Sample of an adaptable survey template (doc)
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This survey template and the accompanying instructions (below), provide an example of how a PFT can gather data for common questions asked across PFT programs, as well as for questions unique to an individual program. Instructions for adapting the survey template (doc). |
Sample of a survey form for short-term outcomes (doc)
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This survey form was developed by the Adult Development & Aging PFT to be used immediately after a program has been delivered and may be completed in paper format. Designed to be flexible and adaptable with the use of a question bank (doc), this form was developed to gather information about short-term outcomes (knowledge gain, with a question aimed at determining the intent to change behavior). Instructions for adapting the survey form (doc). |
Sample of a telephone form for medium-term outcomes (doc)
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This telephone form was developed by the Adult Development & Aging PFT to be used when contacting participants via telephone after a program has been delivered. Designed to be flexible and adaptable with the use of a question bank (doc), this form was developed to gather information about medium-term outcomes. Instructions for adapting the telephone form (doc). |
Sample of an initial feedback form template with PFT question bank for short-term outcomes (doc)
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This initial feedback form template with question bank was developed by the Nutrition, Food Safety and Health PFT to be used immediately after a program has been delivered. Designed to be flexible and adaptable with the use of the PFT question bank and PFT standard questions, this form assists in gathering information about short-term outcomes across a variety of programs and action plans. |
Sample of a follow-up feedback form template with PFT question bank for medium-term outcomes (doc)
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This follow-up feedback form template with question bank was developed by the Nutrition, Food Safety and Health PFT to be used when contacting participants via phone three to six months after a program has been delivered. This form was designed not only to be flexible and adaptable but also to complement the initial feedback form used for the program. With the use of the PFT question bank and PFT standard questions, this form assists in gathering information about medium-term outcomes across a variety of programs and action plans. |