Pre/Post Survey Template

Customizable participant assessment for program evaluation

OutcomeRadar

Survey Information (complete before distributing)

Program Name

Survey Type (circle): PRE / POST

Participant ID (not name)

Instructions for Participants This survey helps us understand how our program is working. There are no right or wrong answers — we want to know your honest experience. Your responses are confidential and will not affect your participation in the program. Please answer all questions. Thank you.

[Customize this text for your program and participant population]

Scale:

1 Strongly Disagree

2 Disagree

3 Neutral

4 Agree

5 Strongly Agree

Section A — Knowledge

I understand the key concepts related to [topic]. Customize: replace [topic] with your program content area

I can explain [skill or concept] in my own words. Customize: specify the skill or concept from your curriculum

I know where to find resources or support related to [topic] when I need them. Customize: tailor to the type of resources available in your program

Section B — Skills & Confidence

I feel confident in my ability to [key program skill]. Customize: specify the primary skill your program builds

I am able to [apply skill or take action relevant to program goal]. Customize: what concrete action should participants be able to take after completing the program?

I feel prepared to [next step after program completion]. Customize: e.g., "apply for a job", "manage my budget", "navigate the college application process"

Section C — Attitudes & Behavior

I believe [program-relevant belief or attitude about self or situation]. Customize: what mindset shift is your program trying to produce? E.g., "I believe I belong in college", "I believe I can manage my health"

In the past [time period], I have [specific behavior related to program outcomes]. Customize: specify the behavior, e.g., "exercised at least 3x per week", "reviewed my budget", "attended tutoring sessions"

Yes

N/A

Section D — Open Response (POST survey only)

What is the most important thing you learned or gained from this program?

What would you change or improve about this program?

Is there anything else you'd like us to know? Optional — remove if preferred

Thank you for completing this survey. Your feedback helps us improve our programs.

[Customize: your organization name and website]

Customization Notes (remove before distributing)

Replace all [bracketed placeholders] with program-specific language
Add or remove questions based on your outcomes — 8–12 questions is optimal for completion rates
Ensure participants use the same ID on both pre and post surveys for matched-pair analysis
Administer the pre-survey on Day 1, before any program content is delivered
Upload completed data to OutcomeRadar for automated statistical analysis