Workshop Participant Questionnaire 2017
This questionnaire is confidential and will not be shared with the other participants. Please do not answer any questions that you do not feel comfortable with. We want to get to know you prior to the event! Help us make this gathering special.
Moving from #resist to #transform workshop October 6, 2017
First and Last Name
Street, City, State, Zip Code
Date of Birth (DOB)
The following are open ended questions intended to help us get to know you and to understand your personal and professional aspirations and thoughts on the workshop topic.
What are the personal challenges you deal with on a daily or weekly basis?
What can you imagine yourself doing five years from now if there were no constraints on your life (geographic, relationship, financial, etc.)?
I have a network that I trust to support me.
I don't know
What does #resist mean to you?
What stands out to you about this moment in history regarding the rise of the #resist movement? Why/how is this significant to you?
Please watch the video on "Unpacking Words: Resist" - consider the concept of #resist on an intimate, personal level - what is your relationship to resistance in your own life?
What would be possible if we could move to #transform?
Do you have any questions, concerns or comments that you would like to express to the organizers prior to this event?
Is there anything else we can do to make you comfortable on this day? For example, do you need childcare or have any special needs?
Are you planning to apply for a scholarship? If not, you can pay here:
If so, in what ways would you be willing to contribute to the event? (examples: make phone calls, help set up/clean up, be a scribe/notetaker, etc)
Send me a copy of my responses.
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This form was created inside of Law Office of Maija West.