OMB Control Number: 2030-0051
Expiration Date: MM/DD/YYYY
ECCR Agreement Seeking Participant Evaluation Survey
This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2030-0051). Responses to this collection of information are voluntary. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The public reporting and recordkeeping burden for this collection of information is estimated to be 32 minutes per response. Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates and any suggested methods for minimizing respondent burden to Director, Information Engagement Division, U.S. Environmental Protection Agency (2821T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address.
The U.S. Environmental Protection Agency, Conflict Prevention and Resolution Center (CPRC) requests your assistance in evaluating this facilitated process. As a part of this evaluation, we ask the various participants who have been involved in this project or case to provide us with information about their experience. The data compiled will be used to improve future facilitation services provided by the CPRC.
The CPRC will not report information from this evaluation in a way that respondents or their organizations can be identified.
Note that throughout this survey uses the term “agreement” across multiple questions. The term “agreement” applies to the written or unwritten agreement(s) you reached with other participants in the process, including plans, proposals/recommendations, procedures, collaborative decisions to work together and settlements. We use the term agreement recognizing that there may have been more than one agreement.
Please use the space below if you would like to elaborate on your response above.
{Open-ended box}
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Strongly agree |
Agree |
Somewhat agree |
Neither agree nor disagree |
Somewhat disagree |
Disagree |
Strongly Disagree |
NA |
The agreement reached takes account of our key interests. |
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The agreement reached will effectively resolve the matter. |
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The agreement reached can be implemented. |
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I am satisfied with the agreement reached using the facilitated process. |
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In the next set of questions, we would like you to reflect more on the benefits and value of the agreement reached through this facilitated process and how conditions may change as a result of the agreement.
Please describe how you expect the conditions selected above to change.
{Open-ended box}
{Open-ended box}
{Open-ended box}
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Strongly agree |
Agree |
Somewhat agree |
Neither agree nor disagree |
Somewhat disagree |
Disagree |
Strongly Disagree |
NA |
Participating in this process improved our ability to work together cooperatively. |
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Participating in this process increased our trust in each other. |
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Participating in this process increased our mutual understanding of each other’s perspectives. |
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Please use this space if you wish to elaborate on changes in the levels of cooperation, trust, and understanding.
{Open-ended box}
In this final set of questions, we would like you to reflect on the effectiveness of the facilitated process you participated in.
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Strongly agree |
Agree |
Somewhat agree |
Neither agree nor disagree |
Somewhat disagree |
Disagree |
Strongly Disagree |
NA |
I had a good understanding of the process from the outset. |
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I was able to assess the risks, costs, and benefits associated with participating in the facilitated process from the outset. |
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Early discussions with the facilitator were critical in helping me understand how a facilitated process might serve my interests. |
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Strongly agree |
Agree |
Somewhat agree |
Neither agree nor disagree |
Somewhat disagree |
Disagree |
Strongly Disagree |
NA |
The participants, as a group, represented all affected concerns. |
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The participants had sufficient authority to make commitments on behalf of their organizations. |
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The participants continued to be engaged so long as their involvement was needed. |
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I had the resources (e.g., time, money) needed to participate effectively in the process. |
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{Open-ended box}
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Strongly agree |
Agree |
Somewhat agree |
Neither agree nor disagree |
Somewhat disagree |
Disagree |
Strongly Disagree |
NA |
The process enabled me to gain a good understanding of the issues important to the other participants. |
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The process enabled me to understand why issues addressed in the process were important to other participants. |
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The process enabled participants to be civil to each other. |
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This was an appropriate process to address the matter. |
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The process helped us identify key issues that needed to be addressed. |
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The other participants listened to me. |
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The other participants respected the views I expressed. |
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I would recommend this type of facilitated process to colleagues in a similar situation. |
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{Open-ended box}
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Strongly agree |
Agree |
Somewhat agree |
Neither agree nor disagree |
Somewhat disagree |
Disagree |
Strongly Disagree |
NA |
When needed, the facilitator helped us find ways to move forward constructively. |
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The facilitator dealt with all participants fairly. |
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I trusted the facilitator. |
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The facilitator ensured my views and perspectives were considered in the process. |
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The facilitator helped participants test the practicality of the options under discussion. |
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The facilitator’s involvement was important to efforts to reach agreement. |
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I would recommend this facilitator to colleagues in a similar situation. |
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{Open-ended box}
{Open-ended box}
{Open-ended box}
Thank you for taking the time to complete this questionnaire!
PERSONS WITH DISABILITIES WHO REQUIRE ALTERNATIVE MEANS FOR COMMUNICATION OF PROGRAM EVALUATION INFORMATION SHOULD CONTACT THE CPRC OFFICE.
Burden Statement: Public reporting burden for this collection of information is estimated to average 32 minutes per response, including the time for reviewing instructions, gathering information, and completing and reviewing the collection of information. Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates, and any suggestions for reducing the burden, including the use of automated collection techniques to:
CONFLICT PREVENTION AND RESOLUTION CENTER
U.S. Environmental Protection Agency (MC: 2388A)
1200 Pennsylvania Avenue, NW, Washington, DC 20460
Telephone: 202.564.0214, Fax: 202.501.1715
Website: www.epa.gov/adr
Email: [email protected]
EPA Form: 5800-024
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Eric |
File Modified | 0000-00-00 |
File Created | 2024-11-10 |