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Hello:
You are invited to participate in our survey for the Bush foundation. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about the Bush meeting evaluation. It will take approximately 5-10 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
Gender
 
Male
 
Female
 
 
 
Your community population
 
<100
 
100-500
 
500-1000
 
1000-5000
 
>5000
 
 
 
Race/Ethnicity
 
Hispanic or Latino
 
American Indian or Alaska Native
 
Asian
 
African American
 
Native Hawaiian or Other Pacific Islander
 
White
 
Other
 
 
1: Never (0 times)
2: Seldom (1-2 times)
3: Sometimes (3-5 times)
4: Often (more than 5 times)
1 2 3 4
1: Did you connect or reconnect with people you met at the session?
2: Did you apply information, lessons learned, or other resources to your own community work?
3: Did you share information, resources, or lessons learned?
4: Have you wrote a grant?
5: Have you used any of the techniques from the meeting in your own programming?
6: Did you succeed in addressing a challenge in your community?
7: Did you use social media to share information, resources, or connections?
8: Have you been inspired to think bigger about what's possible in your community?
9: Have you been inspired to think differently about what's possible in your community?
10: Did you generate new ideas that you explored further?
 
 
Comments/Suggestions:
   
 
 
 
Looking back on the event, what was most useful to you?
   
 
 
 
Looking back on the event,what might we have done to make the event more useful to you?
   
 
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