| 
 | ||
| 
 
 | Value | Possible Answers | 
| 1 | Very unlikely | |
| 2 | Somewhat unlikely | |
| 3 | Somewhat likely | |
| 4 | Very likely | |
| 5 | Unable to assess | |
| 
			 | 
			 | 
			 | 
| 
 
 | Value | Possible Answers | 
| 1 | Not at all | |
| 2 | Minimally | |
| 3 | Somewhat | |
| 4 | To a great extent | |
| 5 | Unable to assess | |
| 
			 | 
			 | 
			 | 
| 
 
 | 
			 | 
			 | 
| 1 | No impact | |
| 2 | Low impact | |
| 3 | Moderate impact | |
| 4 | High impact | |
| 5 | Unable to assess | |
| 
 | 
			 | |||||
| 
 | 
			 | 
			 | 
			 | 
			 | ||
| 1 | Low (<25%) | 
			 | ||||
| 2 | Moderate (25-50%) | 
			 | ||||
| 3 | High (50-75%) | 
			 | ||||
| 4 | Very High (>75%) | 
			 | ||||
| 5 | Unable to assess | 
			 | ||||
| 
			 | 
			 | 
			 | 
			 | |||
| 
 | 
			 | 
			 | 
			 | 
			 | ||
| 1 | No potential | 
			 | ||||
| 2 | Low potential | 
			 | ||||
| 3 | Moderate potential | 
			 | ||||
| 4 | High potential | 
			 | ||||
| 5 | Unable to assess | 
			 | ||||
| 
			 | 
			 | 
			 | 
			 | 
			 | ||
| 
 | 
			 | |||||
| 
 | Value | Possible Answers | 
			 | 
			 | ||
| 1 | Unacceptable | 
			 | ||||
| 2 | Somewhat acceptable | 
			 | ||||
| 3 | Acceptable | 
			 | ||||
| 4 | Highly acceptable | 
			 | ||||
| 5 | Unable to assess | 
			 | ||||
| 
 | 
			 | 
			 | 
			 | 
			 | ||
| 1 | Unacceptable | 
			 | ||||
| 2 | Somewhat acceptable | 
			 | ||||
| 3 | Acceptable | 
			 | ||||
| 4 | Highly acceptable | 
			 | ||||
| 5 | Unable to assess | 
			 | ||||
| 
			 | 
			 | 
			 | 
			 | 
			 | ||
| 
 | 
			 | |||||
| 
 | Value | Possible Answers | 
			 | |||
| 1 | Assessing need and planning implementation of initiative | 
			 | ||||
| 2 | Piloting implementation of initiative | 
			 | ||||
| 3 | Maintaining implementation of initiative | 
			 | ||||
| 4 | Maintaining implementation and conducting some evaluation/data collection to inform initiative | 
			 | ||||
| 5 | Unable to assess | 
			 | ||||
| 
			 | 
			 | 
			 | 
			 | |||
| 
 | 
			 | |||||
| 
 | Value | Possible Answers | 
			 | |||
| 1 | Extremely difficult | 
			 | ||||
| 2 | Somewhat difficult | 
			 | ||||
| 3 | Somewhat easy | 
			 | ||||
| 4 | Very easy | 
			 | ||||
| 5 | Unable to assess | 
			 | ||||
| 
			 
 | 
			 | 
			 | 
			 | 
			 | ||
| 
 | 
			 | |||||
| 
 | Value | Possible Answers | 
			 | |||
| 1 | Very difficult | 
			 | ||||
| 2 | Somewhat difficult | 
			 | ||||
| 3 | Somewhat easy | 
			 | ||||
| 4 | Very easy | 
			 | ||||
| 5 | Unable to assess | 
			 | ||||
| 
			 | 
			 | 
			 | 
			 | 
			 | ||
| 
 | Value | Possible Answers | 
			 | |||
| 1 | Very difficult | 
			 | ||||
| 2 | Somewhat difficult | 
			 | ||||
| 3 | Somewhat easy | 
			 | ||||
| 4 | Very easy | 
			 | ||||
| 5 | Unable to assess | 
			 | ||||
| 
			 | 
			 | 
			 | 
			 | |||
| 
 | |||
| 
 | Value | Possible Answers | 
			 | 
| 1 | Very unlikely | 
			 | |
| 2 | Somewhat unlikely | 
			 | |
| 3 | Somewhat likely | 
			 | |
| 4 | Very likely | 
			 | |
| 5 | Unable to assess | 
			 | |
| 
 | ||||||
| 
 | Value | Possible Answers | 
			 | 
			 | ||
| 1 | Very unlikely | 
			 | ||||
| 2 | Somewhat unlikely | 
			 | ||||
| 3 | Somewhat likely | 
			 | ||||
| 4 | Very likely | 
			 | ||||
| 5 | Unable to assess | 
			 | ||||
| 
			 | 
			 | 
			 | 
			 | 
			 | ||
| 
 | ||||||
| 
 | Value | Possible Answers | 
			 | |||
| 1 | No capacity | 
			 | ||||
| 2 | Small capacity | 
			 | ||||
| 3 | Medium capacity | 
			 | ||||
| 4 | High capacity | 
			 | ||||
| 5 | Unable to assess | 
			 | ||||
| 
			 | 
			 | 
			 | 
			 | 
			 | ||
| 
 | 
 | 
			 | 
			 | 
			 | ||
| 
 | Value | Possible Answers | 
			 | |||
| 1 | Strongly do not recommend | 
			 | ||||
| 2 | Do not recommend | 
			 | ||||
| 3 | Recommend | 
			 | ||||
| 4 | Strongly recommend | 
			 | ||||
| 5 | Unable to assess | 
			 | ||||
| 
			 | 
			 | 
			 | 
			 | 
			 | ||
| 
 
 | 
			 | |||||
| File Type | application/msword | 
| Author | Kari Cruz | 
| Last Modified By | Kari Cruz | 
| File Modified | 2011-10-24 | 
| File Created | 2011-10-24 |