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    Solena Collective

    Pre-Action Self-Check — Blank Worksheet

    Use this worksheet with your Circle before launching a new initiative. Discuss each question together; record notes where helpful. A Circle admin can then transcribe answers online to keep a finalized record.

    Circle: ____________________Initiative title: ____________________________Date: ____________

    Initiative

    Brief description (what are you planning?)

    A. Safety & Risk

    A1. Could this activity expose any member or community participant to physical, emotional, or reputational harm?

    Yes Unsure No
    Notes:

    A2. Does the initiative involve working with minors, survivors, or other vulnerable groups?

    Yes Unsure No
    Notes:

    A3. Would any part of this activity require specialized training (legal, medical, therapeutic, security, protection)?

    Yes Unsure No
    Notes:

    A4. Could this initiative unintentionally escalate conflict or create tension with community actors?

    Yes Unsure No
    Notes:

    B. Capacity & Expertise

    B1. Do we have the skills, experience, and local relationships needed to do this safely and respectfully?

    Yes Unsure No
    Notes:

    B2. If not, is there a trusted partner with the necessary expertise who can lead or support this component?

    Yes Unsure No
    Notes:

    B3. Are we taking on work that professionals normally handle?

    Yes Unsure No
    Notes:

    C. Consent & Privacy

    C1. Are we asking for or using personal stories or images?

    Yes Unsure No
    Notes:

    C2. Do we have clear, enthusiastic consent?

    Yes Unsure No
    Notes:

    C3. Could sharing information harm someone socially, professionally, or legally?

    Yes Unsure No
    Notes:

    D. Cultural Sensitivity & Community Fit

    D1. Have we considered local norms, values, and expectations around gender, safety, and participation?

    Yes Unsure No
    Notes:

    D2. Could the community misunderstand our intentions or actions?

    Yes Unsure No
    Notes:

    E. Logistics & Sustainability

    E1. Do we have the time, energy, and resources to carry this out without burnout?

    Yes Unsure No
    Notes:

    E2. Will this initiative create expectations we cannot sustain?

    Yes Unsure No
    Notes:

    F. Escalation Path

    If any answer above raises concerns, consider:

    Actions you plan to take

    Additional notes