Program Evaluation Form
Mayflower Church
Program Evaluation Form
Checkup Loop Conversation Guide
Program Information
Evaluation Period:
(e.g., Q1 2026, Fall 2025, Annual 2025)
Phase 3: Evaluation
Using the Checkup Loop approach: regular two-way conversations between Elders and frontline ministry leaders.
Focus Area 1: Direction (Completed by Leader(s) prior to the meeting)
Key Question: Is the program moving toward its intended purpose and advancing the mission, vision, and values of Mayflower Church?
Color Rating (circle one):
Why did you vote the way you voted?
Focus Area 2: Health
Key Question: Are participants and leaders experiencing spiritual vitality?
Color Rating (circle one):
Why did you vote the way you voted?
Focus Area 3: Scope of Impact
Key Question: Who is being reached and served?
Color Rating (circle one):
Why did you vote the way you voted?
Focus Area 4: Growth
Key Question: Are people growing spiritually and relationally?
Color Rating (circle one):
Why did you vote the way you voted?
Focus Area 5: Changed Lives
Key Question: What stories of transformation can we celebrate?
Color Rating (circle one):
Why did you vote the way you voted?
Relational Checkup Questions (Completed by Elder(s) during meeting)
Use these questions to guide deeper conversation:
1. What stories of life change have you witnessed in this program?
2. How are people experiencing God through this ministry?
3. What relationships are being built or strengthened?
4. Where do you see joy in this ministry? Where is joy lacking?
5. What barriers are preventing people from growing spiritually?
6. Are leaders empowered to use their gifts and make decisions?
7. What would need to change for this program to be more effective?
8. Is this program sustainable with current resources?
Phase 4: Adaptation (Re-Planning)
Use the simple Keep/Stop/Start framework:
KEEP: What is working well and should continue?
STOP: What is not bearing fruit or creating unnecessary burden?
START: What new approaches should we try based on what we've learned?
Action Steps & Next Evaluation
Key Action Items from this Evaluation:
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Remember: The goal is not perfect evaluation, but faithful stewardship
of the ministries entrusted to us for God's glory and people's good.
POST EVALUATION ACTIONS:
Submit original to the Church Clerk.
Church Clerk to scan the document as PDF and save it in the Program Evaluations folder in the Leadership Pipeline Shared Google Drive. [Filename: “YYYYMM ProgramName Evaluation”]
Clerk will share the file to Servants Council members via email.