SV-2007-0003 US Russia Experts Forum US Delegates pre-survey

U.S. - Russia Experts Forum

American Delegates

Department of State administered

Pre-Program Survey

Please know that your answers will be strictly confidential and will in no way affect your participation in the program. We will use the data for analytical and evaluative purposes only.

Please feel free to give us your honest opinions. This survey is not a test, and there are no right or wrong answers. Thank you for your participation in this survey.

Privacy Act and Paperwork Reduction Act Statements:

The information solicited on this survey is requested pursuant to the Government Performance and Results Act of 1993 (P.L. 103-62) and the Mutual Educational and Cultural Exchange Act of 1961, as amended, also known as the Fulbright-Hays Act (22 U.S.C. 2451, et seq.). In order to ensure that the U.S. Department of State’s international exchange programs meet statutory program requirements (22 U.S.C. 2460(c)), the Department’s Bureau of Educational and Cultural Affairs (ECA) regularly monitors the programs, gathers data about program accomplishments, and evaluates selected ones. ECA uses the information collected to inform program design, management, and funding. All personal information that is collected through surveys is considered confidential. All responses are coded to ensure the confidentiality of individual responses. Data collected under this study will not be shared, sold, or used for fundraising purposes. Survey data and findings will be used only in an aggregate form for the express purposes of fulfilling the data needs of the outcome assessment. Responses to this survey are voluntary.

Public reporting burden for this collection of information is estimated to average ten (10) minutes to respond to this survey, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An Agency may not conduct or sponsor, and respondents are not required to respond to, a collection of information unless it displays a valid OMB control number. Please send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to: A/ISS/DIR, U.S. Department of State, Washington, D.C. 20520.

1. Which research group are you participating in? Please choose one.
   
   

Primary focus	
Anti-corruption
Education for Innovative Societies
Energy Security
Immigration Issues
Infectious Diseases
International Security (Nonproliferation, Counter-terrorism)
NGO and Third Sector Development
Trade
World Economy

2. There are many different reasons people want to participate in this program. In the table below, please choose the three most important to you.

Reason	
To collaborate on policy briefs at U.S. think tanks, governmental agencies, and research centers.
To foster dialogue and partnerships between U.S. and Russian experts on public policy issues and processes.
To learn more about my field of policy expertise
To develop my professional contacts and network
To further develop and advance my professional skills
To gain greater depth and breadth of knowledge about my policy field
To experience being part of a larger policy community
To affect, to the extent possible, my country’s policy on a particular local issue
To affect, to the extent possible, my country’s policy on a particular regional issue
To affect, to the extent possible, my country’s policy on a particular national issue
To affect, to the extent possible, my country’s policy on a particular international issue
Other: (please write in)

3. Please rate your abilities in the following areas. Please check one box in each row.

	No knowledge	Less than basic	Basic knowledge	Beyond basic	Advanced knowledge
Collaborative policy research
Statistical and analytical skills
Networking
Facilitation of policy discussions in my field
Policy recommendation formulation
Leadership
Communication of various policy recommendations and options

4. What are your expectations of the collaborative work process?

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5. Have you done this type of work process before?

Yes____ No____

6. Please rate your understanding or knowledge of the following topics. Please check one box in each row.

	No knowledge	Less than basic	Basic knowledge	Beyond basic	Advanced knowledge
Russian democracy
Russian economy
Russian values and culture
Religious and ethnic diversity in Russia
Freedom of speech and the press in Russia
Voluntary community service
Daily life in Russia

7. How do you view the Russian government and the Russian people?

	Strongly unfavorable	Generally unfavorable	Neither favorable nor unfavorable	Generally favorable	Strongly favorable
Russian government
Russian people

8. How do you view the Russian government and its relationship with the U.S.?

	Strongly Disagree	Disagree	Neither Agree nor Disagree	Agree	Strongly Agree
The Russian government is a trustworthy partner for my country.

9. Please describe the organization or company that you work for. Please check one.

University	□
Research institution	□
Government	□
Non-profit organization	□
Private organization	□
Other: (please write in)	□

10. What is your job title? ________________

11. Home city/town: _________________

12. Geographic location:

I live in…	
My state’s capital city
Another major city other than the capital
A small city, town or rural location

13. Date of birth (day/month/year) Ex: 20/10/1978:

14. Sex:

Female
Male

15. What religious group do you consider yourself a member of or feel closest to? Please choose one.

			
Baha’ism		Shintoism
Buddhism		Sikhism
Christianity		Taoism
Confucianism		Zoroastrianism
Hinduism		Not close to any group
Islam		None
Jainism		Other: please write in.
Judaism

16. Which language do you consider to be your native language/mother tongue? ______________

17. Thank you for completing this survey! If you have any additional comments you would like to make, please do so here. We value your thoughts.

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18. How long did it take you to complete this survey? ____ minutes

SV-2007-0003 OMB No. 1405-0158

FP 02 20 2007 Expiration Date: 02/29/2008

Estimated Burden: 10 Minutes