Winter 2011 Dialogues -- New York City Survey

1. Introductory Dialogues -- Winter 2011 in New York City

Thank you for your interest in participating in an introductory dialogue session. We hope that we will be able to include you! Once we have your information, we will get back to you as soon as possible about scheduling.

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1. What is your name?

What is your name?

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2. What is your email address?

What is your email address?

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3. When are you available? (Check all that apply.)

When are you available? (Check all that apply.) Sunday afternoons

Sunday evenings

Monday evenings

Tuesday evenings

Wednesday evenings

Thursday evenings

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4. In which location(s) would you like to come to a dialogue? (Check all that apply.)

In which location(s) would you like to come to a dialogue? (Check all that apply.) Upper West Side Washington Heights	Brooklyn Queens
Comments?

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5. Have you participated in a Jewish Dialogue Group program before?

Have you participated in a Jewish Dialogue Group program before?

Comments?

Your responses to the following questions will help us to place you in a group that matches your particular needs and interests. There is no need to use all the space provided, but please make your responses as specific and detailed as you can.

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6. What leads you to want to participate in one of these dialogues? What are your hopes for the conversation? What would you like to learn or experience?

What leads you to want to participate in one of these dialogues? What are your hopes for the conversation? What would you like to learn or experience?

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7. Is there anything you can share about your perspective or background that would help us with our planning? You may want to share something about how you think and feel about the Israeli-Palestinian conflict, your personal or family history, past experiences discussing Israel, political commitments, or anything else that seems relevant.

We will keep your responses strictly confidential.

Is there anything you can share about your perspective or background that would help us with our planning? You may want to share something about how you think and feel about the Israeli-Palestinian conflict, your personal or family history, past experiences discussing Israel, political commitments, or anything else that seems relevant. We will keep your responses strictly confidential.

These optional questions will also help us to set up and facilitate the dialogue that reflects your particular needs.

8. Is there anything you can share about past experiences discussing these issues across political differences, positive or negative?

Is there anything you can share about past experiences discussing these issues across political differences, positive or negative?

9. Do you have any concerns about the dialogue? Is there anything that you anticipate being difficult for you in this conversation?

Do you have any concerns about the dialogue? Is there anything that you anticipate being difficult for you in this conversation?

10. Do you have any suggestions or questions about the program?

Do you have any suggestions or questions about the program?

Winter 2011 Dialogues -- New York CityExit this survey

1. Introductory Dialogues -- Winter 2011 in New York City

*1. What is your name?

*2. What is your email address?

*3. When are you available? (Check all that apply.)

*4. In which location(s) would you like to come to a dialogue? (Check all that apply.)

*5. Have you participated in a Jewish Dialogue Group program before?

*6. What leads you to want to participate in one of these dialogues? What are your hopes for the conversation? What would you like to learn or experience?