CSR Matters 2 A

“MATTERS” SERVICE REPORT
II --Pro Se Assistance, not included in “case service” statistics A
YEAR:

Grantee Number

Grantee Name

Number of People Directly Receiving Service

Models Used (a) Measured (b) Estimated (c)
Total

1 Workshops or clinics
Total number of participants
2 Help desk at court
Total number of people assisted
3 Self-help printed materials (e.g., Divorce kits)
Total copies distributed
4 Self-help materials (e.g., forms) posted on web sites
Total number of copies distributed
5 Self-help materials (e.g., forms) posted on web kiosks
Total page views on these materials
6 Other-describe in Narrative section
Total number of people receiving service
Total number of people directly receiving service

Also provide a breakdown of this number, by type of matter, in “B” on next page.
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		Number of People Directly Receiving Service
Models Used		(a) Measured	(b) Estimated	(c) Total
1	Workshops or clinics Total number of participants
2	Help desk at court Total number of people assisted
3	Self-help printed materials (e.g., Divorce kits) Total copies distributed
4	Self-help materials (e.g., forms) posted on web sites Total number of copies distributed
5	Self-help materials (e.g., forms) posted on web kiosks Total page views on these materials
6	Other-describe in Narrative section Total number of people receiving service
Total number of people directly receiving service


		Also provide a breakdown of this number, by type of matter, in “B” on next page.