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SayPro Stakeholder Review Form (for tested action plans)

SayPro Stakeholder Review Form

(For Tested Action Plans)


🔹 General Information

  • Project/Action Plan Name: _______________________________________
  • Date of Review: _______________________________________
  • Reviewer Name: _______________________________________
  • Position/Role: _______________________________________
  • Stakeholder Group (e.g., Manager, Team Member, Client): _______________________________________

SayPro Section 1: Action Plan Effectiveness

QuestionRating (1=Strongly Disagree, 5=Strongly Agree)Comments
1. The action plan addressed the core improvement area effectively.1 ☐ 2 ☐ 3 ☐ 4 ☐ 5 ☐
2. The actions taken were appropriate and well-executed.1 ☐ 2 ☐ 3 ☐ 4 ☐ 5 ☐
3. The timeline and milestones were realistic and achieved as planned.1 ☐ 2 ☐ 3 ☐ 4 ☐ 5 ☐
4. The individual/team showed noticeable improvement.1 ☐ 2 ☐ 3 ☐ 4 ☐ 5 ☐
5. The changes made are sustainable in the long term.1 ☐ 2 ☐ 3 ☐ 4 ☐ 5 ☐

SayPro Section 2: Observed Outcomes

6. What were the most positive results of this action plan?
Answer: _______________________________________________________________________


7. Were there any unintended outcomes (positive or negative)?
Answer: _______________________________________________________________________


8. What would you suggest be done differently in future plans?
Answer: _______________________________________________________________________



SayPro Section 3: Final Assessment

9. Overall, how would you rate the success of this action plan?

  • ☐ Poor
  • ☐ Fair
  • ☐ Good
  • ☐ Very Good
  • ☐ Excellent

10. Would you support implementing similar action plans in other teams or departments?

  • ☐ Yes
  • ☐ No
  • ☐ With Modifications

11. Any additional comments or recommendations:
Answer: _______________________________________________________________________



🔹 Signature

Reviewer Signature: __________________________
Date: __________________________

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