Forum Name:
(required) |
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Forum Type:
(check all that apply) |
(Required)
If Other:
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Chapter Name:
(choose one, if applicable) |
If your chapter is not listed, please check Other Chapter at the top of the list and write in chapter name.
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| Moderator's Name: |
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Moderator's Email Address:
(limit of one address) |
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Chapter Manager's Email Address:
(optional) |
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Members' Email Addresses:
(press Enter after each address)
Example:
bob@abc.com
pam@abc.com | |
Moderator Password:
(used to view the results of the survey) |
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Member Password:
(used for the moderator and members to take the survey) |
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| Survey End Date: |
/
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Message from Moderator:
(this message will be included in the email that is sent to survey participants) |
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| Four-Step Forum Exploration™: |
Does your forum currently use the Four-Step Forum Exploration™ or Forum Exploration process?
The Four-Step Forum Exploration™ is a new presentation model that introduces the element of self-curiosity and creates shared value for all forum members. For more information visit the Four-Step Forum Exploration™ Guide on the Exchange (Note: The answer to this question will not be used to tabulate Forum Health Survey results.)
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| Rating Questions |
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| FORUM EFFECTIVENESS |
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1. Knowledge/Understanding Of Other Members
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1= |
I have little knowledge of the background or aspirations of the other members. |
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10= |
I understand the background and aspirations of the other members. |
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2. Openness Of The Forum/Risk Taking
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1= |
Members of my Forum avoid delicate issues. |
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10= |
Members are comfortable with being vulnerable and regularly raise sensitive issues. |
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3. Openness Of The Individual/Risk-Taking
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1= |
I avoid delicate issues. |
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10= |
I am comfortable taking risks and being vulnerable. |
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4. Trust
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1= |
I do not trust one or more members of my Forum to the point where it impedes my sharing. |
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10= |
I trust all members of my Forum and it does not impede my sharing. |
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5. Meeting Depth
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1= |
Issues discussed are superficial and insignificant. |
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10= |
Significant unresolved issues are discussed with meaningful input and thought. |
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6. Meeting Diversity
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1= |
We repeatedly discuss the same issues. |
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10= |
We discuss a variety of issues which stimulate the group and benefit all. |
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7. Meeting Updates
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1= |
Updates are unstructured, unfocused, rambling and interrupted. |
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10= |
We start every Forum meeting with updates that are timed and insightful. |
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8. Four-Step Forum Exploration™
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1= |
We do not engage in explorations in our forum meetings. |
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10= |
Explorations are at the heart of all our meetings and address significant member issues and opportunities. |
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9. Self-Curiosity
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1= |
We do not practice self-curiosity. |
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10= |
We practice self-curiosity in both business and personal explorations and benefit from the increased depth it provides. |
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10. Language Protocol
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1= |
We don't listen, acceptance is low, the tone is judgmental and advice is given. |
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10= |
We listen, accept, and share experiences without being judgmental of each other. |
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11. Conflict
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1= |
Our forum avoids addressing conflict. |
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10= |
Our forum addresses conflict effectively. |
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12. Dominant Member
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1= |
One member dominates conversations, always has all the answers. |
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10= |
Everyone contributes with differing points of view. |
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13. Confidentiality
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1= |
I do not discuss confidential matters because I don't trust people will keep them in confidence. |
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10= |
I know all matters discussed are held in strictest confidence. |
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14. Retreats
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1= |
We do not have annual retreats. |
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10= |
We have at least one retreat per year and there is meaningful interaction and strong bonding of members. |
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| FORUM ADMINISTRATION |
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15. Forum Norms
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1= |
We do not have Forum Norms. |
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10= |
We have Forum Norms and review them every year. |
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16. Attendance
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1= |
Many members are frequently absent. |
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10= |
100% attendance except for unique, infrequent scheduling conflicts. |
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17. Punctuality
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1= |
Forum meetings do not start or end on time. |
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10= |
Forum meetings start and end on time. |
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| CONFLICTS OF INTEREST AND DOING BUSINESS WITH EACH OTHER |
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18. Conflicts Of Interest
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1= |
There are conflicts of interest that impede our openness. |
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10= |
There are no conflicts of interest that impede our openness. |
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19. Policy Regarding Doing Business With Each Other In Forum
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1= |
Our Forum has no policy regarding doing business with another member. |
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10= |
Our Forum has a clear policy prohibiting doing business with another member. |
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20. Doing Business With Each Other In Forum
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1= |
Members of our Forum conduct business with each other. |
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10= |
Members of our forum do not conduct business with one another. |
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| FORUM LEADERSHIP |
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21. Has the moderator attended a Forum Moderator & Leadership Development (FMLD) workshop in the last 2 years?
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22. Leadership
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1= |
Only the moderator of the Forum takes responsibility for the success of the Forum. |
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10= |
Everyone in the Forum takes responsibility for the success of the Forum. |
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| VALUE OF FORUM |
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23. Personal Take Home Value
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1= |
I am dissatisfied with the quality and quantity of personal take-home value I get from my Forum. |
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10= |
I am satisfied with the quality and quantity of personal take-home value I get from my Forum. |
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24. Professional Take Home Value
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1= |
I am dissatisfied with the quality and quantity of professional take-home value I get from my Forum. |
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10= |
I am satisfied with the quality and quantity of professional take-home value I get from my Forum. |
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25. Future Personal Needs
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1= |
I am not confident in my Forum's ability to meet my future personal needs whatever they may be. |
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10= |
I am confident in my Forum's ability to meet my future personal needs whatever they may be. |
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26. Future Professional Needs
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1= |
I am not confident in my Forum's ability to meet my future professional needs whatever they may be. |
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10= |
I am confident in my Forum's ability to meet my future professional needs whatever they may be. |
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27. What does your Forum do well?
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28. What stops your Forum from being the best it can be?
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You may ask up to four additional questions.
Open-ended Questions |
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| Rating Questions |
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Data obtained from Health Surveys:
The information provided by your Forum is confidential. The data drawn from the surveys do not contain individual names or scores - only average scores are available. The Forum Committee, Regional and Chapter Forum Leadership utilize the averages from the Forum Health surveys in supporting and developing Forum in YPO.
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| For any questions, please email Forumhelp@ypo.org |