Principal Investigator(s):

Organization:

Project Goal(s):

Status of the Project:

Respondent’s Name and Title:

Did you achieve the goal(s) of the project?

Yes No

Please describe the challenges that you have faced with:

Please discuss the changes that you would make on your proposal, if you had a chance to start over:

Description of the regional asset and how it has been used in your project (1):

Status of the asset

existing potential

Abundance of the asset 

1 (Scarce) 2 3 4 5 (Plentiful)

Importance of the asset in regional development

1 (Not Important) 2 3 4 5 (Very Important)

Usage of this asset in your project

1 (None) 2 3 4 5 (Extensive)

Current usage of the asset in general

1 (None) 2 3 4 5 (Extensive)

The reasons this asset is important to region’s development:

The actions need to be taken to use this asset more fully or develop this asset:

Comments on this asset:

Description of the regional asset and how it has been used in your projec (2):

Status of the asset

existing potential

Abundance of the asset 

1 (Scarce) 2 3 4 5 (Plentiful)

Importance of the asset in regional development

1 (Not Important) 2 3 4 5 (Very Important)

Usage of this asset in your project

1 (None) 2 3 4 5 (Extensive)

Current usage of the asset in general

1 (None) 2 3 4 5 (Extensive)

The reasons this asset is important to region’s development:

The actions need to be taken to use this asset more fully or develop this asset:

Comments on this asset:

Description of the regional asset and how it has been used in your project (3):

Status of the asset

existing potential

Abundance of the asset 

1 (Scarce) 2 3 4 5 (Plentiful)

Importance of the asset in regional development

1 (Not Important) 2 3 4 5 (Very Important)

Usage of this asset in your project

1 (None) 2 3 4 5 (Extensive)

Current usage of the asset in general

1 (None) 2 3 4 5 (Extensive)

The reasons this asset is important to region’s development:

The actions need to be taken to use this asset more fully or develop this asset:

Comments on this asset:

Description of the regional asset and how it has been used in your projec (4)t:

Status of the asset

existing potential

Abundance of the asset 

1 (Scarce) 2 3 4 5 (Plentiful)

Importance of the asset in regional development

1 (Not Important) 2 3 4 5 (Very Important)

Usage of this asset in your project

1 (None) 2 3 4 5 (Extensive)

Current usage of the asset in general

1 (None) 2 3 4 5 (Extensive)

The reasons this asset is important to region’s development:

The actions need to be taken to use this asset more fully or develop this asset:

Comments on this asset:

Description of the regional asset and how it has been used in your projec (5)t:

Status of the asset

existing potential

Abundance of the asset 

1 (Scarce) 2 3 4 5 (Plentiful)

Importance of the asset in regional development

1 (Not Important) 2 3 4 5 (Very Important)

Usage of this asset in your project

1 (None) 2 3 4 5 (Extensive)

Current usage of the asset in general

1 (None) 2 3 4 5 (Extensive)

The reasons this asset is important to region’s development:

The actions need to be taken to use this asset more fully or develop this asset:

Comments on this asset:

Description of the regional asset and how it has been used in your project (6):

Status of the asset

existing potential

Abundance of the asset 

1 (Scarce) 2 3 4 5 (Plentiful)

Importance of the asset in regional development

1 (Not Important) 2 3 4 5 (Very Important)

Usage of this asset in your project

1 (None) 2 3 4 5 (Extensive)

Current usage of the asset in general

1 (None) 2 3 4 5 (Extensive)

The reasons this asset is important to region’s development:

The actions need to be taken to use this asset more fully or develop this asset:

Comments on this asset:

Description of an asset lacking in the region (1):

Importance of the asset in regional development

1 (Not Important) 2 3 4 5 (Very Important)

Your project’s dependence on this asset

1 (None) 2 3 4 5 (Extensive)

Region’s dependence on this asset in general

1 (None) 2 3 4 5 (Extensive)

The reasons this asset is important to region’s development: 

The existing/potential assets in the region that can complement, replace or support this asset: 

Comments on this asset:

Description of an asset lacking in the region (2):

Importance of the asset in regional development

1 (Not Important) 2 3 4 5 (Very Important)

Your project’s dependence on this asset

1 (None) 2 3 4 5 (Extensive)

Region’s dependence on this asset in general

1 (None) 2 3 4 5 (Extensive)

The reasons this asset is important to region’s development: 

The existing/potential assets in the region that can complement, replace or support this asset: 

Comments on this asset:

Description of an asset lacking in the region (3):

Importance of the asset in regional development

1 (Not Important) 2 3 4 5 (Very Important)

Your project’s dependence on this asset

1 (None) 2 3 4 5 (Extensive)

Region’s dependence on this asset in general

1 (None) 2 3 4 5 (Extensive)

The reasons this asset is important to region’s development: 

The existing/potential assets in the region that can complement, replace or support this asset: 

Comments on this asset:

Description of an asset lacking in the region (4):

Importance of the asset in regional development

1 (Not Important) 2 3 4 5 (Very Important)

Your project’s dependence on this asset

1 (None) 2 3 4 5 (Extensive)

Region’s dependence on this asset in general

1 (None) 2 3 4 5 (Extensive)

The reasons this asset is important to region’s development: 

The existing/potential assets in the region that can complement, replace or support this asset: 

Comments on this asset:

Description of an asset lacking in the region (5):

Importance of the asset in regional development

1 (Not Important) 2 3 4 5 (Very Important)

Your project’s dependence on this asset

1 (None) 2 3 4 5 (Extensive)

Region’s dependence on this asset in general

1 (None) 2 3 4 5 (Extensive)

The reasons this asset is important to region’s development: 

The existing/potential assets in the region that can complement, replace or support this asset: 

Comments on this asset:

Description of an asset lacking in the region (6):

Importance of the asset in regional development

1 (Not Important) 2 3 4 5 (Very Important)

Your project’s dependence on this asset

1 (None) 2 3 4 5 (Extensive)

Region’s dependence on this asset in general

1 (None) 2 3 4 5 (Extensive)

The reasons this asset is important to region’s development: 

The existing/potential assets in the region that can complement, replace or support this asset: 

Comments on this asset:

Description of the regional need (1):

Assets of the region to meet this need

1 (Scarce) 2 3 4 5 (Plentiful)

Importance of meeting this need

1 (Not Important) 2 3 4 5 (Very Important)

Effectiveness of your project to meet this need

1 (Not Effective) 2 3 4 5 (Very Effective)

Actions taken to meet this need in general

1 (None) 2 3 4 5 (Extensive)

The reasons meeting this need is important to:

Utilized assets to meet this need:

Actions taken to meet this need:

Comments on this need:

Description of the regional need (2):

Assets of the region to meet this need

1 (Scarce) 2 3 4 5 (Plentiful)

Importance of meeting this need

1 (Not Important) 2 3 4 5 (Very Important)

Effectiveness of your project to meet this need

1 (Not Effective) 2 3 4 5 (Very Effective)

Actions taken to meet this need in general

1 (None) 2 3 4 5 (Extensive)

The reasons meeting this need is important to:

Utilized assets to meet this need:

Actions taken to meet this need:

Comments on this need:

Description of the regional need (3):

Assets of the region to meet this need

1 (Scarce) 2 3 4 5 (Plentiful)

Importance of meeting this need

1 (Not Important) 2 3 4 5 (Very Important)

Effectiveness of your project to meet this need

1 (Not Effective) 2 3 4 5 (Very Effective)

Actions taken to meet this need in general

1 (None) 2 3 4 5 (Extensive)

The reasons meeting this need is important to:

Utilized assets to meet this need:

Actions taken to meet this need:

Comments on this need:

Description of the regional need (4):

Assets of the region to meet this need

1 (Scarce) 2 3 4 5 (Plentiful)

Importance of meeting this need

1 (Not Important) 2 3 4 5 (Very Important)

Effectiveness of your project to meet this need

1 (Not Effective) 2 3 4 5 (Very Effective)

Actions taken to meet this need in general

1 (None) 2 3 4 5 (Extensive)

The reasons meeting this need is important to:

Utilized assets to meet this need:

Actions taken to meet this need:

Comments on this need:

Description of the regional need (5):

Assets of the region to meet this need

1 (Scarce) 2 3 4 5 (Plentiful)

Importance of meeting this need

1 (Not Important) 2 3 4 5 (Very Important)

Effectiveness of your project to meet this need

1 (Not Effective) 2 3 4 5 (Very Effective)

Actions taken to meet this need in general

1 (None) 2 3 4 5 (Extensive)

The reasons meeting this need is important to:

Utilized assets to meet this need:

Actions taken to meet this need:

Comments on this need:

Description of the regional need (6):

Assets of the region to meet this need

1 (Scarce) 2 3 4 5 (Plentiful)

Importance of meeting this need

1 (Not Important) 2 3 4 5 (Very Important)

Effectiveness of your project to meet this need

1 (Not Effective) 2 3 4 5 (Very Effective)

Actions taken to meet this need in general

1 (None) 2 3 4 5 (Extensive)

The reasons meeting this need is important to:

Utilized assets to meet this need:

Actions taken to meet this need:

Comments on this need:

Overall effectiveness of your project

1 (Not Effective) 2 3 4 5 (Very Effective)

Please list actions to be taken outside of your project that would increase its effectiveness:

Sustainability of your project:

1 (Not Sustainable) 2 3 4 5 (Very Sustainable)

Please discuss the needs to make your project more sustainable:

Did you share the project outcomes with others?

Yes No

If yes, please provide a brief explanation on how. If no, please provide a brief explanation on why not.

Did you take any actions to increase the impact of your project?

Yes No

If yes, please provide a brief explanation on how. If no, please provide a brief explanation on why not.

Did you continue to use the project outcomes?

Yes No

If yes, please provide a brief explanation on how. If no, please provide a brief explanation on why not.  

Did you expand your project?

Yes No

If yes, please provide a brief explanation on how. If no, please provide a brief explanation on why not.  

Did you apply for follow-up grant(s)?

Yes No

If yes, please provide a brief explanation on how. If no, please provide a brief explanation on why not.  

General comments on regional assets and needs: