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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?