Most clubs run Moments of Truth as a guided self-assessment with the area director once a year. The output is a 1-page action plan: 2-3 specific moments to improve in the next quarter. Programs that don't get attention rarely improve; this is what makes Moments of Truth useful — it forces a club to pick where to focus.
When your club has completed a Moments of Truth module, submit the record so the District can recognize your work.