Interested in attending an NCDD event in Hartford?

NCDD would love to hold more regional events and meet-ups for our members (and others involved in dialogue & deliberation work). Please help us gauge our community's interest in coming to Hartford for an event.

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* 1. First of all, let us know who you are, where you're based, and how we can get in touch with you.

Name: *

Organization:

City/Town: *

State: *

Email Address: *

Phone Number:

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* 2. How far are you from Hartford, Connecticut?

I'm based in/around Hartford.

I'm within an hour's drive of Hartford.

The drive would be under 2 hours for me (but more than 1 hour).

The drive would be under 3 hours for me (but more than 2 hours).

Hartford is a 3-hour or longer drive for me.

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* 3. What is your level of interest in different types of potential NCDD gatherings in Hartford?

	Not interested	Somewhat interested	Very interested
An informal breakfast meet-up	An informal breakfast meet-up Not interested	An informal breakfast meet-up Somewhat interested	An informal breakfast meet-up Very interested
A half-day event focused on an important topic in our field	A half-day event focused on an important topic in our field Not interested	A half-day event focused on an important topic in our field Somewhat interested	A half-day event focused on an important topic in our field Very interested
A half-day event run primarily Open Space-style (attendee-driven content)	A half-day event run primarily Open Space-style (attendee-driven content) Not interested	A half-day event run primarily Open Space-style (attendee-driven content) Somewhat interested	A half-day event run primarily Open Space-style (attendee-driven content) Very interested
A full-day event featuring a mix of formats (presentations, case studies, Open Space)	A full-day event featuring a mix of formats (presentations, case studies, Open Space) Not interested	A full-day event featuring a mix of formats (presentations, case studies, Open Space) Somewhat interested	A full-day event featuring a mix of formats (presentations, case studies, Open Space) Very interested

Feel free to suggest a different format!

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* 4. What factors would make you MORE likely to attend? (check all that apply)

Everyday Democracy is the local host

There is a brief, thought-provoking presentation by someone prominent (Martha McCoy from Everyday Democracy or a public official, for example)

NCDD's director Sandy Heierbacher makes the trip up

The event is free or very affordable

The food (if held at a restaurant) is inexpensive

The topic is relevant to my work

Other relevant factors?

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* 5. Does the topic of measuring and improving civic health/civic capacity in the region hold interest for you?

Yes

Somewhat

Not really

What other topics interest you at this time?

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* 6. What days of the week work for you? (check all that apply)

Wednesday

Thursday

Friday

Saturday

Sunday

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* 7. Let us know if you would be interested in helping plan the gathering, or if you think your organization might be interested in sponsoring.

Thanks so much for your feedback! Visit www.ncdd.org/events to stay updated on NCDD's events, or email sandy@thataway.org directly if you have questions.

Be sure to click "DONE" to submit your survey.