250 E Street SW

Washington, D.C. 20525

202-606-5000 | 800-942-2677

Appendix B: AmeriCorps Seniors 

RSVP Performance Measure 

Instructions

AmeriCorps Seniors

August 25, 2023
1

This document explains specific performance measure instructions for the AmeriCorps 

Seniors RSVP program. It contains the menu of available service activities and output and 

outcome measures, with additional information on how to use each of them. This document

should be used in tandem with the Notice of Funding Opportunity or Invitation to Apply.

Table of Contents

AmeriCorps Seniors RSVP Performance Measure Requirements..................................................3

Complete List of AmeriCorps Seniors RSVP National Performance Measures ............................4

Focus Area: Capacity Building.......................................................................................................4

Focus Area: Disaster Services.........................................................................................................5

Focus Area: Economic Opportunity ..............................................................................................6

Focus Area: Education ....................................................................................................................7

Focus Area: Environmental Stewardship ......................................................................................8

Focus Area: Healthy Futures...........................................................................................................9

Focus Area: Veterans and Military Families ............................................................................... 10

Other Community Priorities......................................................................................................... 11

Capacity Building.............................................................................................................................. 12

Notes:............................................................................................................................................. 12

Definitions and Data Collection.................................................................................................. 12

Disaster Services ............................................................................................................................... 14

Notes:............................................................................................................................................. 14

Definitions and Data Collection.................................................................................................. 15

Economic Opportunity..................................................................................................................... 16

Notes:............................................................................................................................................. 16

Definitions and Data Collection.................................................................................................. 16

Education........................................................................................................................................... 19

Notes:............................................................................................................................................. 19

Definitions and Data Collection.................................................................................................. 20

Environmental Stewardship............................................................................................................. 23

Notes:............................................................................................................................................. 23

Definitions and Data Collection.................................................................................................. 24

Healthy Futures ................................................................................................................................. 28

Notes:............................................................................................................................................. 28

Definitions and Data Collection.................................................................................................. 28

Veterans and Military Families......................................................................................................... 32
2 

Notes:............................................................................................................................................. 32

Definitions and Data Collection.................................................................................................. 32

Other Community Priorities............................................................................................................. 34

Notes:............................................................................................................................................. 34

Definitions and Data Collection.................................................................................................. 34

Change Log ....................................................................................................................................... 35

Independent Living Performance Measure Survey ....................................................................... 37

Respite Performance Measure Survey............................................................................................ 39
3 

AmeriCorps Seniors RSVP Performance Measure 

Requirements 

• Primary Focus Area: AmeriCorps Seniors RSVP programs are required to declare 

one of the six AmeriCorps priority focus areas as a primary focus area for the grant 

award. AmeriCorps’s six priority focus areas are: Disaster Services, Economic 

Opportunity, Education, Environmental Stewardship, Healthy Futures, and Veterans 

and Military Families.

• Work Plans: All unduplicated volunteers must be placed in work plans. Work plans 

must meet the maximum cost per unduplicated volunteer in outcome assignments 

requirement below. Work plans may include some combination of national

performance measures and other community priorities. 

• National Performance Measures: Every national performance measure output 

must be paired with a single outcome. For each work plan, applicants must select 

one output and one of the associated outcomes. While beneficiaries may receive the 

benefits associated with more than one available outcome, only one outcome may 

be selected for each beneficiary. “Other Community Priorities” work plans are not 

considered national performance measures.

• Other Community Priorities: A work plan consisting of “Other Community

Priorities” may be created by the grantee to address community activities not 

captured in national performancemeasures.

• Unduplicated Volunteers: Volunteers who meet eligibility criteria for RSVP and are 

enrolled as RSVP volunteers. Each volunteer can only be counted once even if they 

are assigned to more than one service activity. The volunteer should be counted in 

the area where he/she will make the most impact in terms of the focus area, the type 

of service, or the scope of service (such as the greatest number of hours served).

• Maximum Cost per Unduplicated Volunteer in Outcome Assignments: For 

every$1,000 in annual base federal funding, at least one unduplicated volunteer

must be placed in work plans that result in national performance measure outcomes.

For example, an RSVP program receiving $75,000 in baseline funding would have a 

minimum of 75 unduplicated volunteers. 

• Rounding Unduplicated Volunteers in Outcome Assignments: Common 

arithmetic rules should be used to determine how to round unduplicated volunteers

in outcome-based work plans. Grantees should round to the nearest whole number. 

For example, an AmeriCorps Seniors RSVP grantee with $56,400 in federal funding 

would require 56.4 unduplicated volunteers in work plans that result in national

performance measure outcomes. Since 56.4 is less than 56.5, this would be rounded

down to 56 unduplicated volunteers in work plans that result in national 

performance measure outcomes. In contrast, a grantee with $56,900 in federal

funding (56.9 volunteers in outcome-based work plans) would round up and require 

57 unduplicated volunteers in work plans that result in national performance 

measure outcomes.
4 

• Beneficiary: The person or entity receiving services from AmeriCorps Seniors

volunteers. Depending on the service activity, the beneficiary could be a student, an

older adult, a family, an organization, a house, a mile of trail or river, etc.

Complete List of AmeriCorps Seniors RSVP National 

Performance Measures

These selection rules specify allowable output/outcome pairings for national performance 

measures. Applicants must follow these selection rules when using national performance 

measures. Applicants may not select any national performance measures that may appear in 

eGrants if they are not present on this list. Please see the Notice of Funding Opportunity for 

additional information about application requirements.

Applicants who experience issues finding the appropriate measures in the

Performance Measure Module of eGrants, should ensure that the objectives of 

the measures they would like to use are marked in the “Objective” tab. Then, in 

the “Performance Measure” tab, that the “Other” category in “Select Category 

Title” is selected. More detailed instructions are included in the AmeriCorps 

Seniors Grant Application Instructions.

Focus Area: Capacity Building

Objective

Selection Rules

Output Outcome Service Activity

Capacity

Building & 

Leverage

G3-3.4: Number of 

organizations that 

received capacity 

building services

G3-3.1A: Number of 

community 

volunteers recruited 

or managed

G3-3.16A: Dollar 

value of cash or inkind resources 

leveraged

G3-3.10A: Number of

organizations that increase their 

efficiency, effectiveness, and/or 

program reach

• Volunteer

Management

• Training

• Resource

Development

• Systems

Development

• Donations

Management
5 

Focus Area: Disaster Services

Objective

Selection Rules

Output Outcome Service Activity

Assistance 

Provided

D1A: Number of 

individuals served

D5: Number of individuals 

reporting increased disaster 

readiness

• Disaster Preparation

• Disaster Response

• Disaster Recovery

D6: Number of • Disaster Mitigation

structures protected 

or restored

D7: Number of structures 

returned to regular use after a 

disaster

EN4: Acres of parks 

or public land 

treated

EN4.1: Acres of parks or public 

land improved

EN5: Miles of trails 

or rivers treated.

EN5.1: Miles of trails or rivers 

improved

G3-3.4: Number of 

organizations that 

received capacity 

building services

G3-3.10A: Number of 

organizations that increase their 

efficiency, effectiveness, and/or 

program reach
6 

Focus Area: Economic Opportunity

Objective

Selection Rules

Output Outcome Service Activity

Financial 

Literacy

O1A: Number of 

individuals served

O9: Number of individuals 

with improved financial 

knowledge

O19A: Dollar value of tax 

returns generated

• Financial Literacy 

Education

• Financial Fraud 

Prevention

• Tax Preparation

Housing O1A: Number of 

individuals served

O11: Number of individuals 

transitioned into safe, healthy, 

affordable housing

• Housing Unit 

Development

• Housing Unit Repair

• Housing Placement/ 

Assistance

O4: Number of 

housing units 

developed or 

repaired

O20: Number of safe, healthy, 

affordable housing units made 

available

• Housing Unit 

Development

• Housing Unit Repair

Employment O1A: Number of 

individuals served

O10: Number of individuals 

who secure employment

O21: Number of individuals 

with improved job readiness

• Job Training

• Job Placement

• GED Education

• Other Adult 

Education
7 

Focus Area: Education

Objective

Selection Rules

Output Outcome Service Activity

School 

Readiness

ED1A: Number of 

individuals served

ED23A: Number of children 

demonstrating gains in school

readiness

• Tutoring

• Mentoring

• Other Classroom 

Support

• Out-of-School Time

• Family Involvement

• Service Learning

• Summer Learning

• Classroom Teaching

• Social and Emotional 

Support

K-12 Success ED1A: Number of 

individuals served

ED5A: Number of students 

with improved academic 

performance

ED6: Number of students with 

increased attendance

ED7A: Number of students

with decreased disciplinary 

incidents (referrals, 

suspensions, expulsions, 

criminal or gang involvement)

ED9: Number of students 

graduating from high school 

on time

ED10: Number of students 

enrolling in post-secondary 

education/training

ED27C: Number of students 

with improved academic 

engagement or socialemotional skills

• Tutoring

• Mentoring

• Other Classroom 

Support

• Out- of-School Time

• Family Involvement

• Service Learning

• Summer Learning

• Classroom Teaching

• Opioid/Drug 

Intervention

• Social and Emotional 

Support

Post-HS 

Education 

Support

ED1A: Number of 

individuals served

ED11: Number of individuals 

earning a post-secondary 

degree or technical 

certification

• Tutoring

• Mentoring

• Family Involvement

• Service Learning

• Summer Learning
8 

Focus Area: Environmental Stewardship

Objective

Selection Rules

Output Outcome Service Activity

At-Risk 

Ecosystems

EN4: Acres of parks 

or public land 

treated

EN4.1: Acres of parks or 

public land improved

• Fire Mitigation

• Flood Mitigation

• Invasive Species 

Removal

• Debris Removal

• Plant Establishment

EN5: Miles of trails 

or rivers treated

EN5.1: Miles of trails or rivers 

improved

• Trail Creation

• Trail Remediation

• Stream Remediation

• Fire Mitigation

• Flood Mitigation

• Invasive Species 

Removal

• Debris Removal

• Plant Establishment

Energy 

Efficiency

EN1: Number of 

housing units or 

public structures 

weatherized or 

retrofitted to 

improve energy 

efficiency

EN1.1: Number of housing 

units or public structures with 

reduced energy consumption 

or reduced energy costs

• Weatherization

• Retrofitting

Awareness & 

Stewardship

EN3: Number of 

individuals receiving 

education or 

training in 

environmental 

stewardship and/or 

environmentally 

conscious practice

EN3.1: Number of individuals 

with increased knowledge of 

environmental stewardship 

and/or environmentallyconscious practices

EN3.2 Number of individuals 

reporting a change in 

behavior or intention to 

change behavior to better 

protect the environment

• Education/Training

• Service Learning
9 

Focus Area: Healthy Futures

Objective

Selection Rules

Output Outcome Service Activity

Aging in 

Place

H4A: Number of 

individuals served

H9A: Number of individuals 

who report having increased 

social support or improved 

capacity for independent 

living

H14: Number of caregivers of 

older adults and individuals

with disabilities who reported 

having increased social 

support

• Companionship

• Nutrition/Food 

Support

• Legal Services

• Transportation

• Medical Services

• Opioid/Drug 

Intervention

• Elder Justice: Fraud 

and Scam Prevention

• Respite Services

Obesity & 

Food

H4A: Number of 

individuals served

H12: Number of individuals 

who report increased food 

security

H17: Number of individuals 

with increased health 

knowledge

H18: Number of individuals 

reporting a change in 

behavior or intent to change 

behavior to improve their 

health

H19: Number of individuals 

with improved health

• Outreach

• Education/Training

• Referrals

• Medical Services

• Nutrition/Food 

Support

• Physical Activities

• Counseling/

Coaching 

• Opioid/Drug 

Intervention

Access to 

Care

H4A: Number of 

individuals served

H15A: Number of individuals 

with developmental 

disabilities receiving services 

that promote integration and 

inclusion (for legacy 

programming only)

H17: Number of individuals 

with increased health 

knowledge

• Outreach

• Education/Training

• Referrals

• Medical Services

• Counseling/

Coaching 

• Opioid/Drug 

Intervention

• Disability Inclusion
10

Objective

Selection Rules

Output Outcome Service Activity

H18: Number of individuals 

reporting a change in 

behavior or intent to change 

behavior to improve their 

health

H19: Number of individuals 

with improved health

H20: Number of individuals 

with improved access to 

medical care

Focus Area: Veterans and Military Families

Objective

Selection Rules

Output Outcome Service Activity

Veterans & 

Families 

Served

V1: Number of 

veterans served

V7A: Number of 

active military 

members and/or 

military family 

members served

V8: Number of 

veteran family 

members served

O9V: Number of individuals 

with improved financial 

knowledge

O11V: Number of individuals

transitioned into 

safe/affordable housing

O10V: Number of individuals

who secure employment

O21V: Number of individuals

with improved job readiness

• Financial Literacy 

Education

• Housing Unit 

Development

• Housing Unit Repair

• Housing Placement/ 

Assistance

• Job Training

• Job Placement

• GED Education

• Other Adult 

Education

ED11V: Number of individuals

earning a post- secondary 

degree or technical 

certification

• Tutoring

• Mentoring

• Family Involvement

• Service Learning

• Summer Learning

H9AV: Number of individuals 

who report having increased 

social support or improved 

capacity for independent living

• Companionship

• Nutrition/Food 

Support

• Legal Services

• Transportation

• Outreach
11

Objective

Selection Rules

Output Outcome Service Activity

H12V: Number of individuals 

who report increased food 

security 

H14V: Number of caregivers 

of older adults and individuals 

with disabilities who reported 

having increased social 

support

H17V: Number of individuals 

with increased health 

knowledge

H18V: Number of individuals 

reporting a change in 

behavior or intent to change 

behavior to improve their 

health

H19V: Number of individuals 

with improved health

H20V: Number of individuals 

with improved access to 

medical care

• Referrals

• Medical Services

• Physical Activities

• Counseling/ 

Coaching

• Respite Services

• Opioid/Drug 

Intervention

Other Community Priorities

Objective

Selection Rules

Output Outcome Service Activity

Other SC1: Grantee met 

their target for 

community priority 

activity (Yes/No)

None • Not applicable
12

Capacity Building

Notes:

• These performance measures are intended to measure the impact of capacity

building activities that leverage private investment in community solutions.

• Activities associated with these measures must meet the definition of capacity 

building specified in the “key terms” definition under G3-3.4.

• These activities must be carried out by AmeriCorps Seniors volunteers or by

volunteers directly recruited and/or supported by AmeriCorps Seniors volunteers. 

• All individuals counted under these measures must be program beneficiaries, not

AmeriCorps Seniors volunteers. 

Definitions and Data Collection

Applicants that select outputs G3-3.4, G3-3.1A, or G3-3.16A may select 

outcome measure G3-3.10A.

G3-3.4 (output) Number of organizations that received capacity building services

Definition of 

Key Terms

Organization: nonprofit or state/local/tribal government entity 

Capacity building services: a set of activities that expand the scale, reach, 

efficiency, or effectiveness of programs and organizations. Capacity building 

activities may also leverage resources (e.g., funding, volunteers, in-kind 

support, or partnerships) for programs and/or organizations. As a general 

rule, AmeriCorps considers capacity building activities to be indirect services 

that enable organizations to provide more, better, and sustained direct 

services. 

Capacity building activities must (1) be intended to support or enhance the 

program delivery model, (2) respond to the organization’s goal of increasing, 

expanding or enhancing services in order to address pressing community 

needs, and (3) enable the organization to provide a sustained level of more 

or better direct services after the AmeriCorps Seniors volunteer’s term of 

service has ended. 

How to 

Measure/ 

Collect Data

Tracking mechanism that ensures an unduplicated count of organizations 

who have received services
13

G3-3.1A 

(output)

G3-3.1A Number of community volunteers recruited or managed

Definition of 

Key Terms

Community volunteers: Residents in the community who are recruited 

and/or managed by the AmeriCorps-supported organization or assigned 

AmeriCorps Seniors volunteer(s) to offer time, knowledge, skills, and 

expertise for free. Community volunteers differ from AmeriCorps Seniors 

volunteers.

Recruited: Enlisted or enrolled as a direct result of an intention to do so.

How to 

Measure/ 

Collect Data

Only count community volunteers that were specifically recruited by the 

AmeriCorps-supported organization or the AmeriCorps Seniors volunteers

engaged in capacity building activity.

The organization must use some form of volunteer management system, 

having processes or capabilities that allow them to track information about 

individual volunteers.

NOTE: AmeriCorps Seniors volunteers may not recruit volunteers to do 

activities that they themselves are prohibited from doing, including but not 

limited to, managing the AmeriCorps-supported projects/grants or 

conducting community organizing intended to promote advocacy.

G3-3.16A

(output)

G3-3.16A: Dollar value of cash or in-kind resources leveraged

Definition of 

Key Terms

Cash resources: Cash, check, or other monetary gift

In-Kind resources: Non-cash contributions, including donated goods or 

services, expert advice, equipment or property.

Leverage: To garner additional resources or assets through capacity 

building activities (such as funding, volunteers, in-kind support, and 

partnerships.

How to 

Measure/ 

Collect Data

Only cash and in-kind resources raised specifically as a result of capacity 

building activities provided by the AmeriCorps-supported organization or 

assigned AmeriCorps Seniors volunteer(s) engaged in capacity building 

activity intended to support or enhance the program delivery model may be 

counted.

The organization must keep administrative records or other information 

management systems that enable them to track and verify the origin, intent, 

and other transactional information on commitments and contributions of 

resources.
14

G3-3.10A

(outcome)

Number of organizations that increased their effectiveness, efficiency, and/or 

program scale/reach

Definition of 

Key Terms

Organizations: The nonprofit or state/local/tribal government entity 

receiving capacity building services

Effectiveness: Improved ability of the organization to achieve outcomes 

resulting in better success rates or better quality of outcomes achieved

Efficiency: Improved outcomes with the same level of resources; improved 

or consistent quality of services with fewer resources

Scale/Reach: The scope of a program’s services. Increased scale/reach can

be measured by the number of new people served, new populations served, 

and/ or new or expanded services.

How to 

Measure/ 

Collect Data

Organizational assessment tool or other instrument capable of measuring 

changes in effectiveness, efficiency, or scale/reach at the organization level. 

When possible, pre-post assessments should be used. 

Disaster Services 

Notes:

• These performance measures are intended to measure the impact of activities that 

help individuals and communities prepare, respond, recover, and mitigate disasters, 

and increase community resiliency.

• For EN4, EN4.1, EN5, and EN5.1, see Environmental Stewardship 

• For G3-3.4 and G3-3.10A, see Capacity Building 

• These activities must be carried out by AmeriCorps Seniors volunteers or by 

volunteers directly recruited and/or supported by AmeriCorps Seniors volunteers. 

• All individuals counted under these measures must be program beneficiaries, not

AmeriCorps Seniors volunteers. 
15

Definitions and Data Collection

Applicants that select output D1A may select outcome D5. 

D1A (output) Number of individuals served

Definition of 

Key Terms

Individuals: recipients of AmeriCorps-supported services related to

disaster preparedness, response, recovery, and/or mitigation

Served: substantive engagement of individuals with a specific disasterrelated goal in mind. Cannot consist solely of mass dissemination of 

information such as email blasts, social media posts, or distributing

pamphlets.

How to 

Measure/ 

Collect Data

Tracking mechanism that ensures an unduplicated count of individuals who 

have received services

D5 (outcome) Number of individuals reporting increased disaster readiness

Definition of 

Key Terms

Individuals: those reported in measure D1A

Disaster readiness: measures taken to prepare for and reduce the effects

of future disasters

How to 

Measure/ 

Collect Data

Survey, interview, or other instrument capable of measuring changes in 

disaster readiness at the individual beneficiary level. When possible, prepost assessments should be used. 

Applicants that select output D6 may select outcome D7. 

D6 (output) Number of structures protected or restored

Definition of 

Key Terms

Structures: housing units or public facilities

Protected: prepared to more effectively withstand future disasters

Restored: repaired from damage sustained during a disaster
16

How to 

Measure/ 

Collect Data

Tracking mechanism that ensures an unduplicated count of structures that 

received services

D7 (outcome) Number of structures returned to regular use after a disaster

Definition of 

Key Terms

Structures: those reported in measure D6

Returned to regular use: able to be used for the same or similar purpose

for which they were used prior to the disaster

How to 

Measure/ 

Collect Data

Report from structure owner/manager/occupant, or other instrument 

capable of measuring changes in condition at the individual structure level

Economic Opportunity 

Notes:

• These performance measures are intended to measure the impact of activities that 

support and/or facilitate access to services and resources that contribute to the

improved economic well-being and security of economically disadvantaged people.

• These activities must be carried out by AmeriCorps Seniors volunteers or by 

volunteers directly recruited and/or supported by AmeriCorps Seniors volunteers. 

• All individuals counted under these measures must be program beneficiaries, not

AmeriCorps Seniors volunteers. 

Definitions and Data Collection

Applicants that select output O1A may select outcome O9, O19A, O11, O10, or

O21.

O1A (output) Number of individuals served

Definition of 

Key Terms

Individuals: recipients of AmeriCorps-supported services related to

disaster preparedness, response, recovery, and/or mitigation

Served: substantive engagement of individuals with a specific goal in mind

related to economic opportunity. Cannot consist solely of mass 

dissemination of information such as email blasts, social media posts, or

distributing pamphlets.
17

How to 

Measure/ 

Collect Data

Tracking mechanism that ensures an unduplicated count of individuals who 

have received services

O9, O9V

(outcome)

Number of individuals with improved financial knowledge

Definition of 

Key Terms

Individuals: those reported in measure O1A or V1, V7A, V8

Improved financial knowledge: increased knowledge/understanding of 

financial literacy topics such as credit management, financial institutions 

including banks and credit unions, and utilization of savings plans

How to 

Measure/ 

Collect Data

Survey, interview, or other instrument capable of measuring changes in 

financial knowledge at the individual beneficiary level. When possible, prepost assessments should be used. 

O10, O10V

(outcome)

Number of individuals who secure employment

Definition of 

Key Terms

Individuals: those reported in measure O1A or V1, V7A, V8

Secure employment: individual is hired in a new job as a result of 

AmeriCorps- supported services provided; individual may have been 

previously working in a different job or previously unemployed

How to 

Measure/ 

Collect Data

Preferred method is a copy of acceptance letter from employer or copy of 

first pay stub. Beneficiary self-reports may also be used. 

O11, O11V

(outcome)

Number of individuals transitioned into safe, healthy, affordable housing

Definition of 

Key Terms

Individuals: those reported in measure O1A or V1, V7A, V8

Safe, healthy, affordable housing: Grantee certifies that the housing is 

safe and healthy based on an inspection or other documentation. Grantee 

defines affordability and certifies that the housing is affordable to the 

individual(s) transitioned into the unit.

How to 

Measure/ 

Collect Data

Preferred method is a proof of residence such as a lease, mortgage, 

certificate of occupancy, or other verification from an external agency. 

Beneficiary self-reports may also be used. 
18

O19A (outcome) Dollar value of tax returns generated

Definition of 

Key Terms

Dollar value of tax returns: The dollar value of tax refunds generated 

specifically as a result of VITA or Tax Tutoring activities provided by 

AmeriCorps-supported organization or assigned national service 

participant(s) engaged in the service activity

How to 

Measure/ 

Collect Data

The organization must keep administrative records or other information 

management systems that enable them to track and verify the dollar value

of tax refunds generated.

O21, O21V

(outcome)

Number of individuals with improved job readiness

Definition of 

Key Terms

Individuals: those reported in measure O1A or V1, V7A, V8

Improved job readiness: increased knowledge or skills related to seeking, 

obtaining, or successfully retaining a job.

How to 

Measure/ 

Collect Data

Survey, interview, observation, or other instrument capable of measuring 

changes in job readiness at the individual beneficiary level. When possible, 

pre-post assessments should be used. 

Applicants that select output O4 may select outcome O20.

O4 (output) Number of housing units developed or repaired

Definition of 

Key Terms

Housing unit: A single-family home (including a mobile home if 

permanently placed), an apartment, or a room in a group home for people 

with disabilities

Develop: Build new or substantially rehabilitate housing units that were 

uninhabitable or soon would have become so. Involves replacing major 

systems such as the roof, the plumbing, the wiring, the foundation, or 

elevating the unit as required by a flood plain standard.

Repair: A more modest level of physical work on the unit, such as 

weatherizing, painting, replacing appliances and removing safety hazards

How to 

Measure/ 

Collect Data

Tracking mechanism that ensures an unduplicated count of the number of

housing units that have received AmeriCorps-supported development or 

repair services
19

O20 (outcome) Number of safe, healthy, affordable housing units made available

Definition of 

Key Terms

Housing unit: those reported in measure O4

Safe, healthy, affordable housing unit: Grantee certifies that the housing 

unit is safe and healthy based on an inspection or other documentation. 

Grantee defines affordability and certifies that the housing unit is 

affordable.

Made available: This count indicates that the work has been completed to

make the units available, but they may or may not have been occupied.

How to 

Measure/ 

Collect Data

Tracking mechanism that ensures an unduplicated count of the number of 

safe, healthy, affordable housing units that have been made available

Education 

Notes:

• These performance measures are intended to measure the impact of activities that 

support and/or facilitate access to services and resources that contribute to 

improved educational outcomes for economically disadvantaged people, especially 

children.

• These activities must be carried out by AmeriCorps Seniors volunteers or by 

volunteers directly recruited and/or supported by AmeriCorps Seniors volunteers. 

• All individuals counted under these measures must be program beneficiaries, not

AmeriCorps Seniors volunteers. 
20

Definitions and Data Collection

Applicants that select output ED1A may select outcome ED5A, ED6, ED7A, 

ED9, ED10, ED11, ED23A, or ED27C. 

ED1A (output) Number of individuals served

Definition of 

Key Terms

Individuals: recipients of AmeriCorps-supported services related to 

education; may include students enrolled in grades K-12, out-of-school 

youth, preschool age children, and/or individuals pursuing postsecondary 

education

Served: substantive engagement of individuals with a specific educationrelated goal in mind. Cannot consist solely of mass dissemination of 

information such as email blasts, social media posts, or distributing

pamphlets.

How to 

Measure/ 

Collect Data

Tracking mechanism that ensures an unduplicated count of individuals who 

have received services

ED5A (outcome) Number of students with improved academic performance

Definition of 

Key Terms

Students: those reported in ED1A

Improved academic performance: an improved demonstration of skill or 

knowledge in one or more academic subjects

How to 

Measure/ 

Collect Data

Standardized test, report card grade, or other instrument capable of 

measuring changes in academic performance at the individual beneficiary 

level. When possible, pre-post assessments should be used. 

ED6 (outcome) Number of students with increased school attendance

Definition of 

Key Terms

Students: those reported in ED1A

Increased school attendance: higher rate of presence and/or on-time 

arrival at school as compared to a previous comparable time period

How to 

Measure/ 

Collect Data

School/district/classroom attendance records or other instrument capable

of measuring changes in attendance at the individual beneficiary level
21

ED7A (outcome) Number of students with decreased disciplinary incidents (referrals, 

suspensions/expulsions, criminal or gang involvement)

Definition of 

Key Terms

Students: those reported in ED1A

Decreased disciplinary incidents: lower rate of incidents as compared to 

a previous comparable time period

How to 

Measure/ 

Collect Data

School/district/classroom records, police records, or other instrument 

capable of measuring changes in disciplinary incidents at the individual 

beneficiary level

ED9 (outcome) Number of students graduating from high school on time with a diploma

Definition of 

Key Terms

Students: those reported in ED1A

On Time: Within four years of starting 9th grade

How to 

Measure/ 

Collect Data

Preferred method is school/district graduation records for student 

beneficiaries. Beneficiary self-reports may also be used. 

ED10 (outcome) Number of students enrolling in post-secondary education or training

Definition of 

Key Terms

Students: those reported in ED1A

Post-secondary education or training may include two- or four-year 

college programs or occupational/vocational programs

Enrolling: means matriculating as a full-time or part-time student

How to 

Measure/ 

Collect Data

Preferred method is registration records that confirm student enrollments. 

Beneficiary self- reports may also be used. 
22

ED11, ED11V

(outcome)

Number of students earning a post-secondary degree

Definition of 

Key Terms

Students: those reported in ED1A or V1, V7A, V8

Degree: may include an associate degree from an accredited academic 

program or an occupational or vocational program; a bachelor’s degree 

(ex., BA, BS); a master’s degree (ex.: MA, MS, MEng, MEd, MSW); a 

professional school degree (ex.: MD, DDS, DVM); or a doctorate degree

(ex.: PhD, EdD)

How to 

Measure/ 

Collect Data

Preferred method is registration records that confirm degree was earned. 

Beneficiary self- reports may also be used. 

Note Programs may only select this measure if they are able to collect data 

during a one-year grant period.

ED23A 

(outcome)

Number of children demonstrating gains in school readiness

Definition of 

Key Terms

Children: those reported in ED1A

School readiness: Preparation for Kindergarten which includes multiple 

indicators assessed across developmental and behavioral domains 

including but not limited to physical well- being, health and motor 

development, social and emotional development, approaches to learning,

language development, cognitive development, and age- appropriate 

academic skills and behavior.

How to 

Measure/ 

Collect Data

Teacher observation, standardized test, or other instrument capable of 

measuring changes in school readiness at the individual beneficiary level. 

When possible, pre-post assessments should be used. 
23

ED27C 

(outcome)

Number of students with improved academic engagement or social and 

emotional skills

Definition of 

Key Terms

Students: those reported in ED1A

Improved academic engagement or social and emotional skills: A 

positive change in student skills, attitude, and/or mindset that is likely to 

contribute to increased educational success. May include increased interest 

in school, improved perspective on school climate, increased attachment to 

school, and/or increased educational aspirations.

How to 

Measure/ 

Collect Data

Survey, observation, or other instrument capable of measuring changes in 

academic engagement or social and emotional skills at the individual 

beneficiary level. When possible, pre-post assessments should be used. 

Note Academic or behavioral improvements counted under ED5A, ED6, or ED7A 

cannot also be counted under this measure

Environmental Stewardship 

Notes:

• These performance measures are intended to measure the impact of activities that 

provide direct services that contribute to increased energy and water efficiency, 

renewable energy use, or improving at-risk ecosystems, and support increased 

citizen behavioral change leading to increased efficiency, renewable energy use, 

and ecosystem improvements particularly for economically disadvantaged 

households and economically disadvantaged communities.

• These activities must be carried out by AmeriCorps Seniors volunteers or by 

volunteers directly recruited and/or supported by AmeriCorps Seniors volunteers. 

• All individuals counted under these measures must be program beneficiaries, not

AmeriCorps Seniors volunteers. 
24

Definitions and Data Collection

Applicants that select output EN1 may select outcome EN1.1. 

EN1 (output) Number of housing units or public structures weatherized or retrofitted to 

improve energy efficiency

Definition of 

Key Terms

Housing unit: a single-family home (including a mobile home if 

permanently placed), an apartment, or a room in a group home for people 

with disabilities

Public structure: Shelter, such as homeless shelter or emergency shelter 

operated by a nonprofit or government organization; government-owned 

building

Weatherization: Modifying a building to reduce energy consumption and 

costs and optimize energy efficiency. Whole-house weatherization includes 

the installation of modern energy-saving heating and cooling equipment 

and looks at how the house performs as a system.

Retrofit: An energy conservation measure applied to an existing building 

or the action of improving the thermal performance or maintenance of a 

building.

How to 

Measure/ 

Collect Data

Tracking mechanism that ensures an unduplicated count of units/structures 

that have received services

EN1.1 

(outcome)

Number of housing units or public structures with reduced energy 

consumption or reduced energy costs

Definition of 

Key Terms

Housing units or public structures: those reported in EN1

How to 

Measure/ 

Collect Data

Utility bill/statement, computer modeling, resident survey, or other

instrument capable of measuring changes in energy consumption or

energy costs at the individual unit/structure level. When possible, pre-post

assessments should be used. 
25

Applicants that select output EN3 may select outcome EN3.1 or EN3.2. 

EN3 (output) Number of individuals receiving education or training in environmental 

stewardship and/or environmentally-conscious practices 

Definition of 

Key Terms

Environmental Stewardship and/or environmentally conscious

practices: Organized efforts to teach about how natural environments 

function and, particularly, how human beings can manage their behavior 

and choices in order to live sustainably within those environments.

Education or training: substantive engagement of individuals with a 

specific education goal in mind. Cannot consist solely of mass 

dissemination of information such as email blasts, social media posts, or 

distributing pamphlets.

How to 

Measure/ 

Collect Data

Tracking mechanism that ensures an unduplicated count of individuals that 

have received services

EN3.1 

(outcome)

Number of individuals with increased knowledge of environmental 

stewardship and/or environmentally-conscious practices 

Definition of 

Key Terms

Individuals: those reported in EN3

How to 

Measure/ 

Collect Data

Survey, test, or other instrument capable of measuring changes in 

knowledge at the individual beneficiary level. When possible, pre-post 

assessments should be used. 

EN3.2 

(outcome)

Number of individuals reporting a change in behavior or the intent to 

change behavior to better protect the environment

Definition of 

Key Terms

Individuals: those reported in EN3

How to 

Measure/ 

Collect Data

Survey, interview, or other instrument capable of measuring changes in 

behavior at the individual beneficiary level. When possible, pre-post 

assessments should be used. 
26

Applicants that select output EN4 may select outcome EN4.1. 

EN4 (output) Number of acres of public parks or other public and tribal lands that are treated

Definition of 

Key Terms

Public parks: Park/recreation areas that are designated by national, state, 

city, or county governments (not trails or rivers; see EN5)

Other public lands: Other publicly owned lands; land owned by 

nonprofits for public use or the public good (such as land conservancies):

and public easements

Tribal lands: Same meaning as imparted by the definitions of “Indian 

Lands” and “Indian Tribes” provided in. SEC. 101. [42 U.S.C. 12511] 

Treated: Removal of invasive species, planting native plants, building 

riparian buffers, clearing of natural debris (such as fallen trees/limbs, 

hazardous fuel) and unnatural debris (such as disaster debris and 

improperly disposed waste). Treatment must go beyond basic trash

removal.

How to 

Measure/ 

Collect Data

Tracking mechanism that ensures an unduplicated count of acres of land 

that have received services

EN4.1 

(outcome)

Number of acres of public parks or other public and tribal lands that are 

improved

Definition of 

Key Terms

Acres of public parks or other public and tribal lands: those reported in

EN4

Improved: Renovated to reduce human impact or the negative impact of 

natural disasters or invasive species, restored native plants and habitat, 

reduced erosion, protected watersheds, reduced wildfire risk, upgraded or 

repaired outdoor recreation facilities or signage, increased public safe

access, protected flora and fauna. Improvement should be consistent with

an accepted natural resource restoration, maintenance or improvement 

plan.

How to 

Measure/ 

Collect Data

Land manager assessment or other instrument capable of measuring 

changes in land condition at the scale of individual acres. When possible, 

pre-post assessments should be used. 
27

Applicants that select output EN5 may select outcome EN5.1. 

EN5 (output) Number of miles of public trails or waterways that are treated and/or 

constructed

Definition of 

Key Terms

Public trails or waterways: owned/maintained by national, state, county, 

city or tribal governments; nonprofits when for public use or the public

good; and public easements Treated: Removal of invasive species,

planting native plants, building riparian buffers, improving tread/corridor 

of existing trail or making changes to increase the trail lifespan, 

implementing safety measures, removal of unsafe trail structures, repair of 

damage caused by visitor use, changes to increase accessibility, clearing of

natural debris (such as fallen trees/limbs and hazardous fuel) and unnatural 

debris (such as disaster debris and improperly disposed waste). Treatments

must go beyond basic trash removal.

Constructed: Activities designed to make trails newly available such as 

adding handicapped accessibility, building boardwalks, trail-blazing,

converting a railroad bed to a trail, etc.

How to 

Measure/ 

Collect Data

Tracking mechanism that ensures an unduplicated count of miles of 

trail/waterway that have received services

EN5.1 

(outcome)

Number of miles of public trails or waterways that are improved and/or put 

into use

Definition of 

Key Terms

Miles of public trails or waterways: those reported in EN5

Improved: Restored to reduce human impact or the negative impact of 

natural disasters or invasive species, restored native plants and habitat, 

reduced erosion, protected watersheds, increased safe condition or longterm sustainability of trails, increased accessibility, protected flora and 

fauna. Improvement should be consistent with an accepted natural 

resource restoration, maintenance or improvement plan.

Put into use: Established safe and useable trails that are now available for 

public access

How to 

Measure/ 

Collect Data

Land manager assessment or other instrument capable of measuring 

changes in trail or waterway condition at the scale of individual miles. When

possible, pre- post assessments should be used. 
28

Healthy Futures 

Notes:

• These performance measures are intended to measure the impact of activities that

meet health needs within communities including access to care, aging in place, and 

addressing childhood obesity.

• These activities must be carried out by AmeriCorps Seniors volunteers or by 

volunteers directly recruited and/or supported by AmeriCorps Seniors volunteers. 

• All individuals counted under these measures must be program beneficiaries, not

AmeriCorps Seniors volunteers. 

Definitions and Data Collection

Applicants that select output H4A may select outcome H9A, H12, H14, H15A, 

H17, H18, H19, or H20. 

H4A (output) Number of individuals served

Definition of 

Key Terms

Individuals: recipients of AmeriCorps-supported services related to 

improving health- related outcomes

Served: substantive engagement of individuals with a specific healthrelated goal in mind. Cannot consist solely of mass dissemination of 

information such as email blasts, social media posts, or distributing

pamphlets.

How to 

Measure/ 

Collect Data

Tracking mechanism that ensures an unduplicated count of individuals who 

have received services
29

H9A, H9AV

(outcome)

Number of individuals who report having increase social support or 

improved capacity for independent living

Definition of 

Key Terms

Individuals: those reported in H4A or V1, V7A, V8

How to 

Measure/ 

Collect Data

Survey, interview, caseworker assessment, or other instrument capable of 

measuring changes in social support or perceived social support and/or 

independent living capacity at the individual beneficiary level. When 

possible, pre-post assessments should be used. 

AmeriCorps has a mandatory survey instrument for the Senior Companion 

Program and recommends its use for AmeriCorps Seniors RSVP:

AmeriCorps Independent Living Survey.

H12, H12V

(outcome)

Number of individuals who report increased food security

Definition of 

Key Terms

Individuals: those reported in H4A or V1, V7A, V8

Food security: Access, at all times, to enough food for an active, healthy 

life. Food security includes at a minimum: (1) the ready availability of 

nutritionally adequate and safe foods, and (2) an assured ability to acquire 

acceptable foods in socially acceptable ways (that is, without resorting to

emergency food supplies, scavenging, stealing, or other coping strategies). 

[USDA]

How to 

Measure/ 

Collect Data

Survey, interview, caseworker assessment, or other instrument capable of

measuring changes in food security at the individual beneficiary level.

When possible, pre-post assessments should be used. 
30

H14, H14V

(outcome)

H14: Number of caregivers of older adults and individuals with disabilities 

who reported having increased social support

Definition of 

Key Terms

Individuals: those reported in H4A or V1, V7A, V8

Older Adults: Individual age 65 or older

Respite Services: Services that provide temporary relief from the stresses

of caregiving by providing short term assistance to and adult who is the 

primary caregiver for another person.

Social ties/perceived social support: Relationships with other people and 

or the belief that these people will offer (or have offered) effective help 

during times of needs.

How to 

Measure/ 

Collect Data

Programs should collect data for this measure from surveys, interview, 

caseworker assessment, or other instrument capable of measuring changes 

in food security at the individual beneficiary level. When possible, pre-post 

assessments should be used. 

AmeriCorps has a mandatory survey instrument for the Senior Companion

Program and recommends its use for RSVP: AmeriCorps Seniors Respite

Care Performance Measure Survey.

H15A (outcome) H15A Number of individuals with developmental disabilities receiving 

services that promote integration and inclusion

Note AmeriCorps Seniors applicants may only select this measure if they have 

historically supported programming in this area.

Definition of 

Key Terms

Individuals: those reported in H4A

How to 

Measure/ 

Collect Data

Survey, interview, caseworker assessment, or other instrument capable of 

measuring changes in social support or perceived social support and/or 

independent living capacity at the individual beneficiary level. When

possible, pre-post assessments should be used. 
31

H17, H17V

(outcome)

Number of individuals with increased health knowledge

Definition of 

Key Terms

Individuals: those reported in H4A or V1, V7A, V8

How to 

Measure/ 

Collect Data

Survey, test, or other instrument capable of measuring changes in 

knowledge at the individual beneficiary level. When possible, pre-post 

assessments should be used. 

H18, H18V

(outcome)

Number of individuals reporting a change in behavior or intent to change 

behavior to improve their health

Definition of 

Key Terms

Individuals: those reported in H4A or V1, V7A, V8

How to 

Measure/ 

Collect Data

Survey, interview, or other instrument capable of measuring changes in 

behavior at the individual beneficiary level. When possible, pre-post 

assessments should be used. 

H19, H19V

(outcome)

Number of individuals with improved health

Definition of 

Key Terms

Individuals: those reported in H4A or V1, V7A, V8

How to 

Measure/ 

Collect Data

Assessment by a healthcare professional, survey, or other instrument

capable of measuring changes in health condition at the individual 

beneficiary level. When possible, pre-post assessments should be used. 

H20, H20V

(outcome)

Number of individuals with improved access to medical care

Definition of 

Key Terms

Individuals: those reported in H4A or V1, V7A, V8

How to 

Measure/ 

Collect Data

Survey, interview, caseworker assessment, or other instrument capable of

measuring changes is healthy care access at the individual beneficiary level.

When possible, pre-post assessments should be used. 
32

Veterans and Military Families 

Notes:

• These performance measures are intended to measure the impact of activities that

positively impact the quality of life of veterans and improve military family strength.

• For information on O9V, O10V, O11V, and O21V, see EconomicOpportunity.

• For information on ED11V, see Education. 

• For information on H9AV, H12V, H14V, H17V, H18V, H19V, and H20V, see Healthy

Futures. 

• These activities must be carried out by AmeriCorps Seniors volunteers or by 

volunteers directly recruited and/or supported by AmeriCorps Seniors volunteers. 

• All individuals counted under these measures must be program beneficiaries, not

AmeriCorps Seniors volunteers. 

Definitions and Data Collection

Applicants that select outputs V1, V7A, or V8 may select outcome O9V, O10V, 

O11V, O21V, ED11V, H9AV, H12V, H14V, H17V, H18V, H19V, or H20V.

V1 (output) Number of veterans served

Definition of 

Key Terms

Veteran: a person who served in the active military, naval, or air service, 

and who was discharged or released therefrom under conditions other 

than dishonorable [Section 101 of Title 38, 23 United States Code]

Served: substantive engagement of individuals with specific outcome(s) in 

mind. Cannot consist solely of mass dissemination of information such as

email blasts, social media posts, or distributing pamphlets.

How to 

Measure/ 

Collect Data

Tracking mechanism that ensures an unduplicated count of individuals who 

have received services
33

V7A (outcome) Number of active-duty military service members and/or military family 

members served

Definition of 

Key Terms

Active-duty military service member: The term ‘‘active duty’’ means “fulltime duty in the active military service of the United States, including active

duty or full-time training duty in the Reserve Component” [DOD Dictionary 

of Military and Associated Terms, April 2018]. AmeriCorps considers 

National Guard members and reservists and wounded warriors sub- groups 

of active-duty military service members for the purposes of grant 

applications and performance measure reporting.

Military family member: Immediate family member related by blood, 

marriage, or adoption to a current member of the U.S. armed forces 

including one who is deceased.

Served: substantive engagement of individuals with specific outcome(s) in 

mind. Cannot consist solely of mass dissemination of information such as 

email blasts, social media posts, or distributing pamphlets.

How to 

Measure/ 

Collect Data

Tracking mechanism that ensures an unduplicated count of individuals who 

have received services

V8 (outcome) Number of veteran family members served

Definition of 

Key Terms

Veteran: a person who served in the active military, naval, or air service, 

and who was discharged or released therefrom under conditions other

than dishonorable [Section 101 of Title 38, 23 United States Code]

Veteran family member: Immediate family member related by blood,

marriage, or adoption to a veteran, including one who is deceased.

Served: substantive engagement of individuals with specific outcome(s) in 

mind. Cannot consist solely of mass dissemination of information such as

email blasts, social media posts, or distributing pamphlets.

How to 

Measure/ 

Collect Data

Tracking mechanism that ensures an unduplicated count of individuals who

have received services
34

Other Community Priorities 

Notes:

• Community Priority Service Activities ensure that AmeriCorps SeniorsRSVP programs

can continue to engage in appropriate service activities that may not necessarily lead

to national performance measures outcomes but do support the intent of the 

authorizing legislation.

• This work plan is designed to ensure that an activity supported by appropriated funds

is represented in the grant application while minimizing data collection burden.

• These activities must be carried out by AmeriCorps Seniors volunteers or by 

volunteers directly recruited and/or supported by AmeriCorps Seniors volunteers. 

• All individuals counted under these measures must be program beneficiaries, not

AmeriCorps Seniors volunteers. 

Definitions and Data Collection

SC1 (output) Yes/No met all Applicant-Determined Community Priority Service Activity 

Targets

Definition of 

Key Terms

Community Priority Service Activity:

1. Service activity conducted by RSVP volunteers that may not 

necessarily lead to national performance measures but:

a. Provides opportunities for senior service to meet unmet 

local and state needs;

b. Empowers people 55 years of age or older to contribute

to their communities through service, enhance the lives 

of those who serve and those whom they serve, and 

provide communities with valuable services; and

c. Provides opportunities for people 55 years of age or

older to share their knowledge, experiences, abilities, 

and skills for the betterment of their communities and 

themselves.

2. Community priority service activities shall not include any

prohibited activities.

Applicant- Determined Community Priority Service Activity Targets:

Target goals for Community Priority service activity that are identified by 

the program. Unlike national performance measure outputs, these targets

are not reported to AmeriCorps. Instead, grantees will report yes/no that

they have achieved the target goals for all their Community Priority service 

activities. 
35

How to 

Measure/ 

Collect Data

Not applicable for this output

Change Log

This table lists all changes made to this document since September 2018.

Date Change(s)

October 2018 • The Appendix now provides clarification on how grantees should 

properly round unduplicated volunteers in national performance 

measure work plans.

• Minor edits were made to the Other Community Priority notes.

July 2019 • A few cosmetic updates were made to the document

• References to measure OA1 were corrected to read O1A

• Instructions on what to select, should performance measure 

options be missing in eGrants were added (pg. 4) 

• A link to the Senior Corps Independent Living and Respite Care 

Performance Measure Surveys were added to measures

H9A/H9AV and H14/H14V (pg. 28-29)

September 

2021 • Updated branding; changed CNCS to AmeriCorps and Senior 

Corps to AmeriCorps Seniors. 

August 2023 • A few cosmetic updates were made to the document

• Changed “national service participants” to “AmeriCorps Seniors 

volunteers” for clarity throughout the document

• Clarified definition of “unduplicated volunteers” (pg. 4) 

• Added an example of how to calculate the “Maximum Cost per 

Unduplicated Volunteer in Outcome Assignments” (pg. 4) 

• Added definition of “beneficiary” (pg. 5) 

• Removed references to the COVID-19 performance measure 

resources (pg. 5) 

• Added the indicator numbers for outcomes related to Veterans 

and Military Families to the appropriate outcomes in Economic 

Opportunity, Education, and Healthy Futures

• Added “Social and Emotional Support” as a service activity under 

K-12 Success (pg. 6)
36

Date Change(s)

• Moved the description of “dollar value of tax returns” from the 

“How to Measure/Collect Data” box to the “Definitions” box (pg. 

17)
Independent Living Performance Measure Survey

This 1st question is about how many hours of service that you may have 

received in the past 4 weeks from your AmeriCorps Seniors volunteer.

Tell us how many TOTAL HOURS in a typical week you received services. Here 

is an example of how Mrs. Jones would answer question #1:

Her AmeriCorps Seniors volunteer usually spends one hour on Monday

with and two hours on Wednesday. Therefore, the total hours a week that 

she receives services is 3 hours a week.

Please turn the page for the questions 2-13

1. In a typical week, my AmeriCorps Seniors volunteer is with 

me for hours

Thank you for taking the time to complete this survey. We would like to know

how the AmeriCorps Seniors volunteer who has been assisting you has affected 

your life.

All information will be kept confidential; please do not disclose your name. You 

may choose not to answer a question.
Because I Have an AmeriCorps Seniors volunteer ... 

Strongly 

Disagree

Somewhat 

Disagree

Somewhat 

Agree

Strongly 

Agree

2) ... I feel less lonely.

3) ... I feel I have close ties to 

other people.

4) ... I am able to do the things I 

need to do.

5) ... I am able to do most 

things I want to do.

6) ... I am more satisfied with 

my life.

7) ... I can remain living in my 

own home.

8) ... I am able to get to the 

grocery store.

9) ... I am able to get to medical 

appointments.

10) ... I am able to take care of 

other necessary 

errands/appointments.

11) ... I am eating regularly 

scheduled meals.

12) Overall, I am satisfied with 

my AmeriCorps Seniors 

volunteer.

13) Overall, AmeriCorps

Seniors Program has met my 

expectations.
Respite Performance Measure Survey

This 1st question is about how many hours of respite service that you 

may have received in the past 4 weeks from your AmeriCorps Seniors 

volunteer.

Tell us how many TOTAL HOURS in a typical week you received 

respite services.

Here is an example of how Mrs. Jones would answer question #1:

Her AmeriCorps Seniors volunteer usually spends one hour on Monday 

with and two hours on Wednesday providing respite services. Therefore, 

the total hours a week that she receives respite services is 3 hours a 

week.

1. In a typical week, my AmeriCorps Seniors 

volunteer is with me for hours of respite

Please turn the page for the questions 2-12

Thank you for taking the time to complete this survey. We would like to 

know how the AmeriCorps Seniors volunteer who has been providing 

respite care has affected your life (as the caregiver).

All information will be kept confidential; please do not disclose your name. 

You may choose not to answer a question.
Because I Have an AmeriCorps Seniors volunteer assisting with 

Respite Care ...

Strongly 

Disagree

Somewhat 

Disagree

Somewhat 

Agree

Strongly 

Agree

2) ... I feel less lonely.

3) ... I feel I have close ties to 

other people.

4) ... I am able to do the things I 

need to do.

5) ... I am able to do most 

things I want to do.

6) ... I am more satisfied with 

my life.

7) ... The person I care for is 

able to remain at home.

8) ... I am able to get short-term 

rest and relief.

9) ... I am able to find time to 

run errands.

10) ... I am able find time to 

attend to my personal and 

health care needs.

11) Overall, I am satisfied with 

the Caregiver Respite 

AmeriCorps Seniors

volunteer.

12) Overall, AmeriCorps

Seniors program has met my 

expectations.