you not only how many senior residents participated in a project, but how many were over age 80 or lived more than a mile away). The following questions will help you plan your process evaluation: How do you want to use the results? FORMCHECKBOX Provide services more efficiently or at less expense FORMCHECKBOX Verify that we are doing what we set out to do  FORMCHECKBOX Ensure that we are reaching the senior residents FORMCHECKBOX Identify any problems or lessons that can guide future activities FORMCHECKBOX Describe projects that can be replicated elsewhere FORMCHECKBOX Other:  FORMTEXT       Who is the audience for your results?  FORMCHECKBOX Resident seniors FORMCHECKBOX Staff FORMCHECKBOX Service providers FORMCHECKBOX Funders FORMCHECKBOX Community FORMCHECKBOX Other(s): FORMTEXT       What Information do you need? FORMCHECKBOX Description of an activity or service (how resources were used and activities implemented) FORMCHECKBOX Number of senior residents who participated or benefited  FORMCHECKBOX Strengths and weaknesses of the activity or service  FORMCHECKBOX Other type(s) of information:  FORMTEXT       Who should you approach for information? FORMCHECKBOX Staff FORMCHECKBOX Volunteers FORMCHECKBOX Senior residents FORMCHECKBOX Partners FORMCHECKBOX Community Stakeholders FORMCHECKBOX Other(s):  FORMTEXT       What are your sources of&'()    = > L M N O ] b p еХЕs]NNhhhACJOJQJaJ+jhFhFCJOJQJUaJ+jh-;|hv CJOJQJUaJhACJOJQJaJjhACJOJQJUaJhv)hF5CJOJQJaJh5chFCJOJQJaJh!;CJOJQJaJhFCJOJQJaJ%hFhFB*CJOJQJaJph hFh!;5B*OJQJph'() $$Ifa$gdA $$Ifa$gdFRkd$$Ifs$$  t $644 salp $$Ifa$gdF KJh  < pgg $IfgdABkd;$$Ifs$$ t$644 sal $IfgdFBkd$$Ifs $$ t$644 sal< = O  JUkda$$Ifs0*$1U" t$644 sal $IfgdAUkdC$$Ifs0*$1U" t$644 sal . 2 4 P R T h n x z   ;ͨ;;͒;;;|f+jhAhACJOJQJUaJ+jehFhFCJOJQJUaJ+jGhFhFCJOJQJUaJ+j)hFhFCJOJQJUaJhhhACJOJQJaJhACJOJQJaJjhACJOJQJUaJ+j hFhFCJOJQJUaJ" 0 2 V JUkd$$Ifs0*$1U" t$644 sal $IfgdAUkd$$Ifs0*$1U" t$644 sal    l JE< $Ifgd #gd^*UkdM$$Ifs0*$1U" t$644 sal $IfgdAUkd$$Ifs0*$1U" t$644 sal     * 0 V d j l n p xlVxlxl@xlx+j hFhFCJOJQJUaJ+j hFhFCJOJQJUaJh #CJOJQJaJjh #CJOJQJUaJhFCJOJQJaJhFhF5CJOJQJaJhF5CJOJQJaJhZhF5CJOJQJaJhZ5CJOJQJaJhACJOJQJaJjhACJOJQJUaJ*jhFCJOJQJUaJmHnHul n ]Ukd $$Ifl01$1U" t644 lal $Ifgd #Bkd$$Ifl$$ t644 lal 02VfJUkd $$Ifl01$1U" t644 lal $Ifgd #Ukd $$Ifl01$1U" t644 lal  24PRTVdhjάάάt^+jeh #h #CJOJQJUaJhA CJOJQJaJ+jhFhFCJOJQJUaJ+j hFhFCJOJQJUaJhACJOJQJaJ+j hFhFCJOJQJUaJjh #CJOJQJUaJ+j hFhFCJOJQJUaJh #CJOJQJaJfhJUkdN$$Ifl01$1U" t644 lal $Ifgd #Ukd7 $$Ifl01$1U" t644 lal&(,.46>BD`bdf <zn_n_n_n_PhA hFCJOJQJaJhhhFCJOJQJaJhFCJOJQJaJ.jhA hA 5CJOJQJUaJhA 5CJOJQJaJ"jhA 5CJOJQJUaJhhhF5CJOJQJaJhF5CJOJQJaJhACJOJQJaJjh #CJOJQJUaJ*jhFCJOJQJUaJmHnHu@BfXOO $IfgdA Bkdz$$Ifl$$ t644 lal $IfgdXgdXUkd$$Ifl01$1U" t644 lalBFJUkd$$Ifl01$1U" t644 lal $IfgdA Ukdu$$Ifl01$1U" t644 lal<>@BVxDFHJfhjlɽ֒zɮk֒Sɽ.jDhA hA 5CJOJQJUaJhA hFCJOJQJaJ.j-hA hA 5CJOJQJUaJhA 5CJOJQJaJhFhFCJOJQJaJhhhFCJOJQJaJhFCJOJQJaJhF5CJOJQJaJ"jhA 5CJOJQJUaJ.jh-;|hv 5CJOJQJUaJFHl&JE< $IfgdgdXUkd.$$Ifl01$1U" t644 lal $IfgdA Ukd$$Ifl01$1U" t644 lal"$(*FHJL䩜r`S;`.jZhh5CJOJQJUaJh5CJOJQJaJ"jh5CJOJQJUaJhhh5CJOJQJaJh5CJOJQJaJhi5CJOJQJaJhF5CJOJQJaJhA hFCJOJQJaJ*jhA CJOJQJUaJmHnHu+jhA hA CJOJQJUaJjhA CJOJQJUaJhA CJOJQJaJ&(LXZ~]Ukd$$Ifl01$1U" t644 lal $IfgdBkd$$Ifl$$ t644 lalLVXZ\xz|~4ƹƹzƹbSƹhhCJOJQJaJ.jhh5CJOJQJUaJ.jhh5CJOJQJUaJhhCJOJQJaJ.jqhh5CJOJQJUaJh5CJOJQJaJ"jh5CJOJQJUaJh5CJOJQJaJhhCJOJQJaJhCJOJQJaJJUkd$$Ifl01$1U" t644 lal $IfgdUkd$$Ifl01$1U" t644 lal:hjJUkd,$$Ifl01$1U" t644 lal $IfgdUkd$$Ifl01$1U" t644 lal468:fhjlɽ֡֡ycyMy=hhh5CJOJQJaJ*jhCJOJQJUaJmHnHu+jChhCJOJQJUaJjhCJOJQJUaJ.jhh5CJOJQJUaJh5CJOJQJaJhhCJOJQJaJhCJOJQJaJh5CJOJQJaJ"jh5CJOJQJUaJ.jhh5CJOJQJUaJHH!H9HXBkdX$$Ifl$$ t644 lal $IfgdgdXUkd$$Ifl01$1U" t644 lal information? FORMCHECKBOX Questionnaires/surveys  FORMCHECKBOX Key informant interviews  FORMCHECKBOX Administrative chart review  FORMCHECKBOX Administrative client data FORMCHECKBOX Attendance documents or sign-in charts  FORMCHECKBOX Observing senior residents  FORMCHECKBOX Observing staff FORMCHECKBOX Observing volunteers  FORMCHECKBOX Conducting focus groups among  FORMTEXT       FORMCHECKBOX Other(s)  FORMTEXT       When is the information needed? FORMTEXT        What resources are available to collect the information? 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