SayPro Stakeholder Feedback Template
Document Title: Stakeholder Feedback and Suggestions
Date of Feedback Collection: ______________________
Facilitator/Collector Name: ______________________
Stakeholder Group: ______________________
Contact Information (optional): ______________________
1. Stakeholder Information
- Name: ______________________
- Role/Position: ______________________
- Organization (if applicable): ______________________
2. Feedback Categories
Please provide your feedback in the relevant categories below:
A. Program Strengths
- What aspects of the program do you believe are working well?
B. Areas for Improvement
- What areas do you think need improvement?
C. Suggestions for Change
- What specific changes or enhancements would you recommend?
D. Additional Comments
- Any other comments or insights you would like to share?
3. Prioritization of Feedback
- Please rank the importance of your feedback (1 = most important, 5 = least important):
- Program Strengths: _____
- Areas for Improvement: _____
- Suggestions for Change: _____
- Additional Comments: _____
4. Follow-Up
- Would you like to be contacted for follow-up discussions regarding your feedback?
- [ ] Yes
- [ ] No
- Preferred Method of Contact:
- [ ] Phone
- [ ] Other: ______________________
5. Signature (optional)
- Signature: ______________________
- Date: ______________________
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