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Email *
Name of the organization *
Type of organization *
Address *
Country *
Contact person *
Position in the organization *
Telephone number *
Email address *
1. What is the role of your organisation in policies linked to climate adaptation and risk mitigation in your region? (Tick all that apply)
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If you chose "Other", please describe
2. Do you have resources available for this joint exchange?  Please describe. *

3. Which is your capability to develop or influence climate policies in your region? Please describe.

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4. Do you have experience in planning and/or implementing climate adaptation and risk mitigation projects? Please provide appropriate examples.

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5. Which is the policy framework for climate adaptation and risk mitigation in your country? Please describe.
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6. What are the main obstacles hindering the development of climate adaptation and risk mitigation projects in your region?
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7. What is the outcome or objective that you would like to achieve from the joint exchange?  Please consider SMART objectives where possible (Specific, Measurable, Achievable, Realistic and Timely)
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8. Which expertise / characteristics would you like the organisation to have you would be partnered with? (size, experience in a specific area, etc.)
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9. Please indicate, based on your professional experience, how much additional capacity-building is needed for your organisation in each of these areas:

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Select one answer per row
No need
Limited need
Strong need
Identifying what adaptation to climate change is
Setting expectations for your work on climate adaptation
Identification of climate change and adaptation stakeholders within the community
Knowing how to locate climate change issues in my territory
Development of maps illustrating the risks / vulnerabilities of a territory
SWOT analysis for adaptation in the given territory; tagging of specific actions in favour of adaptation in the local climate plan
Define indicators on adaptation to climate change helping the diagnosis (physical impacts like extreme heat/cold, or socio-economic data…)
Knowledge of possible adaptation solutions
Identification of climate adaptation solutions to integrate in an action plan
Facilitation of a multi-stakeholder reflection on climate adaptation solutions
Tools to prepare strategic guidelines that will inform the development of an adaptation plan and other adaptation initiatives
Including climate change adaptation into local climate plans/ articulating adaptation and mitigation
Defining indicators on adaptation to climate change helping the monitoring and the assessment / articulating mitigation and adaptation / …
Governance and response plan to be put in place for your community
10. How much the following hazards impact/will impact your region/local context due to climate change (1 low impact - 5 high impact):

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1
2
3
4
5
Gravitational
Heavy rains
Heatwaves
Drought/Fires
11. Please indicate, for your region, which sectors are most affected by the aforementioned hazards (1 less affected - 5 most affected):

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1
2
3
4
5
Turism
Urban infrastructure
Health
Forestry
12. Which services may be of interest to your organization in order to support the implementation of climate change adaptation measures in your region/local context (1 low interest - 5 high interest)
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1
2
3
4
5
Planning support services
Advisory services
Capacity building/training
Observation services
Awarness raising&communication
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