The document discusses strategy check-ups that organizations should conduct to ensure strategic alignment. It asks leaders to check if their strategy/mission-vision-values is understood consistently across stakeholders from frontline teams to executives to customers. It also prompts examining the organization's activity map to confirm all activities support the stated strategy and reinforce each other through communication and coordination. The document warns that a lack of common understanding of an actual strategy or poor fit among activities means an organization does not have a sustainable strategic plan and may be relying on past successes instead of a coherent strategy, putting it at risk of issues like high stress, silos, missed targets and dropping customer satisfaction.