Attention: Pesticides Reduction Network Committee Members Confidential NGO FORUM EVALUATION SURVEY Pesticides Reduction Network Committee Advanced Research Team is currently undertaking the final term evaluation of the NGO Forum on Cambodia. The final term evaluation of the NGO Forum is being conducted to help evaluate the achievements NGO Forum’s 2009-2011 Action Plan which consists of Environment, Development Issues, and Land and Livelihoods programmes, provide recommendations, as well as lessons learnt. The results will contribute to the development of the NGO Forum’s next cycle strategic plan 2012-2017. Your replies will be treated as confidential. Please take time to answer questions and write comments. When you have answered all the questions, please return this survey by May 12, 2011 to: (3) (2) x Strongly Disagree (4) Disagree Don’t Know Weightage for the statement Example Questions 1.1 My organization is able to identify the issues related to chemical pesticide in Cambodia, the modern technologies used and their problems and ownership with. 1.2 My organization able to explain the project advocacy strategies used on chemical pesticides and modern technologies issues in Cambodia to raise awareness to relevant vulnerable group. 1.3 My organization has provided input to government decision-makers which has helped influence change on chemical pesticide and modern technologies regulation. 1.4 My organization satisfied with the service of information provided by the Research Information Center. 1.5 My organization believes that the provided data and information by Research Information Center have significantly improved my organization work. 1.6 My organization believes that the information Agree 1. For each of the following statements, put an “x” under the answer that represents how much you agree or disagree with it. Strongly Agree Kem Ley, Advanced Research Team E-mail: kem_ley@yahoo.com Phone: 012 787 084 c/o NGO Forum on Cambodia 9-11, Street 476 Phnom Penh, Cambodia. Or in a sealed envelope marked confidential to “ART” (Mr. Kem Ley), c/o NGO Forum, 9-11, Street 476, Phnom Penh. (1) (0) 1 1.7 provided at Research information center has helped strengthen advocacy. PRN-C members are able to effectively influence the direction of the NGO Forum’s work. 2. Which activity of the Pesticides Reduction Network do you feel has had the most impact? 3. Which activity of the Pesticides Reduction Network do you feel has had the least impact? 4. What issues do you think the Pesticides Reduction Network should focus on in the future? 5. Please make any other suggestions regarding how the Pesticides Reduction Network could improve its advocacy, NGO networking and cooperation among its members. 6. Please make any other recommendations for NGO Forum Strategic Plan 2013-2017 2