Tools
Sample Participant
Satisfaction Questionnaire
The following
is a generic participant satisfaction questionnaire that you
may want to use
as a template to gather information to evaluate your mental
health promotion project.
We welcome
your feedback on how (the name of your project) is doing
to promote mental health
in the community. You don’t need to include your name. Your
feedback will be confidential.
For each
item, please circle the number that best indicates your
satisfaction with a particular aspect of the initiative.
The results of this survey will be compiled by the Project’s
steering committee, and will be used to help us determine
how effective the project has been so far, and what kind
of changes we should make to improve the project for the
future. Please provide additional comments if you wish.
Thank
you for your assistance with our questionnaire.
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(Very
dissatisfied) (Very
satisfied)
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Planning
and implementation
|
1
|
2
|
3
|
4
|
5
|
|
Planning
process used to prepare the project’s goals and action
plan
|
|
|
|
|
|
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Your
personal experience as a member of the project
|
|
|
|
|
|
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Follow-through
on project activities
|
|
|
|
|
|
|
Comments
|
|
(Very
dissatisfied) (Very
satisfied)
|
|
Leadership
|
1
|
2
|
3
|
4
|
5
|
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Strength
and competence of the project’s leadership
|
|
|
|
|
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Sensitivity
to cultural issues
|
|
|
|
|
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Clarity
of vision and goals of project
|
|
|
|
|
|
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Comments
|
|
(Very
dissatisfied) (Very
satisfied)
|
|
Community
involvement in the project
|
1
|
2
|
3
|
4
|
5
|
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Participation
of people from diverse backgrounds
|
|
|
|
|
|
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Participation
of influential people from different sectors of
the community
|
|
|
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Comments
|
|
(Very
dissatisfied) (Very
satisfied)
|
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Outcomes
& progress towards goals the project
|
1
|
2
|
3
|
4
|
5
|
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Success
in generating resources for the initiative
|
|
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Progress
in meeting the project’s specific objectives
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|
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Comments
|
Overall,
would you soy that the community is better of today because
of the project?
Yes_____
No_____
Any further
comments?
Thank
you fir your assistance with this questionnaire. Please
return it to (Name) in the enclosed self
addressed, stamped envelope by (date).
This questionnaire
was adapted from the Community Tool Box, Chapter 3 I, Section
4: Rating member satisfaction http://ctb.lsi.ukans.edu/ctb/c31/c31s4
. To learn more about rating member satisfaction, please refer
to that chapter.
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