SayPro Stakeholder Feedback Form

Purpose: This form is designed to collect valuable feedback from program beneficiaries, community leaders, and other stakeholders. It will help SayPro assess the effectiveness of its programs, understand stakeholder concerns, and identify areas for improvement.

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SayPro Stakeholder Information

Field	Details
Name	[Insert Name]
Organization/Community Name	[Insert Name]
Role/Title	[Insert Role or Title]
Contact Information	[Phone/Email Address]
Program Involvement	[Select one: Beneficiary / Community Leader / Partner / Other]

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SayPro Program Engagement

Field	Details
How long have you been involved with the program?	[Insert Duration]
Which program or initiative are you providing feedback on?	[Insert Program Name]
How did you first learn about this program?	[Select one: Word of Mouth / Community Meeting / Flyer / Social Media / Other]

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SayPro Program Impact and Effectiveness

Question	Rating (1 = Strongly Disagree, 5 = Strongly Agree)
The program has effectively addressed the community’s needs.	1 / 2 / 3 / 4 / 5
The services provided are accessible to everyone in the community.	1 / 2 / 3 / 4 / 5
I am satisfied with the quality of the services provided.	1 / 2 / 3 / 4 / 5
The program has led to noticeable improvements in the community.	1 / 2 / 3 / 4 / 5
The program staff is responsive and approachable.	1 / 2 / 3 / 4 / 5

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SayPro Challenges and Barriers

Question	Response
What challenges or barriers have you encountered in accessing or benefiting from the program?	[Open text response]
Are there specific community needs that are not being addressed by the program?	[Open text response]
Have you faced any communication issues with the program (e.g., unclear information, lack of updates)?	[Yes / No] If yes, please explain: [Open text]

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SayPro Communication and Outreach

Question	Rating (1 = Very Poor, 5 = Excellent)
How would you rate the program’s communication efforts?	1 / 2 / 3 / 4 / 5
Was the information provided to you clear and easy to understand?	1 / 2 / 3 / 4 / 5
How satisfied are you with the frequency of updates about the program’s progress or changes?	1 / 2 / 3 / 4 / 5
What methods of communication would you prefer for program updates?	[Select one: Email / Phone Calls / Social Media / In-Person Meetings / Newsletters / Other]

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SayPro Suggestions and Recommendations

Question	Response
What improvements would you suggest for the program?	[Open text response]
Do you have any additional comments or feedback?	[Open text response]

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SayPro Consent and Confidentiality

Field	Response
Do you consent to participate in this feedback process?	[Yes / No]
Do you agree to have your responses used anonymously for program improvements?	[Yes / No]

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SayPro Thank You

Thank you for taking the time to provide your feedback. Your input is invaluable in helping SayPro improve its programs and better serve the community.