Problem Analysis Worksheet

 

Student:                                                              Cohort: ______________ Date: ___/____/02

 

1.State the problem in as clear and concise a manner as possible:

 

 

 

 

2.Why is this a problem?

 

 

 

 

3] Where is the problem located or centered?

 

 

 

 

4] Who is affected by the problem?

 

 

 

 

 

5] Analyze the above for symptoms of a problem.  Ask yourself what causes the condition that makes you think there is a real problem.  Is this really the problem or only the manifestation of a symptom

                                          SYMPTOMS OF THE PROBLEM

 

 

a]            _________________________________________________________________

 

 

b]            _________________________________________________________________

 

 

c]            _________________________________________________________________

 

 

d]            _________________________________________________________________

 

 

e]            _________________________________________________________________

 

 

                                               

                                                                                                            Problem Analysis Page 2

 

6] List all possible explanations (causes) for the problem.  Use complete sentences, such as: “The problem is a result of ineffective communication between departments.”

 

A)                _______________________________________________________

 

B)                 _______________________________________________________

 

C)                _______________________________________________________

 

D)                _______________________________________________________

 

7] Specifically, in what practical ways do you expect the situation to improve after the intervention?

    How will your organization benefit from this change? Think of this as the “BEFORE” and

    “AFTER” of the intervention.

 

                              How it is Now                                                           How it Will Be (Objectives)

 

____________________________________      ____________________________________

 

____________________________________      ____________________________________

 

____________________________________      ____________________________________

 

____________________________________      ____________________________________

 

8] What are the first two or three steps you need to take to get started?

 

a]

 

b]

 

c]

 

APPROVAL PROCESS:

 

Action Research Project Advisor:                                                                    Date:    /    /2002

                                                                  (Signature)

 

 

Student / Site Contact:                                                                                    Date:    /    /2002

                                                                 (Signatures)

 

Phone Number: (        ) _____ - ________ Ext. ______