CHNA 20 Mini-grant Program Pre/Post Test
Date: __________ TA Provider: ______________________________ Coalition Name:____________________________________________________ High
Medium
Low
Emerging
Leadership capacity Shared vision and purpose Collective decision making process Readiness of stakeholders to address problem(s) Potential for sustainability beyond current activity/plan Understanding of identified issue (OD,UAD)
Please add comments for clarity Yes Vision and mission statement Accessing needs assessment data Collecting needs assessment data Prioritizing risk and protective factors Using a planning model (SPF) Short-term action plan in place Intervention (s) identified or used Multiple sectors/key stakeholders
In process
No
CHNA 20 Mini-grant Program Pre/Post Test
represented Outreach and/or marketing materials Evaluation plan for current activities Identified additional resources for capacity building
Where is the coalition in the planning process? What materials have been developed? What key stakeholders are missing?