Initiative Impact Documentation Template
Mohamad Charafeddine — mohamadcharafeddine.com/en/resources/initiative-impact/
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── Initiative impact report ──

Impact report — [initiative name]
Organisation: [..]   Period: [..] to [..]   Prepared by: [name]   Report date: [..]

1) Three-line summary
   What we did: [...]
   The most important change (based on available evidence): [...]
   What we will do next: [...]

2) Objectives as written in the plan
   Objective 1: [...]   Objective 2: [...]

3) Outputs
   [indicator] — planned: [..] — delivered: [..] — note: [..]
   Attendance: started [..] — completed [..] — where and why people dropped out (if known): [...]

4) Outcomes
   [indicator] — tool: [check / survey / interview] — responses: [..] of [..]
   What we found: [...]

5) Participant feedback
   What they valued most: [...]
   What they criticised most: [...]
   Quotes (with consent, nothing identifying): [...]

6) Limitations
   [non-response / self-reported answers / small sample / other possible factors / what we did not measure]

7) Lessons
   Repeat: [...]   Change: [...]   Stop: [...]

8) Next steps
   [decision] — owner: [..] — date: [..]

9) Resources
   Volunteer hours: [..]   Partners and donors: [..]   Spending summary: [..]

10) Documentation and consent
    Images used: [..] — consent level for each: [..]
    Where consent forms are kept: [..]   Who can access them: [..]


── Photo and story consent form ──

Consent to use a photo or story — [association name]

We, [association], ask your permission to use: [ ] photo  [ ] video  [ ] quote  [ ] story
The material: [short description, e.g. group photo at the final session]

I agree to its use in (tick only what you agree to):
[ ] the association's internal report
[ ] the report sent to partners and funders
[ ] the website and social media
[ ] printed materials

How would you like to be named?  [ ] first name only  [ ] no name  [ ] no details about me at all

I understand that:
- Saying no does not affect any service I receive from the association.
- I can withdraw consent at any time via [contact], and the material will be removed from
  the association's channels.
- The material will not be used for any purpose other than those ticked above.

Name: [...]   Date: [...]
For under-18s: guardian's name and signature: [...]   Did the child agree? [yes/no]