Participative Democratic Futures in the Americas

1. Your Name:

2. Your address:

3. What date did you attend the SC/PDW training in Las Cruces (Mo-Day-Yr):

4. Have you conducted a SC or PDW? Yes No

If NO, please complete Section 2 otherwise goto Section 3:

Section 2

5. Please check any of the following reasons that apply:
I did not really understand the methods.
I understood but, did not have the confidence to apply the mehtods without help.
I never saw the opportunity to apply the methods.
I did not have the support of my immediate supervisor to do anything.
I did not have time to initiate anything.
I had other factors that prevented my taking action, please specify:

6. Please check any of the following SC/PDW concepts that you have used in your work or elsewhere:
Ecological Learning.
Embryos of social change.
Rationalization of conflict.
Open systems thinking.
Directive Correlations.
Psychological requirements for productive work.
Skills matrix.
Mirror working grroups/report outs/consolidation.
Strategy of the indirect approach.
Other, please specify:

7. Please check any of the following that you feel would have made a difference in your ability to apply the training.
A pre-training briefing on the various applications of the methodologies.
A prerequisite that you attend the training with at least one specific application in mind.
A guarantee that you have a mandate to take action when you return.
An experienced person to apprentice with, i.e., on-site support for your initial post-training efforts.
Other, please specify:

8. Do you have intentions of conducting a SC or PDW in the future? Yes No Maybe

9. What circumstances would have to be in place before you are prepared to conduct the SC/PDW or SC/PDW based participative event?

10. Are you on the DP2logos@nmsu listserve. Yes No

11. If YES have you ever sent, or responded to an E-Mail request for help? Yes No

Section 3 - Practice

12. Type of Activity:
Search Conference
Participative Design Workshop
Both
Other, please specify:
Other, please specify:

13. This Summary Is:
Pre-event
Post-event
Add-on/Follow-up

14. Date of Activity (Mo-Day-Yr):

15. Client Name:

16. Client Location (Country/State/City):

17. Client System:
Corporation
Sole Proprietor
Partnership
Federal Agency
State Agency
Local Agency
Community
Other, please specify:

18. Client Segment:
Entire organization
Division/work unit
Community
Multiple Communities
Segment of Community
Other, please specify:

19. Client Industry:
Natural Resources Mgmt/Extraction
Human Resources Mgmt
High Tech
Manufacturing
Agriculture
Legal
Financial
Non-profit
Community Development
Other, please specify (SIC Code if known):

20. No. of Participants:

21. Client - Total no. of employees:

22. Client Annual Sales:

23. Search Focus:
Routine/regular planning
Special need planning
Other, please specify:

24. Search Question:

25. Search Design:
Straightforward Emery Model
Modified Model
Other, please specify:

26. PD Focus:
Productivity related
Merger/Aquisition etc.
Downsizing
Democratize workplace
Other, please specify:

27. Participative Design:
Emery Framework
Modified Model
Other, please specify:

28. Client Relationship:
New
History of work together
Other, please specify:

29. "Opportunity" afforded:
Client specifically requested SC or PD
SC/PD evolved from previous work
Hard sell to client
Referenced
Other, please specify:

30. Practitioner Involvement:
Solo
Solo with Apprentice(s)
Group Project
Group & Apprentice(s)
Other, please specify:

31. Compensation:
Fee
Pro bono
Other, please specify: