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Your Stories Form

E-mail Address: *
Name *

Phone (in case we need to clarify something before publishing your story)

Zip Code *

What commitment did you make to help beat climate chaos? *
What did you think would make it challenging to keep your commitment to this change? What hurdles did you think you’d have to jump to meet your commitment? *
How did you manage these challenges? How was meeting your commitment hard or easy? *
What did you accomplish? *
What would you do differently next time? *
Would you encourage others to make a similar change? Why or Why not? *
How do you feel about what you did? What did you get from your experience? *
How do you feel about your community as a result of participating in helping to Beat Climate Chaos? *
What would inspire you to make another commitment to help beat climate chaos? *
Would you recommend to your friends? *

Verification Code:
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By submitting this form, you acknowledge that you are legally an adult, at least 18 years old. If you are younger, please ask your parent or guardian to approve and submit your form for you. You must legally be an adult to contribute to this site.

By submitting this form you give the Beat Climate Chaos project by Aha-Yes! LLC permission to use your name and responses on its website and associated materials. Sharing your story is a great way to help inspire others in your community to help Beat Climate Chaos!