| Scroll
down to see directions on how to use this survey.
Please
note that the form on this page probably will not print out
well enough for you to use it with your beneficiaries. It
is only here to help you understand how to use the survey.
Go here to download a copy
that you can print out.
| 4-H
Service Project |
| Indirect
Beneficiary Survey |
| |
| Project:
_____________________________________ |
| |
| Today's
Date ___________________ |
| County
________________________ |
|
| Check
one: |
__ Male |
__ Female |
|
| |
| 4-H
youth recently conducted a service project in
your community. Please rate your feelings about
the project's effectiveness on a five-point scale,
where 1= not effective, 2 = somewhat effective,
3 = effective, 4 = very effective, and 5 = highly
effective. |
|
NE |
SE |
E |
VE |
HE |
| 7.
Does the project meet a need in your community? |
1 |
2 |
3 |
4 |
5 |
| 8.
Was this project useful for youth to do
as service? |
1 |
2 |
3 |
4 |
5 |
|
Please
put additional comments on the back.
THANK
YOU!
|
Directions
for Using the Indirect Beneficiary Survey
This
survey is for people who generally received benefit from your
service learning project. These beneficiaries would include
such people as visitors to a park, museum, library, or other
public location, who did not directly interact with the 4-H'ers
during the actual service.
This
survey should be given approximately one week after the service
project was completed. Please try to collect at least 10 surveys.
There
is a line near the top of the survey labeled "Project."
Before giving out the surveys, fill in a name for the project.
Make it something that makes your project easily identifiable,
such as "Library butterfly garden" or "Clover
County Greenway clean-up."
You
may add questions that you require for your own programming
needs. However, be sure not to alter the questions already
on the survey, as they will enable the 4-H service learning
evaluators to uniformly evaluate service efforts across Tennessee.
The
staff at The Evaluation Team will use the surveys in the impact
study of 4-H service learning. Send your surveys to the state
4-H office, so that they may be forwarded to the program evaluators.
4-H
Seeds of Service
2621 Morgan Circle, 205 Morgan Hall
Knoxville, TN 37996-4510
Before
sending the surveys, you can average the survey responses
to answer question #9 on the Service Learning Activity Report
Form.
Direct
questions to Lori Jean Mantooth at Lmantoo1@utk.edu
or 865-974-2128.
For projects giving direct service to beneficiaries,
please use the Direct Beneficiary
Survey. Projects with direct beneficiaries would include
things such as tutoring, helping the elderly, or anything
that brings 4-H'ers into direct contact with those being served.
|