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* 1. Your details

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* 2. Is your organisation currently performing better on climate change than it was last year?

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* 3. Is your organisation more or less committed to taking action on climate change than it was last year?

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* 4. Do you currently have an organisational plan in place to take action on climate change and/or environmental sustainability?

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* 5. For your organisation, what are the most significant barriers to implementing projects that cut costs and carbon emissions? Please select up to three answers.

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* 6. Does your organisation have plans in place to adapt to the impacts of climate change, such as more frequent flooding or extreme temperatures?

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* 7. To what extent do you feel your organisation demonstrates leadership on climate change to your wider city, region or service users?

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* 8. How important do you think public sector leadership is in meeting the UK's national ambitions on climate change?

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* 9. What changes would help your organisation take more effective action on climate change?  Please select up to three answers.

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* 10. If you would like to arrange a one-to-one meeting with someone from the Carbon Trust, please indicate the specific person or topic you would like to discuss below.

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