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87 <br /> <br /> <br /> Program Element In Place <br />(√) <br /> Effectiveness <br />(√) <br /> Identify Specific Deficiencies and Actions That <br />Can Be Taken To Improve Program Effectiveness <br /> Yes <br /> No <br /> 1 <br />(poor) <br /> 2 3 <br />(fair) <br /> 4 5 <br /> (Excellent) <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Audit Conducted By: Date: <br />