# Impact report planning worksheet

Audience: ____
Decision / question: ____
Reporting period: ____
Report owner: ____

## Measure definition (repeat per measure)
Measure name: ____
Type: activity / output / outcome
Definition and unit: ____
Included population: ____
Source and collection method: ____
Period covered: ____
Records received / expected: ____
Missing or excluded data: ____
Known limitations: ____
Owner: ____

## Findings
What the data shows: ____
What it does not establish: ____
Next decision or action: ____
Action owner and follow-up date: ____