<%@LANGUAGE="JAVASCRIPT" CODEPAGE="1252"%> Georgia 4-H
Georgia4H.org
Search Georgia 4-H
     bout Georgia 4-H
Support Georgia 4-H
Join Georgia 4-H

Activities & Events
Georgia 4-H Foundation
Georgia 4-H Facilities
Environmental Education
Inside Georgia 4-H

Program Glossary
Staff Directory
Email Us
Book Reviews

Georgia 4-H Home





Cooperative Extension Evaluation Resources

Simple Survey Resources: Templates, Tabulation & Impact

Developed by: Jeff Buckley, Jennifer Cantwell, Jenna Daniel, Casey Mull & Dr. Nick Fuhrman
Updated: 1/26/2017 by Jennifer Cantwell


EVALUATION INSTRUMENT TEMPLATES

Simple Surveys
These tools are designed to utilize Likert-style questions. Using the resources provided, including the Training Resources below, you can write your own questions, insert them into the template, and tabulate results.

Standard Likert Questionnaire*
Standard Questionnaire Template - MS Word
Data Tabulation Spreadsheet - MS Excel
Instructions for Data Tabulation Spreadsheet - MS Word
*This could be used as a pre or posttest only or as a pre and posttest. If you do administer as pre and posttest, you would use the Retrospective Post-Then-Pre Data Tabulation Spreadsheet.

Retrospective Post-Then-Pre Questionnaire
Standard Retro Questionnaire Template, Version 1 - MS Word
Standard Retro Questionnair Template, Version 2 - MS Word
Data Tabulation Spreadsheet - MS Excel
Instructions for Data Tabulation Spreadsheet - MS Word

Other
Audience Poll Template - MS Word

Combination Likert and Knowledge Questionnaires
The following surveys are designed to be youth-friendly. They resemble quizzes and include a variety of questions: knowledge (matching, multiple choice), intended behavior, perception, open-ended, etc. They also include space for Likert-style questions in a youth-friendly format for both the traditional Likert format as well as the Retrospective Post-Then-Pre format. Data Tabulation Spreadsheets are currently under development. We will provide guidance on how to modify the spreadsheets as needed.

Standard Survey*
Combined Likert and Knowledge Survey Template - MS Publisher
Combined Likert and Survey Example- PDF
Data Tabulation Spreadsheet - COMING SOON!
Instructions for Data Tabulation Spreadsheet - COMING SOON!
*This could be used as a pre or posttest only or as a pre and posttest. If you do administer as pre and posttest, you would use the Retrospective Post-Then-Pre Data Tabulation Spreadsheet.

Retrospective Post-Then-Pre
Combined Likert and Knowledge Survey Template - MS Publisher
Combined Likert and Knowledge Survey Example - PDF
Data Tabulation Spreadsheet - COMING SOON!
Instructions for Data Tabulation Spreadsheet - COMING SOON!

Impact Report Templates
These tools were designed to help you transfer your data into a reader-friendly, attractive document. These are meant to be a starting point and are easily adapted to meet your needs. We are hoping to develop templates for Club Meetings, Project Achievement, and Camp. These will have some generic program information included.

Impact Report Template A - MS Publisher
Impact Report Template B - MS Publisher

Examples of Local Impact Reports
Coastal Georgia 4-H Military Adventure Camp - MS PowerPoint
Fort Stewart Science Day - MS PowerPoint
Impact Statement Examples - PDF

 

Educational Club Meetings
The following surveys resemble quizzes and are currently being administered as posttest only. Most have a variety of questions: knowledge, intended behavior, perception, open-ended, etc. When utilized as posttest only, they measure "demonstration of knowledge" vs. "increase in knowledge." They can be used as pre and posttests if desired. In the future we will provide more guidance on how to utilize them and calculate results as pre and posttest. Currently, the Data Tabulation Spreadsheets provide impact statements focused on posttest only results.

College Career Ready Performance Index (CCRPI): Career Awareness - Elementary School
These surveys are designed to align with the corresponding curricula developed by Georgia 4-H. The curricula can be found on the Staff Only section of the Georgia 4-H website: Additional Resources, Curriculum Resources, In-School Club Meeting. If you are not Georgia 4-H staff, please contact Mandy Marable. These surveys have Answer Keys and Data Tabulation Spreadsheets with pre-crafted impact statements. Directions for using the Data Tabulation Spreadsheets are included in a tab within each spreadsheet.

Finance Survey - MS Publisher
Finance Survey - PDF
Finance Survey Answer Key - MS Publisher
Finance Survey Answer Key - PDF
Finance Data Tabulation Spreadsheet - MS Excel

Government & Public Administration Survey - MS Publisher
Government & Public Administration Survey - PDF
Government & Public Administration Survey Answer Key - MS Publisher
Government & Public Administration Survey Answer Key - PDF
Government & Public Administration Data Tabulation Spreadsheet - MS Excel

Information Technology Survey - MS Publisher
Information Technology Survey - PDF
Information Technology Survey Answer Key - MS Publisher
Information Technology Survey Answer Key - PDF
Information Technology Data Tabulation Spreadsheet - MS Excel

Marketing Survey - MS Publisher
Marketing Survey - PDF
Marketing Survey Answer Key - MS Publisher
Marketing Survey Answer Key - PDF
Marketing Data Tabulation Spreadsheet - MS Excel

College Career Ready Performance Index (CCRPI): Career Exploration - Middle School
These surveys are designed to align with the corresponding curricula developed by Georgia 4-H. The curricula can be found on the Staff Only section of the Georgia 4-H website: Additional Resources, Curriculum Resources, In-School Club Meeting, Career Exploration. If you are not Georgia 4-H staff, please contact Laurie Murrah Hanson. Survey Answer Keys and Data Tabulation Spreadsheets with pre-crafted impact statements are currently under development.

Survey Lesson 1 - Personalities - PDF
Survey Answer Key - Lesson 1 - COMING SOON!
Data Tabulation Spreadsheet - COMING SOON!

Survey Lesson 2 - Skill Inventory and Vocational Personality- PDF
Survey Answer Key - Lesson 2 - COMING SOON!
Data Tabulation Spreadsheet - COMING SOON!

Survey Lesson 3 - Career Cluster Exploration - PDF
Survey Answer Key - Lesson 3 - COMING SOON!
Data Tabulation Spreadsheet - COMING SOON!

Suvey Lesson 4 - Career Exploration - PDF
Survey Answer Key - Lesson 4 - COMING SOON!
Data Tabulation Spreadsheet - COMING SOON!

Survey Lesson 5 - Goals - PDF
Survey Answer Key - Lesson 5 - COMING SOON!
Data Tabulation Spreadsheet - COMING SOON!

Survey Lesson 6 - Teamwork - PDF
Survey Answer Key - Lesson 6 - COMING SOON!
Data Tabulation Spreadsheet - COMING SOON!

Survey General - Covers all 6 Lessons - PDF
Survey Answer Key - General Survey - COMING SOON!
Data Tabulation Spreadsheet - COMING SOON!

Other Educational Club Meetings
The following surveys were designed with county input based on curricula delivered in the classroom. Not all of he following surveys have a Data Tabulation Spreadsheets. Please check back in the future or contact Jennifer Cantwell if you have an urgent need for the Data Tabulation Spreadsheet.

Bullying Survey - MS Publisher
Bullying Survey - PDF
Bullying Survey Answer Key - MS Publisher
Bullying Survey Answer Key - PDF
Bullying Data Tabulation Spreadsheet - MS Excel

Manners Worth Millions Survey - MS Publisher
Manners Worth Millions Survey - PDF
Manners Worth Millions Survey Answer Key - MS Publisher
Manners Worth Millions Survey Answer Key - PDF
Manners Worth Millions Data Tabulation Spreadsheet - MS Excel

States of Matter: Physical vs. Chemical Changes Survey - MS Publisher
States of Matter: Physical vs. Chemical Changes Survey - PDF
States of Matter: Physical vs. Chemical Changes Survey Answer Key - MS Publisher
States of Matter: Physical vs. Chemical Changes Survey Answer Key - PDF
States of Matter Data Tabulation Spreadsheet - MS Excel

Health Rocks - Less Stress on the Test
This survey is designed to align with the Health Rocks! Less Stress On The Test curricula and corresponding Friends book. The curricula can be found on the Staff Only section of the GA 4-H website. If you are not Georgia 4-H staff, please contact Cheryl Varnadoe or Mandy Marable.

Less Stress on the Test Survey - MS Publisher
Less Stress on the Test Survey - PDF
Less Stress on the Test Survey Answer Key - MS Publisher
Less Stress on the Test Survey Answer Key - PDF
Less Stress on the Test Data Tabulation Spreadsheet - MS Excel

Farm to Fork
This survey is designed to align with the Farm to Fork Friends book. The curriculum can be found on the Staff Only section of the Georgia 4-H website. If you are not Georgia 4-H staff, please contact Mandy Marable.

Farm to Fork Survey - MS Publisher
Farm to Fork Survey - PDF
Farm to Fork Survey Answer Key - MS Publisher
Farm to Fork Survey Answer Key - PDF
Farm to Fork Data Tabulation Spreadsheet - MS Excel

Inherited Plant Traits
This survey is designed to align with the Georgia 4-H Agriscience Inherited Plant Traits lesson. The curriculum can be found on the Staff Only section of the Georgia 4-H website. If you are not Georgia 4-H staff, please contact Mandy Marable.

Inherited Plant Traits Survey - MS Publisher
Inherited Plant Traits Survey - PDF
Inherited Plant Traits Survey Answer Key - MS Publisher
Inherited Plant Traits Survey Answer Key - PDF
Inherited Plant Traits Data Tabulation Spreadsheet - MS Excel

Georgia Barrier Islands
This survey is designed to align with the Georgia 4-H Agriscience Georgia Barrier Islands lesson(s). The curriculum can be found on the Staff Only section of the Georgia 4-H Website. If you are not Georgia 4-H staff, please contact Mandy Marable.

Georgia Barrier Islands Survey - MS Publisher
Georgia Barrier Islands Survey - PDF
Georgia Barrier Islands Survey Answer Key - MS Publisher
Georgia Barrier Islands Survey Answer Key - PDF
Georgia Barrier Islands Data Tabulation Spreadsheet - MS Excel

Project Achievement
This sections contains current Project Achievement Surveys to be used for the 2016-2017 program year. These surveys are designed to be administered to youth after participating in Project Achievement at District level.

4th - 6th Grade (Cloverleaf) Project Achievement
4th - 6th Grade Project Achievement Survey - MS Publisher
4th - 6th Grade Project Achievement Survey - PDF
4th - 6th Grade Project Achievement Survey Answer Key - MS Publisher
4th - 6th Grade Project Achievement Survey Answer Key - PDF
4th - 6th Grade Project Achievement Data Tabulation Spreadsheet - MS Excel

7th - 12th Grade (Junior/Senior) Project Achievement
7th - 12th Grade Project Achievement Survey - MS Publisher
7th - 12th Grade Project Achievement Survey - PDF
7th - 12th Grade Project Achievement Survey Answer Key - MS Publisher
7th - 12th Grade Project Achievement Survey Answer Key - PDF
7th - 12th Grade Project Achievement Data Tabulation Spreadsheet - MS Excel

 

TRAINING RESOURCES
Simple Survey Resources PowerPoint Presentation - 2014 NAE4-HA Conference, Minneapolis, MN
Simple Surveys PowerPoint Presentation - 2014 Southern Region Biennial Conference
Simple Evaluation Templates PowerPoint Presentation - 2015 Camping & Environmental Education Institute
Simple Survey Resources: Templates, Tabulation & Impact for Novices - PowerPoint Presentation - 2015 National Urban Extension Conference
4-H Simple Evaluation Templates Revamped: Gathering Data for Program Improvement and Impact Reporting - PowerPoint Presentation - 2015 NAE4-HA Conference, Portland, OR
Simple Surveys: From Program Objectives to Impact Statements in 90 Minutes, PowerPoint Presentation - 2016 Georgia Cooperative Extension Winter Conference, Eatonton, GA
Improving Impact Statements Using Survey Data, PowerPoint Presentation - 2016 Georgia Cooperative Extension Conference, Eatonton, GA

Verbs for Writing Measurable Objectives - MS Word

 

INVITED PRESENTATIONS
2011 Youth Service America's Youth Service Institute, Philadephia, PA
2012 University of Georgia, College of Agricultural & Environmental Sciences, Cooperative Extension Winter School, Eatonton, GA
2013 Southeastern 4-H Professional Improvement Conference, Eatonton, GA
2013 JCEP (Joint Council of Extension Professionals) GALAXY Conference, Pittsburg, PA
2014 Military Partnership Conference, Washington D.C.
2014 Southern Region Biennial 4-H Conference, Charleston, SC
2014 National Association of Extension & 4-H Agents Conference, Minneapolis, MN
2014 Volunteer Conference of Southern States, Eatonton, GA
2015 Camping & Environmental Education Institute, Eatonton, GA
2015 National Urban Extension Conference, Atlanta, GA
2015 National Association of Extension & 4-H Agents Conference, Portland, OR
2016 Georgia Cooperative Extension Conference, Eatonton, GA
2016 National Association of Extension & 4-H Agents Conference, New Orleans, LA

***************************************

CONTACT US

Please let us know if you find these resources useful or if you have any questions or suggestions for improvement.

Jennifer E. Cantwell, MSW - Extension 4-H Program Coordinator
AmeriCorps & Program Evaluation
University of Georgia
328 Hoke Smith Annex
Athens, GA 30602-4356
Office: (706) 542-4294
Fax: (706) 542-7373
jecantw@uga.edu

 
The University of Georgia and Ft. Valley State University, the U.S. Department of Agriculture and counties of the state cooperating. The Cooperative Extension Service offers educational programs, assistance and materials to all people without regard to race, color, national origin, age, sex or disability. An equal opportunity/affirmative action organization committed to a diverse work force.