CATCH Grant Final Report (rev. 2023) Survey

Question Title

* 1. Grantee

Name

Credentials (DO, MD, etc)

Address

Address 2

City/Town

State

Zip

AAP ID

Email address 1

Email address 2

Cell phone

Other phone

Question Title

* 2. Secondary Contact/ Co-grantee (if applicable)

Name

Credentials (DO, MD, etc)

Address

Address 2

City/Town

State

Zip

AAP ID

Email address 1

Email address 2

Cell phone

Other phone

Question Title

* 3. Project title

Question Title

* 4. Grant year

Question Title

* 5. Grant type

Resident

Planning

Implementation

Question Title

* 6. Who served as the fiscal agent that managed the grant funds for your project?

Organizational Name

Contact Person

Organization Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Question Title

* 7. Please provide the full name of the lead agency, institution, or facility in which this project has been located (this may be different from the fiscal agent)

Question Title

* 8. Within your application you provided a project goal and 3 objectives. Did you add or significantly modify your objectives during the project?

(Note: You will be asked to state the objectives, any additions and modifications, and progress made within the narrative section of this report.)

Did not add or modify objectives

Modified objectives

Added and modified objectives

	Not at all	Somewhat	Almost	Completed	Not applicable
Objective 1	Objective 1 Not at all	Objective 1 Somewhat	Objective 1 Almost	Objective 1 Completed	Objective 1 Not applicable
Objective 2	Objective 2 Not at all	Objective 2 Somewhat	Objective 2 Almost	Objective 2 Completed	Objective 2 Not applicable
Objective 3	Objective 3 Not at all	Objective 3 Somewhat	Objective 3 Almost	Objective 3 Completed	Objective 3 Not applicable
Additional objective 4 (if added)	Additional objective 4 (if added) Not at all	Additional objective 4 (if added) Somewhat	Additional objective 4 (if added) Almost	Additional objective 4 (if added) Completed	Additional objective 4 (if added) Not applicable
Additional objective 5 (if added)	Additional objective 5 (if added) Not at all	Additional objective 5 (if added) Somewhat	Additional objective 5 (if added) Almost	Additional objective 5 (if added) Completed	Additional objective 5 (if added) Not applicable
Additional Objective 6 (if added)	Additional Objective 6 (if added) Not at all	Additional Objective 6 (if added) Somewhat	Additional Objective 6 (if added) Almost	Additional Objective 6 (if added) Completed	Additional Objective 6 (if added) Not applicable

Not at all

Somewhat

Almost

Completed

Not applicable

Objective 1

Objective 1 Not at all

Objective 1 Somewhat

Objective 1 Almost

Objective 1 Completed

Objective 1 Not applicable

Objective 2

Objective 2 Not at all

Objective 2 Somewhat

Objective 2 Almost

Objective 2 Completed

Objective 2 Not applicable

Objective 3

Objective 3 Not at all

Objective 3 Somewhat

Objective 3 Almost

Objective 3 Completed

Objective 3 Not applicable

Additional objective 4 (if added)

Additional objective 4 (if added) Not at all

Additional objective 4 (if added) Somewhat

Additional objective 4 (if added) Almost

Additional objective 4 (if added) Completed

Additional objective 4 (if added) Not applicable

Additional objective 5 (if added)

Additional objective 5 (if added) Not at all

Additional objective 5 (if added) Somewhat

Additional objective 5 (if added) Almost

Additional objective 5 (if added) Completed

Additional objective 5 (if added) Not applicable

Additional Objective 6 (if added)

Additional Objective 6 (if added) Not at all

Additional Objective 6 (if added) Somewhat

Additional Objective 6 (if added) Almost

Additional Objective 6 (if added) Completed

Additional Objective 6 (if added) Not applicable

	Prevented completion of the project	Changed who we served	Broadened the scope of the project	Narrowed the scope of the project	Not at all
Design	Design Prevented completion of the project	Design Changed who we served	Design Broadened the scope of the project	Design Narrowed the scope of the project	Design Not at all
Collaborations	Collaborations Prevented completion of the project	Collaborations Changed who we served	Collaborations Broadened the scope of the project	Collaborations Narrowed the scope of the project	Collaborations Not at all
Operations	Operations Prevented completion of the project	Operations Changed who we served	Operations Broadened the scope of the project	Operations Narrowed the scope of the project	Operations Not at all
Staffing	Staffing Prevented completion of the project	Staffing Changed who we served	Staffing Broadened the scope of the project	Staffing Narrowed the scope of the project	Staffing Not at all
Funding	Funding Prevented completion of the project	Funding Changed who we served	Funding Broadened the scope of the project	Funding Narrowed the scope of the project	Funding Not at all
Evaluation/Data collection	Evaluation/Data collection Prevented completion of the project	Evaluation/Data collection Changed who we served	Evaluation/Data collection Broadened the scope of the project	Evaluation/Data collection Narrowed the scope of the project	Evaluation/Data collection Not at all
Fiscal agent	Fiscal agent Prevented completion of the project	Fiscal agent Changed who we served	Fiscal agent Broadened the scope of the project	Fiscal agent Narrowed the scope of the project	Fiscal agent Not at all
Communication/support from AAP	Communication/support from AAP Prevented completion of the project	Communication/support from AAP Changed who we served	Communication/support from AAP Broadened the scope of the project	Communication/support from AAP Narrowed the scope of the project	Communication/support from AAP Not at all
Personal/Family related matters	Personal/Family related matters Prevented completion of the project	Personal/Family related matters Changed who we served	Personal/Family related matters Broadened the scope of the project	Personal/Family related matters Narrowed the scope of the project	Personal/Family related matters Not at all
Natural disasters	Natural disasters Prevented completion of the project	Natural disasters Changed who we served	Natural disasters Broadened the scope of the project	Natural disasters Narrowed the scope of the project	Natural disasters Not at all
Domestic terror attacks	Domestic terror attacks Prevented completion of the project	Domestic terror attacks Changed who we served	Domestic terror attacks Broadened the scope of the project	Domestic terror attacks Narrowed the scope of the project	Domestic terror attacks Not at all
COVID-19	COVID-19 Prevented completion of the project	COVID-19 Changed who we served	COVID-19 Broadened the scope of the project	COVID-19 Narrowed the scope of the project	COVID-19 Not at all
Anti-racism demonstrations	Anti-racism demonstrations Prevented completion of the project	Anti-racism demonstrations Changed who we served	Anti-racism demonstrations Broadened the scope of the project	Anti-racism demonstrations Narrowed the scope of the project	Anti-racism demonstrations Not at all
Other	Other Prevented completion of the project	Other Changed who we served	Other Broadened the scope of the project	Other Narrowed the scope of the project	Other Not at all

Prevented completion of the project

Changed who we served

Broadened the scope of the project

Narrowed the scope of the project

Not at all

Design

Design Prevented completion of the project

Design Changed who we served

Design Broadened the scope of the project

Design Narrowed the scope of the project

Design Not at all

Collaborations

Collaborations Prevented completion of the project

Collaborations Changed who we served

Collaborations Broadened the scope of the project

Collaborations Narrowed the scope of the project

Collaborations Not at all

Operations

Operations Prevented completion of the project

Operations Changed who we served

Operations Broadened the scope of the project

Operations Narrowed the scope of the project

Operations Not at all

Staffing

Staffing Prevented completion of the project

Staffing Changed who we served

Staffing Broadened the scope of the project

Staffing Narrowed the scope of the project

Staffing Not at all

Funding

Funding Prevented completion of the project

Funding Changed who we served

Funding Broadened the scope of the project

Funding Narrowed the scope of the project

Funding Not at all

Evaluation/Data collection

Evaluation/Data collection Prevented completion of the project

Evaluation/Data collection Changed who we served

Evaluation/Data collection Broadened the scope of the project

Evaluation/Data collection Narrowed the scope of the project

Evaluation/Data collection Not at all

Fiscal agent

Fiscal agent Prevented completion of the project

Fiscal agent Changed who we served

Fiscal agent Broadened the scope of the project

Fiscal agent Narrowed the scope of the project

Fiscal agent Not at all

Communication/support from AAP

Communication/support from AAP Prevented completion of the project

Communication/support from AAP Changed who we served

Communication/support from AAP Broadened the scope of the project

Communication/support from AAP Narrowed the scope of the project

Communication/support from AAP Not at all

Personal/Family related matters

Personal/Family related matters Prevented completion of the project

Personal/Family related matters Changed who we served

Personal/Family related matters Broadened the scope of the project

Personal/Family related matters Narrowed the scope of the project

Personal/Family related matters Not at all

Natural disasters

Natural disasters Prevented completion of the project

Natural disasters Changed who we served

Natural disasters Broadened the scope of the project

Natural disasters Narrowed the scope of the project

Natural disasters Not at all

Domestic terror attacks

Domestic terror attacks Prevented completion of the project

Domestic terror attacks Changed who we served

Domestic terror attacks Broadened the scope of the project

Domestic terror attacks Narrowed the scope of the project

Domestic terror attacks Not at all

COVID-19

COVID-19 Prevented completion of the project

COVID-19 Changed who we served

COVID-19 Broadened the scope of the project

COVID-19 Narrowed the scope of the project

COVID-19 Not at all

Anti-racism demonstrations

Anti-racism demonstrations Prevented completion of the project

Anti-racism demonstrations Changed who we served

Anti-racism demonstrations Broadened the scope of the project

Anti-racism demonstrations Narrowed the scope of the project

Anti-racism demonstrations Not at all

Other

Other Prevented completion of the project

Other Changed who we served

Other Broadened the scope of the project

Other Narrowed the scope of the project

Other Not at all

CATCH Grant Final Report (rev. 2023)

CATCH Grant Final Report Instructions

Question Title

* 1. Grantee

Question Title

* 2. Secondary Contact/ Co-grantee (if applicable)

Question Title

* 3. Project title

Question Title

* 4. Grant year

Question Title

* 5. Grant type

Question Title

* 6. Who served as the fiscal agent that managed the grant funds for your project?

Question Title

* 7. Please provide the full name of the lead agency, institution, or facility in which this project has been located (this may be different from the fiscal agent)

Question Title

* 8. Within your application you provided a project goal and 3 objectives. Did you add or significantly modify your objectives during the project?

(Note: You will be asked to state the objectives, any additions and modifications, and progress made within the narrative section of this report.)

Question Title

* 9. Please indicate the extent to which your original 3 objectives have been met.

Question Title

Question Title

* 1. Grantee

Question Title

* 2. Secondary Contact/ Co-grantee (if applicable)

Question Title

* 3. Project title

Question Title

* 4. Grant year

Question Title

* 5. Grant type

Question Title

* 6. Who served as the fiscal agent that managed the grant funds for your project?

Question Title

* 7. Please provide the full name of the lead agency, institution, or facility in which this project has been located (this may be different from the fiscal agent)

Question Title

* 8. Within your application you provided a project goal and 3 objectives. Did you add or significantly modify your objectives during the project? (Note: You will be asked to state the objectives, any additions and modifications, and progress made within the narrative section of this report.)

Question Title

* 9. Please indicate the extent to which your original 3 objectives have been met.

Question Title

* 8. Within your application you provided a project goal and 3 objectives. Did you add or significantly modify your objectives during the project?

(Note: You will be asked to state the objectives, any additions and modifications, and progress made within the narrative section of this report.)