Pre-test/Post-test 

To use this questionnaire, distribute these questions before and after your workshop. This can be helpful if you want to know how effective your presentation was or if you want to assess the baseline level of knowledge in your community. Each statement is scored from “Strongly Disagree” to “Strongly Agree”

• I understand what is meant by “population aging” and can articulate the potential impacts for Wisconsin and my community 
• I can describe the six qualities of an aging-friendly or livable community 
• I can describe at least four characteristics of an aging-friendly community
• I have a good sense of the challenges I may face as I age, as well as the older adults and their families in my community
• I understand that as we age we gain momentum, and together we can ensure that everyone stays involved in our communities as we age. 

Printable copy: Aging Friendly Communities Pre-test & Post-test

Post-test only

To use this questionnaire, distribute these questions after your workshop. This can be helpful if you want to know how effective your presentation was. Each statement is scored from “Strongly Disagree” to “Strongly Agree”

• This workshop improved my understanding of  population aging and the potential impacts for Wisconsin and my community 
• This workshop improved my knowledge of the six qualities of an aging-friendly or livable community 
• This workshop improved my understanding of the challenges I may face as I age, as well as older adults and their families in my community 
• I can articulate where my community is succeeding in aging-friendly characteristics, as well as our priorities for improvement 
• After this workshop, I understand that as we age we gain momentum, and together we can ensure that everyone stays involved in our communities as we age. 

Printable copy: Aging Friendly Communities Post-test

Looking for something more comprehensive? Use this:

Evaluation form created by Dr. Clifton Barber, professor emeritus.

This evaluation form includes ten questions evaluating the effectiveness of the presentation, including the ability to write comments and suggestions for future presentations.

To use this questionnaire, distribute these questions after your workshop. This can be helpful if you want to know how participants plan to stay involved after the workshop. Each statement is scored from “Strongly Disagree” to “Strongly Agree”

• I intend to participate in a subgroup or committee addressing a priority aging-friendly characteristic 
• This group has a concrete plan to address priority characteristics going forward
• I can articulate the next steps and long-term goals in improving aging-friendly characteristics of my community

Printable copy: Aging Friendly Communities Future Intentions

This type of evaluation is a bit different – rather than asking participants for their evaluations, understanding community-level changes involves finding and tracking indicators and changes within your community. This might include:

Short-Term Evaluations:

• Continued discussion about these issues; whether the participants achieve the initial SMART goals they set for themselves.
• Whether aging-friendly language appears in the strategic plans or other guiding documents
• Newspaper articles, blog posts, etc, about the aging-friendliness of the community

Medium/Long-Term Evaluations:

• Successful completion of projects on key priority characteristics by the group
• Repeating the survey to discover what has changed
• Concrete data like the rate of falls among older adults (available from County Health Rankings) or food insecurity among older adults
• Changes in other aging-friendly indicators, including consideration of the data suggestions listed with each Characteristic description