Amended Survey Facilitation Services 12 15 08

OMB Number: Proposed New Collection

Approval Expiry Date: xx/xx/xx

Facilitation Participant Evaluation

The U.S. Institute for Environmental Conflict Resolution requests your assistance in evaluating this process. As a part of this evaluation we ask the various participants who have been involved in this project to provide us with information about their experience. The data compiled will be used to improve future mediation and facilitation processes. The average estimated reporting burden for this questionnaire is 12 minutes. This estimate includes time for reviewing the instructions, gathering the data needed, completing, and reviewing the questionnaire. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Institute. This questionnaire has an identifying number so that we can track who has responded. The Institute will not report information from this evaluation in a way that respondents or their organizations can be identified. Moreover, the identity of individual respondents will be kept confidential and will not be disclosed. The Office of Management and Budget (OMB) number that is displayed on the cover is currently valid and authorizes this collection of information.

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Do not agree at all							Moderately agree										Completely agree

1. Using the scale above, please rate the following questions about the participants and resources?

Rating
____	The participants, as a group, represented all affected concerns.
____	The participants continued to be engaged so long as their involvement was necessary.
____	The participants had sufficient authority to make commitments on behalf of their organizations.
____	I had the resources (e.g., time, money) needed to participate effectively in the process.
____	I had full access to relevant information I needed in order to participate effectively in this collaborative process.
___	Relevant information was effectively integrated into the process (e.g., a project web site was used to share information, spatial analysis and decision support tools were used).

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Do not agree at all							Moderately agree										Completely agree

2. Using the scale above, please rate the following for each facilitator involved in this process:

Please identify each facilitator by placing their initials in the space provided, and then rate each statement for each facilitator. Please use the margins to rate additional facilitators if needed.

Initials of Facilitator(s)			Facilitator Skills and Practices
1. ___	2. ___	3. ___
Ratings
____	____	____	a. The facilitator(s) kept us on track and helped us find ways to move forward constructively.
____	____	____	b. The facilitator(s) dealt with all participants in a fair and unbiased manner, and made sure that no one dominated the process.
____	____	____	c. The facilitator(s) helped us manage technical discussions efficiently.
____	____	____	d. The facilitator(s) helped the participants test the practicality of the options under discussion.
___	___	___	e. The facilitator(s) was helpful in documenting our work.

3. Using the scale above, please rate the following statements about the process:

Rating
____	The process helped you gain a better understanding of the other participants’ views and perspectives.
____	The process helped you identify and focus on the key issues that had to be addressed.
____	The process helped the participants, as a group, to explore options or resolutions that meet the common needs of all participants.

4. Please indicate the extent to which progress was made:

Check only one
	Progress made on all key issues	Use the space below if you would like to elaborate on your response:
	Progress made on most key issues
	Progress made on some key issues
	We ended the process without making much progress at all.

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Do not agree at all							Moderately agree										Completely agree

5. Using the scale above, please rate the extent to which the participants were able to work together cooperatively when the process began and as a result of the process.

	Before the process began	As a result of the process
	Rating	Rating
The participants were able to work together cooperatively.	_____	_____

6. Using the scale above, please rate the following:

Rating
____	I would recommend this type of process to colleagues in a similar situation.

7. What is your top suggestion on how this collaborative process could have been improved? please write "none" if you feel this process could not have been improved.

­­­­­­­­­­­­­­­­­­­­­­­­­­________________________________________________________________________

________________________________________________________________________

8. From your perspective, what will be the effect (e.g., impacts or benefits) of the progress made? please check all that apply, and briefly describe.

	Natural resources and environmental conditions	Briefly describe effects of the progress made:
	Historic and cultural resources
	Community and social conditions
	Economic conditions
	Recreational uses
	Other

9. If you had not participated in this collaborative process, what would have been the most likely process for the issues to be addressed or resolved?

Check only one
	Unassisted negotiation
	Judicial settlement conference
	Litigation
	Lobbying or working to achieve legislative action
	Rulemaking
	Arbitration
	Administrative proceeding (e.g., agency appeals process, agency order)
	Wait for a better time to take action.
	Don't know
	Other (please specify) ____________________________

10. Overall, what did this collaborative process accomplish?

Check all that apply
	A potentially costly or divisive dispute was likely avoided.
	An impasse (stalemate) was broken.
	A crisis was averted.
	Conflict didn’t escalate.
	Costly or protracted litigation was avoided.
	Relationships among parties in this process were improved.
	The process resulted in timely decisions and outcomes
	The process led or will lead to a more informed public action/decision
	Nothing was accomplished.
	The process made the issues or dispute worse.

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Do not agree at all							Moderately agree										Completely agree

11. Using the scale above, please rate the following final questions:

Rating
____	On reflection, this was the right facilitator(s) to guide this process.
____	I was involved in selecting the facilitator(s).

12. Which category best describes the interest or organization you represented in this process? check the most appropriate box only.

	Federal Government
	State Government
	Local/Regional Government
	Tribal Government
	Environmental/Conservation
	Recreational
	Industrial/Resource Extraction
	Business/Commercial
	Community or Private Citizen (e.g., neighborhood association, local resident)
	Special Advocacy Interests (Please specify): ____________________
	Other (Please specify): ______________________________________

Thank you for taking the time to complete this questionnaire.

Your assistance in providing this information is very much appreciated.

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