Fill out this form to submit a report to our team for review and display. Submit a Report Step 1 of 5 - General Information 20% Report Collection Date*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Organization*-- Select Organization --African Wildlife FoundationCentro Terra VivaConservation InternationalEnvironmental and Rural SolutionsGIZInstituto de Pesquisas EcológicasIntegrated Rural Development and Nature ConservationThe Jane Goodall InstituteThe Nature ConservancyThe School for Field StudiesWorld Wildlife FundWorld Resources InstituteWildlife Conservation SocietyOtherOrganization NameYour Name*(for internal purposes only)Your Email* Report LocationDrag the Blue Marker ( ) to the report location.LatitudeLongitude This field is hidden when viewing the formReport LocationThis is an auto-generated field. Nothing to do here. Report Title* Type of Report*-- select a Report Type --InterviewPersonal ObservationPost Project InterviewAfter the project is complete, please conduct post-implementation interviews with a few (5-10) of the community’s project beneficiaries. The goal of these interviews is to gain perspective on how the project implementation went for the community and if the project met its objectives. How were you involved in project implementation? What were the key activities? Include details about what activities you participated in.*Do you feel that the project met its objectives? What were the key outcomes? Include anecdotes or specific metrics, if possible.*How will the community continue to monitor the results of this project in the coming years?*What were the biggest challenges you perceived over the course of the project? Do you have any recommendations for how this project could be improved?*Reported changes in weather and climate* Changes in timing of seasons Changes in wind Cold spells/frost Decreased rainfall Drought Erosion/landslides Flooding Heat waves/hotter days Ice/permafrost melt Increased rainfall Loss of water source Sea level rise Wildlfires Storms None Other Other Reported Changes*Changes in activities in response to changes in weather and climate* Crop practices Disease/pest management Energy source Fishing/aquaculture practices Infrastructure development Land conversion Livelihood location Livelihood type Livestock practices Migration Natural habitat encroachment Natural resource use Water management None Other Other activity*Description* Interview SurveyInterviewer's nameInterviewer’s gender Female Male Other Time started : Hours Minutes AM PM AM/PM Time ended : Hours Minutes AM PM AM/PM A. BACKGROUND INFORMATIONRespondent’s RoleMain livelihood(s) in villageRespondent’s gender Male Female Other If the respondent is a woman, is a man present during the survey? Yes No How many years have you lived in this area? Less than 1 year 1-5 years 6-10 years >10 years What is your age? 18-35 36-53 54-70 >71 B. CHANGES in WEATHER and CLIMATEWhat are some of the biggest changes you have observed over the last few years?If they immediately begin talking about weather or climate, record their responses in section B2 below.What are the biggest changes in weather you have observed over the last few years?Engage the interviewee in conversation about different aspects of the weather and, if you are not certain of their answer, then ask them to clarify. e.g. After a chat about rainfall, “so, do you think rainfall is staying the same or increasing or decreasing? What about timing?”C. IMPACT of CHANGES in WEATHER and CLIMATE and RESPONSESC1. Main livelihoodHow have the changes in weather you mentioned impacted the main livelihood?What are the specific impacts? Be sure to list the weather changes that have played a role. (e.g. hotter temperatures lead to decreased crop production and more pests; changing seasonality of rainfall changes the availability of pasture for livestock leading to livestock death, more frequent and intense storms limits the amount of time people have to fish, etc.)How have people responded to these impacts? (e.g. relying on a different source of freshwater, traveling longer distances to find firewood, purchasing food from market, relying on other species of plants or animals for sustenance, etc.) Which of these responses is working well and which isn't?C2. Natural resources (e.g. water, wood, etc.)C2a. How have the changes in weather you mentioned affected natural resources used by the community? What are the specific impacts? Be sure to list the weather changes that have played a role. (e.g. reduction in the variety and/or size of wild animals to eat, reduction in availability of wild fruits, lack of water for household needs, less firewood available, etc.)C2b. How have people responded to these impacts? (e.g. relying on a different source of freshwater, traveling longer distances to find firewood, purchasing food from market, relying on other species of plants or animals for sustenance, etc.) Which of these responses is working well and which isn't?C3. Other impacts and responsesAre there any other impacts or responses to the changes in weather you mentioned?e.g. new health conditions, migration, borrowing, reliance on NGO/government support, selling assets, keeping children home from school, impacts on cultural or religious practices, etc.D. IMPACTS TO BIODIVERSITYHave you observed any changes in plants or animals that you suspect might be related to the changes in weather or climate you mentioned? (e.g. birds moving to higher altitude to escape heat, certain tree species dying from lack of rainfall, flowers blooming at different times of the year, coral bleaching, etc.)Are there any actions that people are taking to cope with climate change that impact biodiversity? (e.g. shifting farming location leads to clearing of forests, conflicts with wildlife as people enter protected areas in search of water, increased pressure on fisheries as farmers switch to fishing to cope with poor yields, switch to resource intensive livelihoods such as logging to cope with loss of traditional livelihood, etc.)Use this space to enter any non climate-related issues the respondent may have mentionedUse this space to enter any non climate-related issues the respondent may have mentioned Photos Drop files here or Select files Accepted file types: jpg, jpeg, gif, png, Max. file size: 5 MB, Max. files: 5. Videos URL of video (that has already been uploaded to external sites like Vimeo or YouTube). Put in the video url. Ex. https://www.youtube.com/watch?v=XXXXXXXXXXX OR https://www.vimeo.com/XXXXXXX Please Confirm Your Answers {all_fields:nohidden}Report Location Post Custom Field Δ
