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United Way of Buffalo and Erie County
End of Year Report









Choose up to five performance measures from your application and
update for six months of program funding (January 1st, 2013 to June 30, 2013).

Due to the length of this form, we recommend that you print it and fill out the
answers on paper or in a word processor before filling out the form online. This
will minimize loss of work if you experience technical difficulties while completing
or submitting the form.




Performance Measure 1
Choose a performance measure description from one of the following three selection boxes,
then input the number of clients who received this particular intervention or service and the
number achieving the specified outcome














Performance Measure 2
Choose a performance measure description from one of the following three selection boxes,
then input the number of clients who received this particular intervention or service and the
number achieving the specified outcome














Performance Measure 3
Choose a performance measure description from one of the following three selection boxes,
then input the number of clients who received this particular intervention or service and the
number achieving the specified outcome














Performance Measure 4
Choose a performance measure description from one of the following three selection boxes,
then input the number of clients who received this particular intervention or service and the
number achieving the specified outcome














Performance Measure 5
Choose a performance measure description from one of the following three selection boxes,
then input the number of clients who received this particular intervention or service and the
number achieving the specified outcome














Demographics
Please enter the number served in each text box.

Gender:


  
Ethnicity:






  
Age:







  




















 
 





Customer Satisfaction If you tracked customer satisfaction during the evaluation period, enter the number of clients who answered below.









Success Story Please share one client success story with us.







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