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Climate Data Toolkit
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Question for Respondent’s
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Step
1
of 2
Questions for Respondent
This section contains questions that you should ask your respondent. As your respondent answers these questions, input them in the form below
Full Name
Gender
*
Male
Female
Age
Occupation
What environmental irregularities have you noted in the past year or recently?
*
What is the climate change impact affecting this community?
*
Recommend a solution to the respondent that best tackles the identified climate challenge (then write in the box below, the solution you recommended)
*
Do you want to add a second respondent?
No
No
Yes
Questions for Respondent 2
This section contains questions that you should ask your respondent. As your respondent answers these questions, input them in the form below
Full Name
Gender
*
Male
Female
Age
Occupation
What environmental irregularities have you noted in the past year or recently?
*
What is the climate change impact affecting this community?
*
Recommend a solution to the respondent that best tackles the identified climate challenge (then write in the box below, the solution you recommended)
*
Do you want to add a third respondent?
No
No
Yes
Questions for Respondent 3
This section contains questions that you should ask your respondent. As your respondent answers these questions, input them in the form below
Full Name
Gender
*
Male
Female
Age
Occupation
What environmental irregularities have you noted in the past year or recently?
*
What is the climate change impact affecting this community?
*
Recommend a solution to the respondent that best tackles the identified climate challenge (then write in the box below, the solution you recommended)
*
Do you want to add a fourth respondent?
No
No
Yes
Questions for Respondent 4
This section contains questions that you should ask your respondent. As your respondent answers these questions, input them in the form below
Full Name
Gender
*
Male
Female
Age
Occupation
What environmental irregularities have you noted in the past year or recently?
*
What is the climate change impact affecting this community?
*
Recommend a solution to the respondent that best tackles the identified climate challenge (then write in the box below, the solution you recommended)
*
Do you want to add a fifth respondent?
No
No
Yes
Questions for Respondent 5
This section contains questions that you should ask your respondent. As your respondent answers these questions, input them in the form below
Full Name
Gender
*
Male
Female
Age
Occupation
What environmental irregularities have you noted in the past year or recently?
*
What is the climate change impact affecting this community?
*
Recommend a solution to the respondent that best tackles the identified climate challenge (then write in the box below, the solution you recommended)
*
Do you want to add a sixth respondent?
No
No
Yes
Questions for Respondent 6
This section contains questions that you should ask your respondent. As your respondent answers these questions, input them in the form below
Full Name
Gender
*
Male
Female
Age
Occupation
What environmental irregularities have you noted in the past year or recently?
*
What is the climate change impact affecting this community?
*
Recommend a solution to the respondent that best tackles the identified climate challenge (then write in the box below, the solution you recommended)
*
Do you want to add a seventh respondent?
No
No
Yes
Questions for Respondent 7
This section contains questions that you should ask your respondent. As your respondent answers these questions, input them in the form below
Full Name
Gender
*
Male
Female
Age
Occupation
What environmental irregularities have you noted in the past year or recently?
*
What is the climate change impact affecting this community?
*
Recommend a solution to the respondent that best tackles the identified climate challenge (then write in the box below, the solution you recommended)
*
Do you want to add a eighth respondent?
No
No
Yes
Questions for Respondent 8
This section contains questions that you should ask your respondent. As your respondent answers these questions, input them in the form below
Full Name
Gender
*
Male
Female
Age
Occupation
What environmental irregularities have you noted in the past year or recently?
*
What is the climate change impact affecting this community?
*
Recommend a solution to the respondent that best tackles the identified climate challenge (then write in the box below, the solution you recommended)
*
Do you want to add a ninth respondent?
No
No
Yes
Questions for Respondent 9
This section contains questions that you should ask your respondent. As your respondent answers these questions, input them in the form below
Full Name
Gender
*
Male
Female
Age
Occupation
What environmental irregularities have you noted in the past year or recently?
*
What is the climate change impact affecting this community?
*
Recommend a solution to the respondent that best tackles the identified climate challenge (then write in the box below, the solution you recommended)
*
Do you want to add a tenth respondent?
No
No
Yes
Questions for Respondent 10
This section contains questions that you should ask your respondent. As your respondent answers these questions, input them in the form below
Full Name
Gender
*
Male
Female
Age
Occupation
What environmental irregularities have you noted in the past year or recently?
*
What is the climate change impact affecting this community?
*
Recommend a solution to the respondent that best tackles the identified climate challenge (then write in the box below, the solution you recommended)
*
Proceed to the Interviewer's form
Feedback form (Fill in your own details here)
Full Name
*
Gender
*
Male
Female
Age
Community/School Name
*
Province (State) and Country
*
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