This article reports on an evaluation of community cardiovascular disease prevention projects. The evaluation protocol involved a monitoring system for documenting community activities. It showed improvements in cardiovascular disease prevention services, community actions, planned products, and new or modified community programs to prevent cardiovascular disease. Reports from focus group sessions provided analyses of participants' perceived behaviors and satisfaction with eight community-based cardiovascular disease prevention projects in African American communities. Modest improvements in blood pressure, blood cholesterol, dietary intake, and physical activity among a convenience sample of participants in the community were noted.