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Template Subnational Administrator Readiness Assessment
Scale up questionnaire for chiefs in Nakuru North
Email address *
Name of location
Your answer
Name of Sub Location
Your answer
Number of Sub Locations
Your answer
Population of Sub Location
Your answer
Approximate Population
Your answer
Number of Clusters
Your answer
Number of Units in a cluster
Your answer
Average Number of Households per Cluster
Your answer
Approximate number of Male Cluster Leaders
Your answer
Approximate number of Female Cluster Leaders
Your answer
Average age group of Cluster Leaders
How often does your team meet
How often Do you meet with the Cluster Leaders
How often Do you communicate
Which methods do use to communicate as a team
Which methods do use to communicate to cluster leaders
Which methods do use to communicate with community members
What are the three priority areas that you would like to deal with?
Your answer
Have you collected community data before?
If Yes, When did you collect the data
MM
/
DD
/
YYYY
What was the reason for collecting the data?
Your answer
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