Data Collection and Evaluation

Data Collection Materials ~ Packets will be sent 1-2 weeks before the start of the program to the person listed on the Program Notification Form. 

The following materials are critical for keeping record of and evaluating Powerful Tools for Caregivers workshops in Wisconsin.  If you have questions about their use, contact us at WIHA.

Data Collection Materials
These data collection materials are to be used with each workshop. 


Data Collection Instructions for Leaders (PDF) 9.6.17
Instructions for completion, collection and mailing of the Demographic Questionnaires and Attendance Log. Please open this document, print it, and read it.


Health & Demographic Survey (PDF) 9.6.17

Make copies and distribute one to each participant at first session. Leaders will collect completed questionnaires, review for completeness, ask individuals to complete any missing sections, and store in a safe place until the end of the workshop. Send all questionnaires to WIHA with a photocopy of the Attendance Log after the 6th session.


Attendance Log (PDF) 9.6.17
Fill in top portion and use to take attendance at workshop each week.



Evaluation Materials

Evaluation is critical for maintaining program fidelity and workshop quality.  Following is a tool for self-evaluation:


PTC Self-Evaluation Tool