We ask certified facilitators to notify the American Lung Association anytime you schedule a Kickin’ Asthma® program. View the full KA Evaluation Protocol.
KA Facilitator Program Report Form
Certified facilitators must report information about your program using the KA Program Report Form (preferably within two weeks of completing the final program session, Lesson 4). Information collected in this form allows us to evaluate the effectiveness of our program’s delivery and reach.
KA Post Program Participant Feedback Form
Certified facilitators are encouraged to share the link for the KA Post Program Participant Feedback Form to assess participant feedback post program. This form collects confidence managing asthma, readiness to try new skills, and satisfaction with the program. To maximize student response rate, allow time at the end of lesson four for students to complete the online survey via tablet or computer while the facilitator is present. This form is highly encouraged but remains optional because it is digital only. We recognize that not all child participants will have access to technology to complete this form electronically. Facilitators may find it helpful to share a QR code at the end of the lesson.
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KA Pre- and Post-Test
Certified facilitators have the option of downloading and printing the KA Pre- and Post-test <<LINK>> to assess the effectiveness of the program. This form is not collected at the national level. Please check with your KA staff representative to see if this form is required in your area.
State Specific Evaluation Protocols