After-School Initiative's Toolkit for Evaluating

7) Who will assist the survey
administrator(s) with the survey
administration?
8) Has the survey administrator(s)
reviewed the Survey Administrator
Guidelines and Procedures?
9) What explanatory text will be recited
when distributing surveys to youth?
Attach text to this worksheet.
10) Who is responsible for gathering
supplies?
Pens/pencils, copies of surveys, etc.?
11) Do you have a box or something else
in which participants will place their
completed surveys?
Name: _______________________________
Name: _______________________________
Yes No
If no, when will this occur? ______________
Name: _______________________________
Yes No
Describe: _____________________________
12) For programs with youth attending
multiple activities, how will you make
sure that youth are only surveyed one
time? Please explain.
Consult with your evaluation liaison to develop a
strategy if needed.
13) Describe how the survey
administration will take place on the
administration day.
Use the back of this form or a separate
sheet if needed.
Example: Kids will enter the lunchroom at 3:30
and have their snack for 15 minutes. Then Ester
will ask the youth to sit quietly and listen to the
survey instructions. Joey will pass out the surveys
and pencils and have youth find a quiet place to fill
out the survey by them Youth will have as much
time as they need to complete the survey. As
students finish the survey, they will bring it up to
the front of the room, place it face down in the
survey box and then join Robby outside for games.
Toolkit for Evaluating Positive Youth Development 57