Research-Tested Intervention Programs: User Review Form

Tell us about yourself...

Display Name: *

Job Title:

Organization Type: *

Please Specify:

Organization Name:

Project Location:

City:

State:

Country:

In what capacity have you used the program? *

Implementation Dates:

Start

End Ongoing (No end date)

Review Title: *

Share your experience with the program: *

Writing Guidelines

Give a basic description of how your intervention was or will be implemented. What works well and what doesn't work well.
If the program was implemented, was it sustained?
How did your program implementation differ from the program downloaded?
Describe how useful the program is/ was and how appropriate it is/was for widespread dissemination.
What challenges did you encounter or do you foresee (if any) in implementing the program?

Provide information on the target audience: *

Writing Guidelines

Who is/ was the target audience?
Does/ did the program meet the need of your target audience or setting?
Do/ did you need to adapt the intervention? If so, how will/ did you adapt it for the audience or setting?

Additional comments about using the program: *

Writing Guidelines

Were there barriers/ difficulties to overcome in order to implement the program(e.g. cost)? If so, how were/ weren't they resolved?
What elements of the programs were used?
How useful were the program materials?
What amount of time and resources are required to implement the program?

If so, please provide your contact information. Your contact information will not be publicly shared.

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Yes

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