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Project Activity *
Please check the category that best describes you: *
PLEASE CIRCLE EITHER YES OR NO TO TELL US YOUR OPINION ABOUT THE FOLLOWING STATEMENTS: I (or my family member) was treated with respect during this project activity. *
I (or my family member)have more choice and control as a result of this project activity. *
I (or my family member) can do more things in my community as a result of this project activity. *
PLEASE SELECT THE ANSWER THAT BEST DESCRIBES YOUR OPINION. I am satisfied with this project activity. *
My life is better because of this project activity. *
What has been helpful or not helpful about this project?
THE FOLLOWING ARE OPTIONAL QUESTIONS TO BE USED WHEN A PROJECT ACTIVITY INCLUDES RIGHTS AND PROTECTION ISSUES. Because of this project activity, I (or my family member)know my rights.
I (or my family member)am more able to be safe and protect myself from harm as a result of this project activity.

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