Community Needs Assessment
Summary Checklist
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ACTIVITIES: Set Up Activities
PERSON RESPONSIBLE:
DATE COMPLETED:
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ACTIVITIES: Adopt or develop research ethical guidelines
(refer to Appendix A for example)
PERSON RESPONSIBLE:
DATE COMPLETED:
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ACTIVITIES: Coordinate your needs assessment with
other community research
PERSON RESPONSIBLE:
DATE COMPLETED:
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ACTIVITIES: Design and Carry Out Your Needs
Assessment
PERSON RESPONSIBLE:
DATE COMPLETED:
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ACTIVITIES: Discuss the objectives of the needs
assessment
PERSON RESPONSIBLE:
DATE COMPLETED:
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ACTIVITIES: Decide on the type of data you want to
collect
PERSON RESPONSIBLE:
DATE COMPLETED:
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ACTIVITIES: Develop or adapt collection tools (refer to
Appendices B, C, D, E, F for examples)
PERSON RESPONSIBLE:
DATE COMPLETED:
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ACTIVITIES: Decide on the data collection methods you
will use (e.g. the survey, the focus groups,
meetings and the interviews)
PERSON RESPONSIBLE:
DATE COMPLETED:
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ACTIVITIES: Review process with community leadership
PERSON RESPONSIBLE:
DATE COMPLETED:
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ACTIVITIES: Organize and carry out the data collection
PERSON RESPONSIBLE:
DATE COMPLETED:
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ACTIVITIES: Analyze the Information You Have Gathered
PERSON RESPONSIBLE:
DATE COMPLETED:
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ACTIVITIES: Sort and organize the information into
categories, using charts as appropriate
(refer to Appendix G for example)
PERSON RESPONSIBLE:
DATE COMPLETED:
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ACTIVITIES: Review the information and discuss your
understanding of it
PERSON RESPONSIBLE:
DATE COMPLETED:
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ACTIVITIES: Prepare Your Needs Assessment Report
(refer to Appendix G for example)
PERSON RESPONSIBLE:
DATE COMPLETED:
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ACTIVITIES: Description of needs assessment process
PERSON RESPONSIBLE:
DATE COMPLETED:
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ACTIVITIES: Description of the community and its
community based services
PERSON RESPONSIBLE:
DATE COMPLETED:
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ACTIVITIES: Summary of the information collected
PERSON RESPONSIBLE:
DATE COMPLETED:
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ACTIVITIES: Profile of the existing and the needed
services
PERSON RESPONSIBLE:
DATE COMPLETED:
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ACTIVITIES: Most significant service gaps identified
PERSON RESPONSIBLE:
DATE COMPLETED:
- ACTIVITIES: Most critical training requirements
PERSON RESPONSIBLE:
DATE COMPLETED:
- ACTIVITIES: Review Results with Community Leadership
PERSON RESPONSIBLE:
DATE COMPLETED:
- ACTIVITIES: Hold Community Meeting
PERSON RESPONSIBLE:
DATE COMPLETED:
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