Needs Assessment Template - duplicate

• Interviewed on

  Date

• Person/people who were interviewed

  Date

• Interview Title

• Target Audience

• Area/Location
  Address

• Conducted by

Economic, Social and Environmental Factors

• Consider the economic factors affecting the organisation and target population you are working with:
  

• What financial assets do the people you are working with have currently? How stable are these assets?

• As an non-profit organisation, how does El'Shammah Child and Youth Care Centre receive funding?

• Does El'Shammah receive sponsorship or pro bono work from any industries or organisations in the area?

  Yes

  No

  N/A

• If yes, what do these sponsorships and pro bono professionals offer the home? Do they offer basic living items, services, etc.?

• From the external help offered to El'Shammah by the above individuals and groups, is there consistency and sustainability?

• What other professional personnel or organisations would El'Shammah benefit in receiving services from?

• Consider the social factors affecting the people you are working with

• What are the demographics of the individuals whom El'Shammah assists? Example: gender, age, etc.

• 2. What social assets do the people you are working with have currently? How stable are these assets?

• Do the people you are working with have access to social support or resources outside of the centre?

• What health-related issues and trends are present in these group of individuals?

• What role does the government play in the lives of these individuals?

• What cultural norms and practices are present that need to be accounted for in the community and organisation?

• What other groups or organizations are doing development or non-profit work within the community?

• Consider the environmental factors affecting the people you are working with:

• Describe the physical location of the community – What are the living conditions like?

• Describe the infrastructure available to the community.

• 4. What physical assets do the people you are working with have currently? How stable are these assets?

• What other environmental factors are applicable to your beneficiary community?

  Select Pollution Waste Management Lack of service delivery and basic needs Lack of running water and electricity Crime, violence, and danger Others

  • Pollution
  • Waste Management
  • Lack of service delivery and basic needs
  • Lack of running water and electricity
  • Crime, violence, and danger
  • Others

• Specify

Needs and Stresses Identified

• What problems, concerns, or issues are currently prevalent in your community and affect your organisation and the people you work with? Please name and briefly describe 1-2 of these that are of priority concern.

• Who are the persons affected by the problem?

• What major stresses exacerbate these identified issues to be addressed and those affected by them?

• What indicators or sources can provide support that these concerns/issues exists?

• What are the effects of not addressing these needs?

• What do you hope to gain or achieve for the betterment of your organisation and the members it helps?

Available Assets and Resources

• Please check the assets available that apply to your community and or organisation

  Individual assets

  Citizen organisations

  Local, community organisations

  Physical assets

  Group assets

• What resources—human, material, and financial—are available within the community as well as outside the community that can help bear these problems?

• Please name the stakeholders or participants who contribute to your organisation in a meaningful and productive way so as to help you achieve your organisation's aims. Please include next to each what they valuable resource, service, or asset they offer your organisation.

• What strengths does your organisation have that could enhance combatting the problems and concerns previously identified?

• What skills, resources, or tools do you think your organisation and the people who are affected by the highlighted issues would benefit from having?

• Signature of interviewee(s)

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• Signature of interviewer

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