Logic Model Template 3
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2

{Insert Program name and/or priority for Logic Model}
{Insert overall program goal that is reflected in the Logic Model below}

INPUTS

STRATEGIES/
ACTIVITIES

OUTPUTS

SHORT-TERM
OUTCOMES

INTERMEDIATE
OUTCOMES

LONG-TERM
OUTCOMES

GOAL

{Insert overall

program goal if

not stated

above}

Data source to document
accomplishment

Insert text
here

Insert text
here

Insert text
here

Insert text
here

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http://www.cdc.gov/healthyyouth/evaluation/index.htm.
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