NONPROFIT

Program outcomes check-in survey template

Collect participant-reported progress, program experience, and useful next support.

8 questions · 2 pages · 5 answer formats · About 2 min

Time is estimated from all questions, including matrix rows. Branching can shorten a path; reading, consent and longer written answers can add time. Confirm it with a pilot.

Use this template →Try the survey Read every question

Free to use within your plan's response allowance. Edit the wording and options before publishing.

Use this template opens an editable draft after sign-in. Questions, answer options and configured logic carry over; nothing is published until you choose to publish.

Try the questionnaire

Answer it before you use it.

Try the actual questions, follow-ups and endings. Preview answers stay in this tab and disappear when you close or restart it. Nothing is submitted.

Who this is for

Nonprofit teams asking participants about their progress and support needs.

Before you send it

Use outcome wording tied to your program model. Participation should be voluntary; do not collect sensitive personal details unless the study has an approved need and safeguards.

Questionnaire preview

These are the questions and answer options copied into your draft. Bracketed text is a prompt to customize. Matrix questions contain several statements, so allow time for each row.

Page 1

1. Which program or service did you take part in? (required)
Choose one
[Program A][Program B][Program C]Another program
2. How much progress have you made toward your goal?
Choose one
No progress yetA littleSomeA lotGoal achievedNot sure
3. Thinking about your experience:
- — I knew what steps to take
- — I could get help when I needed it
- — The program was relevant to my situation
Strongly disagreeDisagreeNeutralAgreeStrongly agree
4. What has helped you make progress?
Choose all that apply
Program activitiesStaff or volunteer supportResourcesFamily or peersMy own practiceOther
5. What support would be most useful to you next?
Long text
Page 2: Context and next steps
6. When did you begin taking part in this program?
Choose one
Within the last month1–3 months ago4–12 months agoMore than a year agoNot sure
7. How useful has the program been for your current goals?
1–7 scale (Not useful → Extremely useful)
8. What is one thing you would tell someone considering the program?
Long text

Use this template →

Use the builder link to retain logic, piping, consent, scoring, and randomization. Plain text copies wording only; piped answers become editable placeholders.

How to read the results

Describe self-reported progress with the program and timeframe beside it. Avoid presenting survey responses alone as proof that a program caused an outcome.

Preview your edited survey on desktop and mobile, run a small pilot, and review an export before inviting the full audience. Adding questions is optional: keep the ones that support your decision.