The Power of WE: Keeping the Conversation Going Survey

Please take a few minutes to tell us more about how you'd like to participate as we continue the conversation and start to develop next steps from our time together at the conference. We'd also really appreciate your thoughts on how well the conference created the conditions for building connections, relationships and shared vision.

Thank you for for your feedback and for participating in the conference. We hope that you will continue the conversation and journey with us, so that WE together, can continue to build thriving communities throughout Pennsylvania. Thanks for all you do for your communities.

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* 1. How would you like to participate in future conversations?

In person

Video Conference

Conference Call

Can't right now--but want to stay connected through Facebook, Twitter, Email, etc.

Other (please tell us more)

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* 2. What role could you see yourself taking as we explore next steps?

Community Leader (host a community discussion)

Organization Leader (apply what stood out for you)

Participant Leader (contribute to future discussions)

Other (please tell us more)

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* 3. If you want to be contacted for followup, please include your name and email address below.

Name:

Email Address:

Alternate Emal Address:

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* 4. Did you feel that the conference... (5=100% Success)

	1	2	3	4	5
Built upon the strengths and wisdom in the room?	Built upon the strengths and wisdom in the room? 1	Built upon the strengths and wisdom in the room? 2	Built upon the strengths and wisdom in the room? 3	Built upon the strengths and wisdom in the room? 4	Built upon the strengths and wisdom in the room? 5
Demonstrated how you can build on the strengths/wisdom in the room in your own work?	Demonstrated how you can build on the strengths/wisdom in the room in your own work? 1	Demonstrated how you can build on the strengths/wisdom in the room in your own work? 2	Demonstrated how you can build on the strengths/wisdom in the room in your own work? 3	Demonstrated how you can build on the strengths/wisdom in the room in your own work? 4	Demonstrated how you can build on the strengths/wisdom in the room in your own work? 5
Created opportunities to build relationships?	Created opportunities to build relationships? 1	Created opportunities to build relationships? 2	Created opportunities to build relationships? 3	Created opportunities to build relationships? 4	Created opportunities to build relationships? 5
Demonstrated how you can provide opportunities to build relationships in your own work?	Demonstrated how you can provide opportunities to build relationships in your own work? 1	Demonstrated how you can provide opportunities to build relationships in your own work? 2	Demonstrated how you can provide opportunities to build relationships in your own work? 3	Demonstrated how you can provide opportunities to build relationships in your own work? 4	Demonstrated how you can provide opportunities to build relationships in your own work? 5
Explored what shared vision could look like?	Explored what shared vision could look like? 1	Explored what shared vision could look like? 2	Explored what shared vision could look like? 3	Explored what shared vision could look like? 4	Explored what shared vision could look like? 5
Demonstrated how you can create conversations around shared vision in your own work?	Demonstrated how you can create conversations around shared vision in your own work? 1	Demonstrated how you can create conversations around shared vision in your own work? 2	Demonstrated how you can create conversations around shared vision in your own work? 3	Demonstrated how you can create conversations around shared vision in your own work? 4	Demonstrated how you can create conversations around shared vision in your own work? 5

Please tell us more...

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* 5. If applicable, how did your participation in the conference spark possiblities for you, your organization or your community?

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* 6. Please tell us where in PA your community is located:

City/Municipality

County

PA Region (i.e. SW, SE, NW, NE, NCentral, SCentral)

If you have any questions or would prefer to give us feedback by phone, feel free to call our office: 717-236-8584. Thank you for completing this survey!