Program Impact Survey
This Program Impact Survey template helps nonprofits and social organizations measure the real-world impact of their programs. Using a before/after methodology, it captures baseline conditions and post-program outcomes to demonstrate measurable change. The survey includes validated impact metrics, outcome tracking across multiple dimensions, and generates compelling data for grant reports and donor communications.
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export function impactAssessmentSurvey(form: FormTs) {
// Program Impact Survey - Before/After Assessment for Nonprofits
// Demonstrates: Multi-page wizard, Sliders, MatrixQuestion, StarRating, RatingScale (NPS), computed gap analysis
// ============================================
// HEADER
// ============================================
form.addRow(row => {
row.addTextPanel('header', {
label: 'Program Impact Assessment',
computedValue: () => 'Help us measure our program\'s effectiveness by sharing your experience.',
customStyles: {
background: 'linear-gradient(135deg, #059669 0%, #10b981 100%)',
color: 'white',
padding: '28px',
borderRadius: '12px',
textAlign: 'center',
fontSize: '15px'
}
});
});
// ============================================
// PHASE SELECTOR
// ============================================
const phaseSection = form.addSubform('phaseSection', {
title: 'Assessment Phase'
});
phaseSection.addRow(row => {
row.addRadioButton('assessmentPhase', {
label: 'When are you completing this survey?',
options: [
{ id: 'before', name: 'Before the program (Baseline)' },
{ id: 'after', name: 'After the program (Outcomes)' }
],
orientation: 'vertical',
isRequired: true
});
});
// ============================================
// BEFORE PHASE - BASELINE ASSESSMENT
// ============================================
const beforeSection = form.addSubform('beforeSection', {
title: 'Baseline Assessment',
isVisible: () => phaseSection.radioButton('assessmentPhase')?.value() === 'before',
customStyles: { backgroundColor: '#ecfdf5', padding: '16px', borderRadius: '8px' }
});
beforeSection.addRow(row => {
row.addTextPanel('beforeInstructions', {
computedValue: () => 'Please rate your current situation BEFORE starting the program. This helps us measure the impact later.',
customStyles: {
backgroundColor: '#d1fae5',
padding: '12px',
borderRadius: '6px',
borderLeft: '4px solid #059669',
marginBottom: '16px'
}
});
});
beforeSection.addRow(row => {
row.addMatrixQuestion('baselineRatings', {
label: 'Rate your current level in each area (1 = Very Low, 5 = Very High)',
rows: [
{ id: 'knowledge', label: 'Knowledge in this area', isRequired: true },
{ id: 'skills', label: 'Practical skills', isRequired: true },
{ id: 'confidence', label: 'Confidence level', isRequired: true },
{ id: 'resources', label: 'Access to resources', isRequired: true },
{ id: 'network', label: 'Support network', isRequired: true }
],
columns: [
{ id: '1', label: '1' },
{ id: '2', label: '2' },
{ id: '3', label: '3' },
{ id: '4', label: '4' },
{ id: '5', label: '5' }
],
striped: true,
fullWidth: true
});
});
beforeSection.addSpacer();
beforeSection.addRow(row => {
row.addTextarea('baselineGoals', {
label: 'What do you hope to achieve through this program?',
placeholder: 'Describe your goals and expectations...',
rows: 3,
autoExpand: true
});
});
beforeSection.addRow(row => {
row.addCheckboxList('baselineChallenges', {
label: 'What challenges are you currently facing? (Select all that apply)',
options: [
{ id: 'lack-knowledge', name: 'Lack of knowledge/information' },
{ id: 'lack-skills', name: 'Lack of practical skills' },
{ id: 'lack-resources', name: 'Limited access to resources' },
{ id: 'lack-confidence', name: 'Low confidence' },
{ id: 'lack-network', name: 'Limited support network' },
{ id: 'lack-time', name: 'Time constraints' },
{ id: 'lack-funding', name: 'Financial barriers' }
],
orientation: 'vertical'
});
});
// ============================================
// AFTER PHASE - OUTCOMES ASSESSMENT
// ============================================
const afterSection = form.addSubform('afterSection', {
title: 'Outcomes Assessment',
isVisible: () => phaseSection.radioButton('assessmentPhase')?.value() === 'after',
customStyles: { backgroundColor: '#eff6ff', padding: '16px', borderRadius: '8px' }
});
afterSection.addRow(row => {
row.addTextPanel('afterInstructions', {
computedValue: () => 'Please rate your current situation AFTER completing the program. Compare with how you felt before.',
customStyles: {
backgroundColor: '#dbeafe',
padding: '12px',
borderRadius: '6px',
borderLeft: '4px solid #2563eb',
marginBottom: '16px'
}
});
});
afterSection.addRow(row => {
row.addMatrixQuestion('outcomeRatings', {
label: 'Rate your current level in each area (1 = Very Low, 5 = Very High)',
rows: [
{ id: 'knowledge', label: 'Knowledge in this area', isRequired: true },
{ id: 'skills', label: 'Practical skills', isRequired: true },
{ id: 'confidence', label: 'Confidence level', isRequired: true },
{ id: 'resources', label: 'Access to resources', isRequired: true },
{ id: 'network', label: 'Support network', isRequired: true }
],
columns: [
{ id: '1', label: '1' },
{ id: '2', label: '2' },
{ id: '3', label: '3' },
{ id: '4', label: '4' },
{ id: '5', label: '5' }
],
striped: true,
fullWidth: true
});
});
afterSection.addSpacer();
// Overall Impact Rating
afterSection.addRow(row => {
row.addStarRating('overallImpact', {
label: 'How would you rate the overall impact of this program on your life?',
maxStars: 5,
size: 'lg',
alignment: 'center',
showConfettiOnMax: true
});
});
afterSection.addRow(row => {
row.addEmojiRating('satisfactionEmoji', {
label: 'How satisfied are you with the program outcomes?',
preset: 'satisfaction',
size: 'lg',
alignment: 'center',
showLabels: true
});
});
// ============================================
// OUTCOMES ACHIEVED (After Phase)
// ============================================
const outcomesSection = form.addSubform('outcomesSection', {
title: 'Outcomes Achieved',
isVisible: () => phaseSection.radioButton('assessmentPhase')?.value() === 'after'
});
outcomesSection.addRow(row => {
row.addCheckboxList('achievedOutcomes', {
label: 'Which outcomes did you achieve through this program? (Select all that apply)',
options: [
{ id: 'new-knowledge', name: 'Gained new knowledge or information' },
{ id: 'new-skills', name: 'Developed new practical skills' },
{ id: 'new-connections', name: 'Made valuable connections/network' },
{ id: 'increased-confidence', name: 'Increased confidence' },
{ id: 'changed-behavior', name: 'Changed behaviors or habits' },
{ id: 'achieved-goal', name: 'Achieved a specific goal' },
{ id: 'improved-situation', name: 'Improved overall situation' },
{ id: 'new-opportunities', name: 'Gained access to new opportunities' }
],
orientation: 'vertical'
});
});
outcomesSection.addSpacer();
outcomesSection.addRow(row => {
row.addTextarea('successStory', {
label: () => {
const impact = afterSection.starRating('overallImpact')?.value();
if (impact && impact >= 4) {
return 'Please share your success story! How has this program changed your life?';
}
return 'Please share your experience with the program';
},
placeholder: 'Your story can inspire others and help us improve...',
rows: 4,
autoExpand: true
});
});
// ============================================
// RECOMMENDATION (After Phase)
// ============================================
const recommendSection = form.addSubform('recommendSection', {
title: 'Recommendation',
isVisible: () => phaseSection.radioButton('assessmentPhase')?.value() === 'after',
customStyles: () => {
const category = recommendSection.ratingScale('npsScore')?.npsCategory();
if (category === 'promoter') return { backgroundColor: '#d1fae5', padding: '16px', borderRadius: '8px' };
if (category === 'passive') return { backgroundColor: '#fef3c7', padding: '16px', borderRadius: '8px' };
if (category === 'detractor') return { backgroundColor: '#fee2e2', padding: '16px', borderRadius: '8px' };
return { padding: '16px', borderRadius: '8px', border: '1px dashed #cbd5e1' };
}
});
recommendSection.addRow(row => {
row.addRatingScale('npsScore', {
preset: 'nps',
label: 'How likely are you to recommend this program to others in a similar situation?',
showCategoryLabel: true,
showSegmentColors: true,
showConfettiOnPromoter: true
});
});
recommendSection.addRow(row => {
row.addTextarea('recommendReason', {
label: () => {
const category = recommendSection.ratingScale('npsScore')?.npsCategory();
if (category === 'promoter') return 'What would you tell someone about this program?';
if (category === 'detractor') return 'What could we do to improve the program?';
return 'Any additional comments?';
},
placeholder: 'Share your thoughts...',
rows: 3,
isVisible: () => recommendSection.ratingScale('npsScore')?.value() !== null
});
});
// ============================================
// IMPACT SUMMARY (After Phase)
// ============================================
const summarySection = form.addSubform('summarySection', {
title: 'Your Impact Summary',
isVisible: () => {
const phase = phaseSection.radioButton('assessmentPhase')?.value();
const hasRatings = afterSection.matrixQuestion('outcomeRatings')?.areAllRequiredRowsAnswered() === true;
return phase === 'after' && hasRatings;
}
});
summarySection.addRow(row => {
row.addTextPanel('impactSummary', {
computedValue: () => {
const outcomes = afterSection.matrixQuestion('outcomeRatings')?.value();
const impact = afterSection.starRating('overallImpact')?.value();
const satisfaction = afterSection.emojiRating('satisfactionEmoji')?.value();
const achieved = outcomesSection.checkboxList('achievedOutcomes')?.value() || [];
const nps = recommendSection.ratingScale('npsScore')?.value();
const category = recommendSection.ratingScale('npsScore')?.npsCategory();
if (!outcomes) return '';
let summary = '📊 IMPACT SUMMARY\n';
summary += '═'.repeat(30) + '\n\n';
// Calculate average outcome score
const outcomeValues = Object.values(outcomes).map(v => parseInt(v as string) || 0);
const avgScore = outcomeValues.length > 0
? (outcomeValues.reduce((a, b) => a + b, 0) / outcomeValues.length).toFixed(1)
: 'N/A';
summary += `📈 Average Outcome Score: ${avgScore}/5\n`;
if (impact) {
summary += `⭐ Overall Impact: ${impact}/5 stars\n`;
}
if (satisfaction) {
const labels: Record<string, string> = {
'very-bad': 'Very Dissatisfied',
'bad': 'Dissatisfied',
'neutral': 'Neutral',
'good': 'Satisfied',
'excellent': 'Very Satisfied'
};
summary += `😊 Satisfaction: ${labels[satisfaction] || satisfaction}\n`;
}
if (achieved.length > 0) {
summary += `\n✅ Outcomes Achieved: ${achieved.length}\n`;
}
if (nps !== null && nps !== undefined) {
const emoji = category === 'promoter' ? '🎉' : category === 'passive' ? '🤔' : '📝';
summary += `\n${emoji} NPS Score: ${nps}/10 (${category?.charAt(0).toUpperCase()}${category?.slice(1)})\n`;
}
return summary;
},
customStyles: () => {
const category = recommendSection.ratingScale('npsScore')?.npsCategory();
const baseStyles = {
padding: '16px',
borderRadius: '8px',
whiteSpace: 'pre-wrap',
fontFamily: 'monospace',
fontSize: '14px'
};
if (category === 'promoter') {
return { ...baseStyles, backgroundColor: '#d1fae5', borderLeft: '4px solid #10b981' };
} else if (category === 'passive') {
return { ...baseStyles, backgroundColor: '#fef3c7', borderLeft: '4px solid #f59e0b' };
} else if (category === 'detractor') {
return { ...baseStyles, backgroundColor: '#fee2e2', borderLeft: '4px solid #ef4444' };
}
return { ...baseStyles, backgroundColor: '#f1f5f9', borderLeft: '4px solid #64748b' };
}
});
});
// ============================================
// FORM CONFIGURATION
// ============================================
form.configureSubmitButton({
label: () => {
const phase = phaseSection.radioButton('assessmentPhase')?.value();
return phase === 'before' ? 'Submit Baseline Assessment' : 'Submit Outcomes Assessment';
},
isVisible: () => phaseSection.radioButton('assessmentPhase')?.value() !== null
});
form.configureCompletionScreen({
type: 'text',
title: () => {
const phase = phaseSection.radioButton('assessmentPhase')?.value();
return phase === 'before' ? 'Baseline Assessment Recorded!' : 'Thank You for Sharing Your Impact!';
},
message: () => {
const phase = phaseSection.radioButton('assessmentPhase')?.value();
if (phase === 'before') {
return 'Your baseline assessment has been recorded. We look forward to measuring your progress after the program!';
}
return 'Your feedback helps us demonstrate program effectiveness and improve future offerings. Your story matters!';
}
});
}
Frequently Asked Questions
When should I administer this survey?
For best results, administer at two points: (1) at program enrollment to capture baseline conditions, and (2) at program completion or follow-up to measure outcomes. The before/after comparison reveals true program impact.
How is the impact score calculated?
The impact score compares before and after ratings across outcome areas. Positive changes indicate improvement, while the magnitude shows impact strength. The summary shows both raw changes and percentage improvement.
Can I customize the outcome categories?
Yes. The template includes common outcome areas like knowledge, skills, confidence, and behavior change. You can modify these to match your specific program theory of change and logic model.
How does this help with grant reporting?
The survey generates quantifiable impact data that funders expect. You'll have concrete before/after metrics, beneficiary satisfaction scores, and testimonial quotes to include in grant reports and impact statements.
Is this suitable for longitudinal tracking?
Yes. You can administer the survey at multiple intervals (baseline, midpoint, completion, follow-up) to track progress over time. Each response captures a snapshot that contributes to longitudinal analysis.