This is a two-page instrument to aid those interested in applying RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) to their activities. For each dimension, a list of items that indicate comprehensive use of RE-AIM is provided. This instrument was designed to review grant proposals for the extent to which they have used RE-AIM and different elements of the framework in the grant. It can also be used in planning or reviewing programs or policies, or in drafting grants, journal articles and other reports using the RE-AIM framework.

Download checklist here.