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Infrastructure Organisation: Organisation: Date: Type of organisation: 1. Main issues before infrastructure organisations involvement What were the main issues faced by the organisation before your work with them? You may want to consider the eight impact areas in the Organisation Dial in turn to prompt people to explore specific issues. How to collect this information: a. Organisation Dial score and notes b. Ask the organisation: Before we started work with you, what were the main issues that you faced? 2. Main aims of the support work

What was the main aim of the support you provided to this organisation? How to collect this information: a. Your work records b. Ask the organisation: What were the agreed aims of the support? What did you hope to gain from the support we provided? 3. Work completed by the infrastructure organisation What did you do as an infrastructure organisation to address the issues faced by the organisation? How to collect this information: a. Your work records 4. Changes for the organisation What has changed within the organisation as a result? Describe the specific evidence you

5. The contribution of the infrastructure organisation to these changes Did the input of the infrastructure organisation directly contribute to the changes described above? Describe any evidence of contribution, possibly including quotes. How to collect this information: a. Questions to ask the organisation: What role did our support play? Did anything else play a part? 6. Other needs Did other needs become evident? If so what was done about them? a. How to collect this information: Your records b. Questions to ask the organisation: While we were working with you, did anything else come up? What kind of follow-up support did you receive? 7. Things to be proud of and lessons learnt List (say) three aspects that you are proud of including direct benefits of your role, contacts

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