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Appendix “E”
CC Participant’s Survey
Thank you for your participation in tonight’s dialogue! We’d like to ask your feedback
Michael Ratner is doing a graduate research project about Community Conversations and we would like to
know about your experience tonight. Your answers can be confidential and will be used for analysis looking
Participant Survey
at how other participants answered. Your help in completing this short survey and follow-up interview
is appreciated. Your answers will help give the researchers insight on improving future dialogues!
success is What Counts: a community conversation
For more information about the results, the researcher can be emailed at Michael.Ratner@WISR.edu
to help all community college students achieve
Location: _____________________________________________________________ Date: ______________
This survey will provide more information on your views and feedback on how to make future
meetings more successful. Please hand it in to the person giving you this before you leave.
Please indicate which table or small group you were in: ____________________________________
1. Do you have any additional thoughts 3. How should we follow up on today’s
about today’s topic, something you meeting? (please select your top
didn’t say earlier and would like to say two ideas for follow-up.)
now? if so, what is it? … more discussion on today’s topic
(any particular subtopics?)
… more discussions like this in
different parts of the community
(any particular locations?)
… discussion of a different issue
(any particular issues?)
… community action (What kind?)
… other (please explain)
2. is there any information or data you feel
would be useful to you as you continue
to consider today’s discussion topic?
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