This page links to examples of SIS instruments and data visualizations based on either demo data (we made it up) or public datasets. Most SIS instruments include:  

  • A data collection tool (like an online survey) that works on multiple platforms
  • An overview report that shows charts for all of the measures in an instrument and how the results interact with one another
  • A ‘technical report’ that provides context for the visualizations, including a description of the sample.

Quick suggestions poll for your clients

We think this instrument is the single most important tool in SIS. It can be customized for your services. The poll comprises 3 questions that asks for one suggestion, plus a priority rating (Very important, Important, Not very important), and a category (Skilled and competent service; Caring and respectful staff; Location, hours and languages; Facilities and equipment; Wait times; Other).

Survey with multiple outcome measures for health and employment

This survey includes several measures of success for services to immigrants and refugees. You can customize it with your organization’s name, add programs and locations, and add measures that meet your programs’ needs.

Collecting feedback from staff with a Team Effectiveness survey

The Team Effectiveness measure is a great way to improve how your teams function. The survey is at this link. We recommend against collecting open-ended responses and demographics (like gender) unless your sample is big enough to disguise individual respondents. To collect open-ended suggestions, use a quick suggestion poll instead. 

Other instruments and measures

Many of the following items are measures that we recommend, but haven’t yet turned into working data collection tools.  We will create instruments and add more measures as agencies request them. 

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One question that asks, "In which country were you born?". Answer is short text box.

10 questions that ask about equity in service delivery, as a self-assessment tool for organizations providing heath care services.

One question, "How would you describe yourself?" with answer options White, South Asian (e.g., East Indian, Pakistani, Sri Lankan, etc.), Chinese, Black, Filipino, Latin American, Arab, Southeast Asian (e.g., Vietnamese, Cambodian, Malaysian, Laotian, etc.), West Asian (e.g., Iranian, Afghan, etc.), Korean, Japanese and Other. The options are used in national surveys by Statistics Canada.

The evaluation plan workbook is designed to help small programs create a basic evaluation plan. It's free to use for as many projects as you like.

One question ("What is your gender?") with 4 options: Female, Male, Gender diverse, and 'Prefer not to say'.

This interview protocol is designed to be used by staff or volunteers with clients and program participants. It can be done individually or in a group, on the phone or face-to-face. It can be translated into any language on the fly by the interviewer, so it doesn’t require respondents to use English or to read […]

One question asking "What languages do you speak?" Options are English, French, Other

One question, "Using a scale of 0 to 10 where 0 means "Very dissatisfied" and 10 means "Very satisfied", how do you feel about your life as a whole right now?"

11 questions covering the 8 behaviours of effective managers, rated on 5 point scale from Strongly disagree to Strongly agree. Example: "My manager regularly shares relevant information from his/her manager and senior leaders."

Use this workbook to create a simple Program Logic Model for any of your programs. You can use the PDF summary in your funding proposals. Feel free to share this with colleagues - it's free to use.

17 question 'outcome survey' designed for adults receiving a wide range of social services. You can hide questions that are not relevant to your programs.

This group of 19 questions is used for screening for social and behavioural risks for health. It consists of several brief measures combined together in one panel, including general health, alcohol use, exercise, food security, income and education. The questions are rated according to different scales - see this online form for details.

Quick suggestion poll (3 questions) that asks for one open-ended suggestion, a priority rating (Very important, Important, Not very important), and a category.

This tool is intended for teams to take and discuss the results with each other, leading to a better understanding of their own team dynamics and identifying ways to improve.  A sample question: "When team members say they’ll get something done, they do." There are five scales which show the behaviours of effective teams: Psychological safety, Team dependability, Structure and clarity, Meaning, and Impact.

Survey for staff and volunteers based on the Team Effectiveness measure. Includes open-ended suggestions.