Checklist of Policy Indicators for Alcohol, Tobacco, and Other Drugs
This checklist can help coalitions assess the number and types of policies within the community and where they might best extend their efforts.
Source:
Center for Prevention Research & Development (CPRD)
Institute of Government & Public Affairs
University of Illinois at Champaign-Urbana
510 Devonshire Drive Champaign, IL 61820
(217) 333-3231 (office)
(217) 244-0214 (fax)
For more information, please visit http://www.cprd.uiuc.edu/.

Coalition Member Survey
A tool to gage coalition members’ opinions about their involvement with the coalition. It covers topics such as the role they play in the coalition, interaction with other partners, perceived coalition impact on ATOD issues in the community, an assessment of the coalition leadership, etc. Can be implemented yearly.
Source:
Center for Prevention Research & Development (CPRD)
Institute of Government & Public Affairs
University of Illinois at Champaign-Urbana
510 Devonshire Drive Champaign, IL 61820
(217) 333-3231 (office)
(217) 244-0214 (fax)
For more information, please visit http://www.cprd.uiuc.edu/.

Coalition Rating Scale (Coalitions: Key Feature of Success A Performance Rating Scale) Assesses several features of successful partnerships gleaned from the research literature. Asks members to assess their impressions of the Coalition so that it can improve Coalition activities where necessary. Using a 10-point scale, members rate the degree to which the feature is present in their partnership.
Source:
Developed by Andy Rowe, Ph.D. Vice President, GHKINT for The Historic Triangle Substance Abuse Coalition, which serves the City of Williamsburg, and the Counties of James City and York, Virginia

Coalition Self Assessment
Set of qualitative questions coalitions can use to help articulate their strategic plan/logic model.
Source:
Developed as part of the Fighting Back project.

Collaboration Evaluation Worksheets
Compilation of various assessment tools: Annual Satisfaction Survey for Community Coalitions; Diagnosing Your Coalition: Risk Factors for Participation; Assessing your Collaboration’s Commitment to Agency-Based and Community-Based Approaches; Climate Diagnostic Tool: The Six R’s of Participation; Responsibility Charting; Inclusivity Checklist; Task Force Evaluation and ReSource Allocation; Sustainability Benchmarks; Coalition Annual Report
Source:
Wolff, T. (2002) A practical approach to evaluating coalitions. In T. Backer (Ed.) Evaluating Community Collaborations. Springer Publishing.

Community Coalition Profile Survey
Gathers information on the coalition’s structure and dynamics, stage of community readiness, strategic planning & evaluation, scope & scale of program efforts, successes & challenges, and sustainability efforts.
Source:
Oakland County (MI) Office of Substance Abuse Services
Dr. James O’Neill (Madonna University)

CTC Questionnaire (Pennsylvania)
Web-based survey used to evaluate the Communities That Care Initiative in Pennsylvania. Instrument assesses the level of involvement with CTC: CTC board and membership, CTC process/fidelity, Barriers to implementing the CTC approach, Community support, Global assessment of the CTC process, Sustainability, TA needs, etc. Currently in the process of examining the appropriateness of the instrument for non-CTC communities.
Source:
Developed by the Prevention Research Center at Penn State University in collaboration with the PCCD and the Technical Assistance team at Shippensburg University.
Contact: Mark T. Feinberg, Ph.D.
Pennsylvania State University
814-865-8496

Diagnosing the Health of Your Coalition
To help you assess, individually, what you believe to be the current reality of your collaborative partnership. This assessment tool is used most effectively when provided to multiple parties with varied perspectives on the initiative. Distribute this to all participant and communicate the results to the group. Use the assessment tool to facilitate conversation among members and to generate ideas about how to move the group forward.
Source:
Developed by Gillian Kaye, President
Community Development Consultants, Brooklyn, NY

Drug Strategies - Case Study Questions
In depth questionnaire designed to explore coalitions’ experiences in addressing key elements. Topics covered include: investigation into how coalitions are established and funded, how they define their objectives and if they can be translated into outcome indicators, what process data are collected, and the use of data to maintain public support, media interest and financial backing. The questions also evaluate how the coalition interacts with the community, develops a strategic plan, chooses programs, and identifies training needs” (Drug Strategies, 2001, p. 27)
Source:
Drug Strategies. (2001). Assessing community coalitions.
Assessment of 12 community anti-drug coalitions in 11 Knight Foundation cities.

Drug Strategies - Coalition Mail Survey
“18-question survey mailed to coalition leaders regarding basic coalition structure and functioning, including early history, composition of membership, staffing, type of interventions, obstacles, and funding history” (Drug Strategies, 2001, p. 27).
Source:
Drug Strategies. (2001). Assessing community coalitions.
Assessment of 12 community anti-drug coalitions in 11 Knight Foundation cities.

Drug Strategies - Coalition Telephone Survey
“Approximately 45-minute telephone survey with coalition leaders to further explore coalition structure and functioning, including decision-making structure, program goals and compliance to goals, purpose of coalitions’ interventions, evaluation efforts, barriers, and community readiness” (Drug Strategies, 2001, p. 27).
Source:
Drug Strategies. (2001). Assessing community coalitions.
Assessment of 12 community anti-drug coalitions in 11 Knight Foundation cities.

Drug Strategies - Expert Advisory Panel Questions
“Nine questions for experts in the prevention field designed to identify various aspects of community coalitions, including: different coalition types; implementation methods; community influence; barriers to, and key elements of, success; need for training; and evaluation” (Drug Strategies, 2001, p. 27).
Source:
Drug Strategies. (2001). Assessing community coalitions.
Assessment of 12 community anti-drug coalitions in 11 Knight Foundation cities.

Drug Strategies - Key Informant Survey
“20-minute telephone survey of non-coalition community leaders in business, law enforcement, education, media, faith, social services, and government, to assess their perspectives on issues of substance abuse in their community and whether or not they knew of the coalitions’ efforts” (Drug Strategies, 2001, p. 27).
Source:
Drug Strategies. (2001). Assessing community coalitions.
Assessment of 12 community anti-drug coalitions in 11 Knight Foundation cities.

Family Connection Partnerships FY 2002 Self Assessment
Standardized Source of information used to tell the story of collaboration throughout Georgia. Covers various topics – results areas/benchmarks, programs and activities, systems change, financing, collaborative development and evaluation.
Source:
Part of Georgia’s evaluation of the Family Connection Partnerships.
Steve Erickson, State Evaluation Team member
Phone (770) 394-0514 or (404) 681-9759
Fax (770) 394-1475 or (404) 681-1067
E-mail: mskahrs@worldnet.att.net

Fighting Back-Community Leader Survey
Mail survey used in the Fighting Back Lessons Learned Project. Gathers information on the community leader’s perceptions of the local Fighting Back initiative, impact on leader’s organization, and impact on the community.
Source:
Fighting Back Lessons Learned Project
Fighting Back National Program Office
Join Together
One Appleton Street
Boston, MA 02116

Fighting Back- Current Board Chair Survey
Mail survey used in the Fighting Back Lessons Learned Project. Gathers information on governance, resources, administration and impact on the community.
Source:
Fighting Back Lessons Learned Project
Fighting Back National Program Office
Join Together
One Appleton Street
Boston, MA 02116

Fighting Back- Current Project Director Survey
Mail survey used in the Fighting Back Lessons Learned Project. Gathers information on governance, resources, administration and impact on the community.
Source:
Fighting Back Lessons Learned Project
Fighting Back National Program Office
Join Together
One Appleton Street
Boston, MA 02116

Healthy Youth Coalition Evaluation
Used by the Alliance for Youth, Healthy Youth Coalition, Santa Clara, CA
Checklist rating coalition characteristics to provide a general picture of the Coalition’s stage of development. It may point out areas in which technical assistance, training or other support are needed and will gauge effectiveness in meeting defined goals.

Join Together Survey
20-minute mail survey of community leaders of organizations that fight substance abuse. Gathers information on organization description, organizational goals and activities, community report card, public policy issues, and assessment of Join Together services.
Source:
Join Together. (1996). Leading from the ground up: The third national survey of the community movement against substance abuse at www.jointogether.org

Join Together Survey
20-minute mail survey of community leaders of organizations that work on substance abuse and gun violence prevention issues. Gathers information on organization description, organizational goals and activities, community report card, public policy issues, and assessment of Join Together services.
Source:
Join Together. (1999). Promising strategies: Results of the fourth national survey on community efforts to reduce substance abuse and gun violence. Reprinted from Join Together Online.

Somerville Cares About Prevention One-On-One Interview Protocol (OOO)
Used as part of the Communities Mobilizing for Change on Alcohol initiative.
This is an interview protocol to be used with community members to gauge tolerance levels regarding underage drinking. It can also be used as a tool to assess a potential new member’s interest in participating in the coalition. Includes a preparation guide, interview guide, interview summary sheet and a participant questionnaire. These were done in English, Spanish, Haitian Creole, and Portuguese.

Self Assessment – A Tool for Parents
The Maine Office of Substance Abuse has created a free guide with practical tips, useful facts, and valuable statewide resources to help Maine parents monitor and prevent alcohol use by their teen. Included in this is a self-assessment for parents to help see what type of messages parents are sending to their teens about alcohol.