Funded Activity/Event Evaluation Form

1. What is your name?



2. What is your email address?



3. Are you happy for us to use the information on this form in our reporting and publicity?
Any quotes we use will be anonymous and we will not use anything that could identify you without your permission.

YesNo

4. What was the name of your activity?



5. When did your activity take place?



6. How many people attended your activity?



7. How many people volunteered at your activity?



8. One of the aims of the Champions Fund is to increase something called 'social contact.' This is when people with lived experience of mental health talk to others who may not have lived experience of mental health, about mental health issues.
In your best estimate, how many social contact conversations were had during your activity?

9. Please tell us about what happened during your activity:
What to include in this section.
> A short description of your activity and what happened on the day
> Any highlights
> A short quote or feedback from someone who attended or volunteered (you don’t have to have this but it is nice for us to hear!)

10. Please tell us about any challenges you had when planning or delivering your activity and how you overcame them.
What to include in this section:
> A maximum of two main challenges that you faced.
> Write a short sentence explaining the challenge or problem.
> Follow up with a brief explanation of what steps you took to solve the problem or challenge.
If you’re finding it hard to think of a challenge you might want to think about:
> Recruitment and communicating with volunteers
> Getting people to attend the event
> Getting all the materials you needed for the event
> Working with the venue

11. How much funding did you receive originally? Please enter the full amount you received.



12. How much did you spend on your event in total? Please enter the total amount you spent on running your activity.



13. Is there any money left over on your prepaid card? If yes, please tell us how much is left.
Note: you can work out this amount by taking your answer to question 11, and taking away your answer to question 12. For example: if your answer to question 11 is £500 and answer to question 12 is £450, £500 - £450 = £50.

Please use the file attachment function below to upload any photos of your activity/event. These will be used to illustrate the success of the Champions Fund.
Note: if your activity/event involved direct contact with vulnerable people, photos are not required.

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