The document is a municipal health checklist that is a self-analysis tool for municipalities to gauge their strengths and challenges. It provides indicators in areas like population change, tax base stability, financial strength, intermunicipal cooperation, and community support. Municipalities can use the checklist to get an understanding of their situation and determine if a new approach could help address any challenges. Scoring each indicator provides an overall score, with higher scores indicating areas that are working well and lower scores identifying challenges. The checklist is the first step for municipalities considering options like service sharing, tax sharing, or potential restructuring.