After the forum, please complete this brief response sheet.

* 1. Moderator's Name

* 2. Phone

* 3. E-mail address

* 4. Forum Issue

* 5. Date of Forum

* 6. Location of Forum (City, State)

* 7. Briefly describe the audience of your forum, including age, diversity and number of participants.

* 8. What elements of this issue seemed most difficult for the participants?

* 9. What common concerns were most apparent?

* 10. What things did participant appear to hold most valuable as they wrestled with the trade-offs? Describe.

* 11. Which trade-offs were participants most comfortable with. Describe.

* 12. Which trade-offs did the participants struggle with most? Describe.

* 13. Did the group identify shared direction for action?

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