SayPro Feedback Collection Template: A template to standardize feedback collection, helping to efficiently gather insights from participants, community leaders, and government officials.

SayPro Feedback Collection Template

Objective: The SayPro Feedback Collection Template is designed to standardize the process of collecting valuable insights from a variety of stakeholders, including participants, community leaders, and government officials. This template ensures that feedback is structured, comprehensive, and actionable, thereby allowing for informed decision-making and improvements in community engagement projects, public services, or governmental programs.

General Information

1. Name of the Project/Program/Initiative:
– Example: “Community Health Awareness Campaign”

2. Date of Feedback Collection:
– Example: “March 14, 2025”

3. Location/Region of the Event/Program:
– Example: “District A, City X”

4. Role of Respondent:
– [ ] Participant
– [ ] Community Leader
– [ ] Government Official
– [ ] Other: ____________

Part A: Participant Feedback

A1. Overall Experience
– On a scale of 1-5, how would you rate your overall experience with the event or program?
– [ ] 1 (Poor)
– [ ] 2 (Fair)
– [ ] 3 (Good)
– [ ] 4 (Very Good)
– [ ] 5 (Excellent)

A2. Key Takeaways
– What were the most valuable insights or experiences you gained from this event/program?

_Answer:_ _______________________________________________________

A3. Satisfaction with Content/Program
– How satisfied were you with the content/program offered during the event? (1-5 scale)
– [ ] 1 (Not Satisfied)
– [ ] 2 (Slightly Satisfied)
– [ ] 3 (Moderately Satisfied)
– [ ] 4 (Very Satisfied)
– [ ] 5 (Extremely Satisfied)

A4. Communication and Clarity
– Did you feel that the information presented was clear and easy to understand?
– [ ] Yes
– [ ] No

If no, please elaborate:

_Answer:_ _______________________________________________________

A5. Suggestions for Improvement
– What suggestions do you have to improve future events or programs?

_Answer:_ _______________________________________________________

Part B: Community Leader Feedback

B1. Community Engagement
– How well did the event/program engage the local community?
– [ ] Very Poorly
– [ ] Poorly
– [ ] Neutral
– [ ] Well
– [ ] Very Well

B2. Impact on the Community
– In your opinion, what positive impacts (if any) did the event/program have on the community?

_Answer:_ _______________________________________________________

B3. Issues or Challenges Encountered
– Were there any issues or challenges faced during the event/program? If so, please describe them:

_Answer:_ _______________________________________________________

B4. Community Participation
– Did you notice any barriers to community participation or engagement? If so, what were they?

_Answer:_ _______________________________________________________

B5. Recommendations for Future Programs
– What strategies or approaches would you recommend to better engage the community in future initiatives?

_Answer:_ _______________________________________________________

Part C: Government Official Feedback

C1. Alignment with Government Priorities
– Do you believe the event/program aligns with current government priorities or policies? Please explain.

_Answer:_ _______________________________________________________

C2. Government Support and Resources
– Was the level of government support (funding, staffing, etc.) adequate for the program’s success?
– [ ] Yes
– [ ] No

If no, please describe the areas that required more support:

_Answer:_ _______________________________________________________

C3. Public Response to the Program
– Based on public feedback and observation, how would you evaluate the community’s overall response to the event/program?

_Answer:_ _______________________________________________________

C4. Policy or Regulatory Concerns
– Were there any policy or regulatory concerns that arose during the implementation of the event/program?

_Answer:_ _______________________________________________________

C5. Opportunities for Collaboration
– How can the government further collaborate with other stakeholders (e.g., NGOs, local authorities) to improve the impact of future programs?

_Answer:_ _______________________________________________________

Part D: General Feedback (For All Stakeholders)

D1. Strengths of the Event/Program
– What aspects of the event/program do you believe were most successful or effective?

_Answer:_ _______________________________________________________

D2. Areas for Improvement
– What areas do you think need improvement for future events or programs?

_Answer:_ _______________________________________________________

D3. Additional Comments
– Please provide any other comments, feedback, or suggestions you have.

_Answer:_ _______________________________________________________

Part E: Demographic Information *(Optional)*

This section is intended to help analyze the feedback based on various demographic factors. Your responses are optional and will be kept confidential.

1. Age:
– [ ] Under 18
– [ ] 18-24
– [ ] 25-34
– [ ] 35-44
– [ ] 45-54
– [ ] 55-64
– [ ] 65+

2. Gender:
– [ ] Male
– [ ] Female
– [ ] Non-binary/Other
– [ ] Prefer not to say

3. Occupation:
– [ ] Student
– [ ] Professional
– [ ] Government Employee
– [ ] Community Leader
– [ ] Retired
– [ ] Other: ____________

4. Educational Level:
– [ ] High School
– [ ] Some College
– [ ] Bachelor’s Degree
– [ ] Master’s Degree
– [ ] Doctorate or higher

Conclusion and Follow-Up

– Thank you for your participation! Your feedback is invaluable and will help us to improve future initiatives. If you are interested in receiving updates on the progress and outcomes of this event/program, please provide your contact details below.

Email: ________________________

Phone (Optional): ________________________

Preferred Method of Contact:
– [ ] Email
– [ ] Phone
– [ ] No Follow-Up Required

Note: This template can be adjusted based on the specific event, program, or initiative. The goal is to ensure that feedback is gathered in a way that is structured and meaningful, allowing all stakeholders to contribute their thoughts and suggestions effectively.