Assembly Feedback

Community Assembly Impact Assessment

Your feedback is really helpful to us and will help inform other people's assemblies.
Thank you for taking the time to complete this form. We need to gather some of the information below to feedback to the organisation that gave us the funding. This will make it more likely that we get further grants.
Name/Alias*
Email*
example@example.com
Your (XR) Group Name*
Date of Assembly*

MonthDayYear
Date
Location of Assembly*
What was the title of your Assembly?*
Approximately how many participants were there?*
What was the total cost of your assembly*
Venue hire, refreshments, marketing, access arrangements eg interpreters/creche and other related expenses
Have all expenses been claimed from XR using the budget claim form? If not please do so ASAP (link below).
Claim your expenses using this form.
Names of any MPs, local councillors or other notables who attended
How many people signed up to to receive more information about XR?
Please attach a couple of pictures

Cancelof
Please can you enter links to any press articles/radio interviews/social media posts that were generated from the assembly
If you are applying for funding we need to have at least two press links if possible
What were the main elements that you think went well in the assembly?*
What were the main elements that could have gone better?*
What would you do differently next time?*
What do you think the impact/outcomes/next steps of your CA will be?*
Any other comments
Should be Empty:

Community Assembly Impact Assessment