Questionnaire for Conversation Diversity
Labels can put us in boxes. This said, diversity in a Living Room Conversation adds to the quality of the conversation. If you can give us some sense of where you identity on the dimensions represented below it will help us create greater diversity in your conversation. All of the questions below are optional and the information is only used for the formation of diverse conversation groups. Thank you!
Name
Your answer
Organization (if applicable)
Your answer
Email
Your answer
Are you interested in participating in a Living Room Conversation in-person, via video/web-enabled conferencing, or both?
Geographic location
Political leaning on social issues (e.g. marriage, abortion, gun control, etc.)
Liberal
Conservative
Political leaning on fiscal matters (e.g. taxes, trade, government spending, privatization, etc.)
Liberal
Conservative
Please identify where you would place yourself on this spectrum.
You value a high degree of personal liberty with freedom from interference.
You value a high degree of predictability and security through social practices.
Political party you most identify with
Age?
Race/Ethnicity
Gender Identity
Your answer
Conversation topics that interest you?
Your answer
To participate in a Living Room Conversation we ask you to agree to follow these common-sense ground rules: 1) Be curious and open to learning; 2) Show respect and suspend judgment; 3) Find common ground and appreciate differences; 4) Be authentic and welcome that from others; 5) Be purposeful and to the point; and 6) Own and guide the conversation
Please let us know your generally preferred availability for participating in a 2 hour conversation.
Your answer
We often take photos, record, and/or live-stream conversations and use these materials on our website, Facebook, and in other promotional materials. Do we have your permission?
Anything else you'd like to share about yourself?
Your answer
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