CDCynergy Social Marketing Project

Evaluation Form

Name:
Health Problem:
Date:
Yes / Marginal / No / NA
MyPlan
Phase 1 questions answered briefly and thoughtfully, a theory?
Phase 2 questions answered briefly and thoughtfully
Phase 3 questions answered briefly and thoughtfully
Phase 4 questions answered briefly and thoughtfully
Phase 5 questions answered briefly and thoughtfully
MyModel
High reach (~80% to 90%) of target population expected reach addressed?
Measurable short-, medium-, long-term SMART objectives?
Bullet Background Paper
Is the format in accord with course guideline or organization?
Are purpose, problem, discussion and recommendations described succinctly?
Are recommendations supported by the data and the arguments presented? Evaluation plan presented?
Staff Summary Sheet
Is the format in accord with course guideline or organization?
Are purpose, problem, discussion and recommendations described succinctly?
Are recommendations supported by the data and the arguments presented? Evaluation plan presented?
PowerPoint (2 or 3 BLUF slides, no more than 12 only)
Professional Appearance
Appropriate Content: problem, discussion/background, recommendation? Evaluation plan presented?
Uses participant’s organization template?

Must haves:

·  Know your target population/audience to tailor the program to their interests, desire needs, aspirations. CDCynergy Phase 1.3.

·  Use at least one theory - CDCynergy Phase 1.4, Use Theory at a Glance

·  Have SMART (specific, measurable, actionable, realistic and timed) objectives) - CDCynergy Phase 4.2 addressed in recommendations sections

·  Evaluation plan - CDCynergy Phase 5 addressed in recommendation sections

Name:
Health Problem:
Date:

MyPlan

MyModel

Staff Summary Sheet

Bullet Background Paper

Decision Briefing Presentation

1