This tool contains a form that was developed in order to help you collect data for both the planning and evaluation of a Wellness program.  Once the data requested in this form is collected it can be used to develop a formal proposal for a wellness program or a formal evaluation report for an existing program.  The more complete your response to the data requested below, the more complete the resulting planning effort or evaluation report will be.  Baseline data from before your program started is particularly important in an effort to establish the association between your program and the results you have measured.

Published 2016.