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Kitchen Table Climate Conversations Feedback Forms
Welcome to the voluntary Feedback Form for Kitchen Table Climate Conversations! All participants are welcome to share their comments, questions and concerns.
(1) Have you taken the Kitchen Table Climate Conversation Training? (If "Other" please specify)
Clear selection
(2) Where did you attend/host a Kitchen Table Climate Conversation? (name the municipality)
Clear selection
(3) What is your full name?
(4) Would you like to recieve updates? (If "Other" please specify) *
(5) Please provide the best way to reach you (list a phone number and/or email)
(6) On a scale of 1 (low) to 10 (high) how would you rank the Kitchen Table Climate Conversation in terms of neighbour engagement?
Not a great engagement exercise
Great engagement exercise
Clear selection
(7) On a scale of 1 (low) to 10 (high) how would you rank the Kitchen Table Climate Conversation in terms of awareness of the local environment?
Poor presentation of environmental awareness
Great presentation of environmental awareness
Clear selection
(8) On a scale of 1 (low) to 10 (high) how would you rank the Kitchen Table Climate Conversation in terms of your likelihood to participate in local environmental action?
Not willing to participate further
Absolutely willing to participate further
Clear selection
(9) Do you have any local solutions from your conversation that you would like to share?
(10) Feel free to leave additional comments. (If you want to expand your thoughts on the ranked questions above, identify the question by the number to address your additional feedback)
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