JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Name of System: [Type Name Here]
System Redesign Collaboration Checklist
for Local, Regional, and National Authorities in Charge of this system
Type Local Name(s) Here
Type Regional Name(s) Here
Type National Name(s) Here
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Who or what does this system prioritize?
Human Health and Well-Being
The System Itself
Profit
Other:
Clear selection
Next
Page 1 of 3
Clear form
Never submit passwords through Google Forms.
This form was created inside of Richard Creative.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report