Table of Contents
APPENDIX
SAMPLE EVALUATION INSTRUMENTS

 

This section contains samples of evaluation instruments that can be generated for each evaluation option. Note that the type of the instrument generated depends on the evaluation options selected.

 

Sample A—Post Evaluation Only

·        Post Evaluation

·        Follow-Up Evaluation

·        Program Information Sheet

           

Sample B—Pre and Post Evaluation

·        Pre Evaluation                

·        Post Evaluation

·        Follow-Up Evaluation

·        Program Information Sheet

                                                                                         

Sample C—Stages to Change Evaluation

·        Initial Observation                                                                      

·        Mid-Term Observation

·        End-of-Program Observation

·        Progress Reporting  Sheet

·        Follow-Up Evaluation

·        Program Information Sheet

                                                                                         

Sample D—Train-the-Trainer Evaluation

·        Pre Evaluation                                                                

·        Post Evaluation

·        Follow-Up Evaluation

·        Program Information Sheet

 


 

 

 

 

 

 

 

 

 

 

SAMPLE A: POST EVALUATION ONLY

 

 

 

·       Post Evaluation

·       Follow-Up Evaluation

·       Program Information Sheet


SAMPLE A—POST EVALUATION ONLY

Post Evaluation

 

 

TITLE OF PROGRAM
NAME OF ORGANIZATION

Post Evaluation

ID Number: __________                                                                                            Date: __________

 

Please rate the instructor(s), materials, and the overall program by circling the appropriate number.

 

Not Helpful

Somewhat Helpful

Helpful

Very Helpful

Instructor(s)

1

2

3

4

Educational Materials

1

2

3

4

Overall Program

1

2

3

4


Testing Knowledge
Please circle your answer to each of the following statements.

1.

Goals should only be made for large, long-term plans such as homeownership, college tuition, or retirement.

True

False

2.

Expenses can be broken into two categories, fixed expenses and variable expenses.

True

False

3.

Net pay is after all of the taxes and other withholdings have been taken from gross pay.

True

False

4.

Compound interest is when only the amount of money deposited earns interest.

True

False

5.

A commonly recommended emergency fund amount is approximately three to six months worth of expenses.

True

False



Building Skills
Please circle the number that best describes how your confidence to do the following has changed:

Your Confidence to:

Decreased

Stayed the same

Increased

1. Write out a spending plan.

1

2

3

2. Keep track of spending and income.

1

2

3

3. Pay bills on time.

1

2

3

4. Save money regularly.

1

2

3

5. Spend less than you earn.

1

2

3



 

 

 

 

 

 

SAMPLE A—POST EVALUATION ONLY

Post Evaluation

Taking Charge
Please circle the number that best describes your answer.

As a result of this program, do you plan to:

No

Maybe

Yes

Already doing this

Does not apply

1. Write out a spending plan.

1

2

3

4

5

2. Keep track of spending and income.

1

2

3

4

5

3. Pay bills on time.

1

2

3

4

5

4. Save money regularly.

1

2

3

4

5

5. Spend less than you earn.

1

2

3

4

5

 

What did you like the most about this program?

 

What did you like the least about this program?

 

How could this program be improved?

 

Would you recommend this program to others?
____Yes   Who?_________________________________________
____No     Why not?______________________________________

 

What is your age?______

What is your gender?
____ Male
____ Female

What is your primary ethnic background?
____ African American/Black
____ Asian
____ Hispanic/Latino
____ White (non-Hispanic)
____ Other ___________________________

 

SAMPLE A—POST EVALUATION ONLY

Post Evaluation

What is your current family status?
___ Single with no dependent children
___ Single with dependent children
___ Married with no dependent children
___ Married with dependent children

What is the highest level of education you have completed?
____ Some high school
____ High school graduate (or GED)
____ Some college
____ Associate's degree
____ Bachelor's degree
____ Post graduate degree

What is your current work status?
___ Working full-time
___ Working part-time
___ Not currently working

What is your annual household income before taxes (including all sources of income)?
____ $0 (Not working)
____ $1-$10,000
____ $10,001-$20,000
____ $20,001-$30,000
____ $30,001-$40,000
____ More than $40,000

Comments or suggestions about the program:

Thank you for completing this evaluation.
We appreciate your help as we strive to improve our educational programs.

(OPTIONAL) Share your name/address/phone number, if you are willing to have us contact you for follow-up comments.

Name:______________________________ Phone Number: _____________________
Address: _____________________________________________________________________

Required Notice
You must include in all copies of the Toolkit, portions of the Toolkit, or derivative works based on the toolkit the following notice and disclaimer:

The National Endowment for Financial Education (NEFE) owns all right, title, interest to the NEFE Financial Education Evaluation Toolkit. This work is based on the Toolkit. The use of this work is subject to the following terms. This work may be used only as expressly permitted by the following terms and may not be used in any way expressly prohibited by the following terms:

  • This work may only be used for instructional and educational purposes.

SAMPLE A—POST EVALUATION ONLY

Post Evaluation

  • This work may be used only in the form provided and may not be modified, amended or combined with other material to form a new work.
  • This work may not be used for any commercial purpose, or to sell, advertise, endorse, or otherwise promote any other service, product, or party.
  • This work may not be used to provide financial or investment advice.

NEFE neither endorses nor is responsible for the accuracy or reliability of the Toolkit or this work, and shall have no liability for investments or other decisions based on the Toolkit or this work. This work is provided "AS IS" without any representations or warranties of any kind from NEFE. NEFE disclaims all warranties, whether express, implied, or statutory, regarding the Toolkit or this work.

Disclaimer

NEFE neither endorses nor is responsible for the accuracy or reliability of the toolkit or any work derived from the toolkit, and NEFE shall have no liability for investments or other decisions based on the toolkit or any work derived from the toolkit. THE TOOLKIT IS PROVIDED "AS IS" WITHOUT ANY REPRESENTATIONS OR WARRANTIES OF ANY KIND AND NEFE DISCLAIMS ALL WARRANTIES, WHETHER EXPRESS, IMPLIED, OR STATUTORY, REGARDING THE TOOLKIT, INCLUDING ANY IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE, AND NON-INFRINGEMENT. In particular, NEFE shall not be liable for any: (1) errors, inaccuracies, omissions, or other defects in, or lack of timeliness or authenticity of, the toolkit or any work derived from the toolkit, or for any claims or losses arising there from or occasioned thereby; (2) third-party claims, losses or liabilities of any nature in connection with the toolkit or any work derived from the toolkit, including, but not limited to any direct, indirect, special, consequential, punitive or other damages, or any lost profits or revenue.

It is your responsibility to evaluate the accuracy, completeness or usefulness of any information, opinion, advice or other content available through the toolkit or any work derived from the toolkit. Please seek the advice of professionals, as appropriate, regarding the evaluation of any such specific information, opinion, advice or other content.


SAMPLE A—POST EVALUATION ONLY

Follow-Up Evaluation

 

ID Number: __________

Date: __________

TITLE OF PROGRAM
NAME OF ORGANIZATION

Follow-up Evaluation

Dear Program Participant,

Thank you for participating in the TITLE OF PROGRAM program!

We hope you enjoyed the program and gained useful knowledge and skills. We would like to know how the program has helped you to better manage your financial situation. As a follow-up, we invite you to complete a short survey. This information will help us to improve our program and better meet your financial needs. Please return your completed survey to the following address by DATE FOLLOW-UP IS DUE. Your responses will be confidential.

Thank You,
YOUR NAME, TITLE
YOUR TELEPHONE NUMBER
YOUR FAX NUMBER
YOUR EMAIL ADDRESS


Since completing the program, how often do you do the following financial practices?

Financial Practice

I am not doing this

I am doing this sometimes

I am doing this most of the time

I am doing this all of the time

1. Writing out a spending plan.

1

2

3

4

2. Keeping track of spending and income.

1

2

3

4

3. Paying bills on time.

1

2

3

4

4. Saving money regularly.

1

2

3

4

5. Spending less than you earn.

1

2

3

4


Please list other changes you have made in your financial practices.

1.

2.

3.

 

 

 

 

SAMPLE A—POST EVALUATION ONLY

Follow-Up Evaluation


Please indicate how your overall financial position has changed since completing the program.

 

Decreased

No Change

Increased

By how much did it change?

Monthly income.

 

 

 

 

Monthly expenses.

 

 

 

 

Total savings.

 

 

 

 

Total debt.

 

 

 

 

 

As a result of the program, have you achieved any personal goal(s)?
(Examples: buying a car, paying down debt, or opening a checking account)

_____ Yes

    

What was the single most important goal you achieved?

 

 

___________________________________________________________________

_____ No

    

What things have prevented you from achieving your goals?

 

 

___________________________________________________________________

 

 

 

Have you shared what you learned with others?

_____ Yes

    

Who did you share this information with?

 

 

___________________________________________________________________

 

    

How many people did you share this information with?

 

 

___________________________________________________________________

_____ No

    

If you didn’t share this information, why not?

 

 

___________________________________________________________________

Comments/suggestions: Tell us about the programs impact on your everyday life. Share with us your success story!
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Please return this survey to:

RETURN STREET ADDRESS
RETURN CITY
, STATE ZIP

Thank you for completing this evaluation.
We appreciate your help as we strive to improve our educational programs.

 

Please return this survey to:

 

 [RETURN ADDRESS]

 

Thank you for completing this evaluation.

We appreciate your help as we strive to improve our educational programs.


SAMPLE A—POST EVALUATION ONLY

Program Information Sheet

TITLE OF PROGRAM
NAME OF ORGANIZATION
Program Information Sheet

Program Date(s):

 

_______________________________________________________

Instructor(s):

 

_______________________________________________________

Instructor(s) Contact Info:

 

_______________________________________________________

Program Location:

 

_______________________________________________________

Number of Participants:

 

________________________

 

Topics covered during the workshop (check all that apply):

1.

Consumer Decision Making

 

7.

Retirement and Estate Planning

2.

Budgeting

 

8.

Consumer Protection and Identity Theft

3.

Cash Flow Management

 

9.

Risk Management and Insurance

4.

Savings and Investments

 

10.

Taxation

5.

Debt Management

 

11.

Other___________________

6.

Homeownership

 

12.

Other___________________

 

Profile of participants (check all that apply):

1.

General Public

 

7.

Elderly

2.

Low-to-moderate income

 

8.

Military

3.

Moderate-to-upper income

 

9.