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SERVIR Collaboration Forum
Pre-forum survey
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Exit Survey
 
 
Thank you for registering for the SERVIR Collaboration Forum, May 18-19th, 2015. We look forward to learning more about your programs, and to exploring potential opportunities for collaboration with SERVIR as well as with other programs.

In preparation for the Forum, we are conducting a survey. The survey has two purposes:
- Collect information about participants’ expectations of the Forum to help shape the agenda;
- Gather systematic information about the programs you represent. This information will provide a starting point for discussing current and future collaboration opportunities and to help “map” existing connections.

This survey is confidential. However, please note that all information generated by the survey and the Collaboration Forum itself will be used and shared with participants in aggregate.

We estimate the survey will take approximately 10 minutes to complete. Please respond by May 13, 2015. If you have further questions, please do not hesitate to contact Karishma Patel at [email protected] .
 
 
 
Section 1: Information about the organization and program(s) you represent
 
 
 
Please select you institution/agency/organization.
 
 
Please fill in the name of your unit/office/department:
   
 
 
 
If you are participating in the SERVIR Collaboration Forum to represent your institution more broadly (vs. representing a specific program of your institution) please select the first choice in the drop down list,"Not a program-specific participant".

If you are representing a specific program at the Forum, please select the program name from the drop down list; if it is not on the list, select "Other" and fill in the program name in the space provided.

NOTE: If you are participating in the SERVIR Collaboration Forum representing more than one program, we ask that you take the survey for each program you represent (or have someone else from these programs fill out the survey).
 
 
 
Section 2: Information about your program
 
 
Please indicate the type of activities your program conducts
Main activity Secondary activity Occasional activity Do not do
Funding for activities/grants/projects
Applied scientific research
Institutional capacity building
Training of individuals
Tools, applications and data provision/development
Needs assessments and gap analyses
Technical assistance for policy/decision making
Technical assistance for product/tool development
Supporting uptake/use of decision-support product/tools
Other (please specify)
 
 
Specify other activity
   
 
 
 
Please indicate the main sectors of your program
 
Agriculture and food security
 
Disaster risk reduction and response
 
Economic growth and trade
 
Education and research
 
Environment and global climate change
 
Gender equality and women’s empowerment
 
Global health
 
Poverty reduction
 
Technology and science
 
Water and sanitation
 
Working in crisis and conflict areas
 
Other (please specify)
 

 
 
Please indicate how your program engages with the following areas relevant to SERVIR activities
We develop applications/data in this area We utilize applications/data in this area We use information/analysis in this area We promote the use of applications, data, and information in this area N/A
Weather or seasonal forecasting
Climate change adaptation
Health
Land cover and forest cover information
Agriculture
Natural Disasters
Ecosystems and Biodiversity
Water and sanitation
Sustainable Landscapes/REDD+
 
 
Please indicate your program's level of engagement with the following counterparts/users/recipients
Primary Secondary Occasional Do not work with N/A
International/ multinational institutions
Regional organizations
National government institutions
Sub-national government
National NGOs/CSOs
Community-level organizations and groups
Private companies
Individuals
 
 
 
Please select all the developing countries where your program operates
 
 
AFRICA
 
Angola
 
Benin
 
Botswana
 
Burkina Faso
 
Burundi
 
Cameroon
 
Central African Republic
 
Chad
 
Côte d'Ivoire
 
Democratic Republic of the Congo
 
Djibouti
 
Ethiopia
 
Ghana
 
Guinea
 
Kenya
 
Lesotho
 
Liberia
 
Madagascar
 
Malawi
 
Mali
 
Mauritania
 
Mozambique
 
Namibia
 
Niger
 
Nigeria
 
Republic of the Congo
 
Rwanda
 
Senegal
 
Sierra Leone
 
Somalia
 
South Africa
 
South Sudan
 
Sudan
 
Swaziland
 
Tanzania
 
Uganda
 
Zambia
 
Zimbabwe
 
Other (please specify)
 

 
 
ASIA
 
Afghanistan
 
Bangladesh
 
Burma
 
Cambodia
 
China
 
India
 
Indonesia
 
Kazakhstan
 
Kyrgyz Republic
 
Laos
 
Maldives
 
Mongolia
 
Nepal
 
Pacific Islands
 
Pakistan
 
Philippines
 
Sri Lanka
 
Tajikistan
 
Thailand
 
Timor-L'este
 
Turkmenistan
 
Uzbekistan
 
Vietnam
 
Other (please specify)
 

 
 
EUROPE AND EURASIA
 
Albania
 
Armenia
 
Azerbaijan
 
Belarus
 
Bosnia and Herzegovina
 
Cyprus
 
Georgia
 
Kosovo
 
Macedonia
 
Moldova
 
Montenegro
 
Russia
 
Serbia
 
Ukraine
 
Other (please specify)
 

 
 
LATIN AMERICA AND THE CARIBBEAN
 
Barbados
 
Bolivia
 
Brazil
 
Colombia
 
Cuba
 
Dominican Republic
 
Ecuador
 
El Salvador
 
Guatemala
 
Guyana
 
Haiti
 
Honduras
 
Jamaica
 
Mexico
 
Nicaragua
 
Panama
 
Paraguay
 
Peru
 
Venezuela
 
Other (please specify)
 

 
 
MIDDLE EAST
 
Egypt
 
Iraq
 
Jordan
 
Lebanon
 
Libya
 
Morocco
 
Syria
 
Tunisia
 
West Bank and Gaza
 
Yemen
 
Other (please specify)
 

 
 
 
Section 3: Connectivity among SERVIR Collaboration Forum participants
 
 
 
Does your program co-fund projects/activities with other programs? 
 
NO
 
YES (specify programs)
 
 
 
 
Does your program collaborate with other programs to organize joint events?
 
NO
 
YES (specify programs)
 
 
 
 
Do you participate with other programs in working/coordination groups?
 
NO
 
YES (specify programs)
 
 
 
 
Do you collaborate with other programs exchanging data, tools, products?
 
NO
 
YES (specify programs)
 
 
 
 
Section 4: Your expectations from the Forum
 
 
Please rate the importance of the following SERVIR Collaboration Forum topics
Learning more about the work of other programs
Understanding and mapping out our different roles, geographies, and local level partners
Identifying opportunities to collaborate
Furthering science and data exchange
Identifying opportunities to engage local/national/regional institutions in developing countries
Improving communications and outreach around data, tools and applications
Opportunity for one-on-one conversations
 
 
 
SERVIR is particularly interested in exploring collaboration in the following areas.  Please rank these topics by level interest to your program or institution by dragging and ordering.
Drag your choices here to rank them
     
     
     
    Are there any additional topics you suggest be included in the Forum? Any additional comments?