Kampala Climate Change Action
Stakeholder Questionnaire for data inputs
1. Name of Organization/Institution:……………………………………………………………………………………
2. Indicate type of Organization/category (e.g. Diplomatic Mission/Donor/ Development Partner, Government Agency, Private Sector, NGO, Community Group) other……………………………………………
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3. Level of participation (e.g. Regional, National/sector, City, District, Urban Council, Sub county / parish/community, other)
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4. Physical Address & location of the organization:………………………………………………………………..
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5. Contact person:………………………………………………………………………………………………………………….
6. Telephone :………………………………………………………………………………………………………………………..
7. Email/website:……………………………………………………………………………………………………………………
8. Indicate your organization’s area of interest in Climate Change Action.
Waste management, Energy Efficiency, Pollution Reduction, Renewable Energy
Transport Solutions, Environmental Protection, Ecosystems Management, Research & Innovation, and Technology Transfer or other, specify:
………………………………………………………………………………………………………………………………………….
9. Preferred mode of communication e.g. Telephone, email, SMS, other:……………………………..
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10. What kind of information should we share with you on Climate Change in Kampala?
11. (E.g. emerging trends, research, studies, progress reports, specify other) ………………………………………………………………
12. More specific questions:
a. Is climate change response or sustainable development practice a priority in your organization? Yes /No. How (give examples)?………………………………………………… ......
b. What activities does your organization do to respond to Climate Change? Role(s): e.g. funding, capacity building, research, education, other (specify)………………………………………………………
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c. KCCA Stakeholders’ Dialogue: If you are interested in collaboration, please indicate: participation/exhibition/sponsorship/road to COP21 in Paris/long-term collaboration…………
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d. Which areas would you advise KCCA to pay attention to as they prepare and implement the Low Carbon Development & Climate Resilient Strategy? E.g. adaptation, mitigation, training, advocacy, other:………………………………………………………………………………………………………………….. …………………………………………………………………………………………………………………………………………………
e. What importance or value is the KCCA Low Carbon Development Strategy to your organization? ……………………………………………………………………………………………………………………………………......
f. How should KCCA engage more with your organization? (Opportunities for joint projects/ networking/collaboration/information sharing/ training/other) ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
Any other recommendations……………………………………………......
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Please return to KCCA by: September 22nd 2015.
Marked for the Attention of: Kampala Climate Change Action
You can also send by email to:
Thank you for your valuable contribution.