Activist Tool Kit

SURVEY PROJECT TRACKING REPORT FORM

DATA TO TRACK:

Chapter Name:_______________________________________________________________

Survey Point Person:____________________________________________________________

Month __________ Year______ Number of Surveys being submitted: ____­­­­___

*Has the data entry been completed for local use: Y or N

*Has the data already been submitted electronically to the statewide organization: Y or N

Organization’s target goal by February 4, 2013: ________

Number of surveys organization has collected to date: ___________

Goal for next month?__________

ASSESSING THE HANDLING OF THE SURVEY PROCESS:

What went well in collecting and administering the survey?

Was there anything you or your group struggled with?

Could anything be improved?

Are you satisfied with the procedures for administering the written petition? YES

OR NO

If NO explain:


Any additional comments and suggestions?