Monthly Outcomes Tracking
This form is meant to track and capture any activities that contribute to collective impact in Revelstoke, from casual conversations to large events.

You do not need to answer every question, though the more detailed you can be, the better we can monitor changes.

If you have an interesting article or link to share with the team, please use this other, simpler form: https://forms.gle/GEz3TNczoGNX2fyA6
Name *
Your answer
Email/contact information *
Your answer
Please describe the activity/event that took place *
When did the event happen?
MM
/
DD
/
YYYY
What action team(s) are involved and / or affected? *
What sector(s) are involved?
Please tell us a bit about the activity/event that took place
Your answer
Please describe any outcomes, immediate or anticipated from this event/activity.
Your answer
Were households or individuals impacted in any way? If so, how?
Your answer
Have any policies or systems been impacted?
Your answer
(How) does this change the way we do things?
Your answer
Why is this change important?
Your answer
What, if any, is the role of the Leadership Roundtable in this activity?
Your answer
Are there any foreseeable next steps?
Your answer
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