LOGIC MODEL Worksheet (Table format)

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Logic Model Worksheet1
A logic model can help you define and refine your program’s goals, objectives, and activities. It helps test whether or not:



The resources you have are sufficient to carry out the activities you want to implement
The activities you plan to implement will achieve your goals
Your goals will have the impact you expect them to have
You may want to complete a logic model for each activity or have a multilayered logic model that accurately reflects the key activities of your program.
Components of a logic model:
Inputs: Inputs are all the resources you have available to the program. They include people, financial, and technological capital. They are often tangible goods.
Activities: Activities are the ways in which the program is using the inputs you identified. They include processes, tools, events, and actions.
Outputs: Outputs are the direct result of or product of an activity, such as a trained individual or the number of people educated and influenced by a campaign.
Outcomes: These are the specific changes in behavior, knowledge, skills, status, and level of functioning that result from the program. They are sometimes
divided into short- and medium-term outcomes.
Impact: The outcome is the overarching goal(s) or purpose of the program and should lead to a change at the community or society level. Impact is a measure of
that change
Example of a completed logic model
Problem: Teen and new drivers are texting while driving, often resulting in serious injury or death from motor vehicle crashes.
Inputs
Activity
Output


Develop and
disseminate social
norms campaign
Youth understand
dangers of texting and
driving and why most
youth choose not to
text and drive.

1
$100,000
Social Norms
expert
Social media
platforms
Outcome: Short
Term
Low rates of
texting while
driving among
youth
Outcome: Medium
Term
Low rates of car
crashes from texting
and driving
Impact
Fewer youth die or
are seriously injured
in car crashes
This worksheet is adapted from Measuring Program Outcomes: A Practical Approach, p. 44. and the Suicide Prevention Resource Center’s Resource Sheet #5-1: Creating a Logic
Model
Problem Statement:
Outcomes -- Impact
Inputs
Activities
Outputs
Outcome: Short Term
Outcome: Medium
Term
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Impact
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Assumptions
External Factors
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