CONFIDENTIAL
Participant Questionnaire (Baseline / Endline)
For Research Purpose only
Building Young Women’s Leadership Through Sport
Participant Questionnaire Women Win <<Insert name of implementing organisation>>
CODE
Organisation fills in (before questionnaire is administered): Organisation Name:
<<Insert name of implementing organisation>>
Programme Name:
<<Insert name of programme>>
Area/Site Name:
<<Insert name of area/site>>
Time of Assessment: <<Choose one:
Baseline
Midline
Endline>>
Questionnaire Administrator fills in (when questionnaire is administered): Questionnaire Administrator’s Name:
______________________________
Date: ______ / ______ / ______ How was this questionnaire filled in? Please check the box next to the most correct answer – choose one response only. By the participant herself (self-administered)………………………………………………………….....☐ With assistance from an administrator (interviewed)…………………………………………….......☐
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