Detailed community assessment of implementation of UNDRIP

1. Information about the respondent(s)

Name(s):

Organization:

Address 1:

Address 2:

City/Town:

State/Province:

ZIP/Postal Code:

Country:

Email Address:

Phone Number:

Yes

Yes

Household survey

Individual survey

Focus group discussion

Communal assembly

Consultation with community authorities

Others

Please provide additional information, as possible

Yes

Please provide more information, as possible:

Yes

Please provide additional information, as possible

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