Questions
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Section
1: Basic Information
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1
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What
year(s)
did you travel for your Reciprocal Exchange Award?
Answer
type: Drop-down menu. Select one.
Options:
2014
2015
2016
2017
2018
2019
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2
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Select
other activities that you have participated in as part of the
Mandela Washington Fellowship. (Select all that apply)
Answer
type: Multiple selection
Options:
Professional
Development Experience (PDE)
Academic
and Leadership Institute
Institute
Community Service Host
Mandela
Washington Fellowship Summit
Professional/peer
collaborator or mentor
Other
(please describe)
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Section
2: Reciprocal Exchange Project Information
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3
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In
which country/countries did you conduct your Reciprocal Exchange
project? (Select all that apply)
Answer
type: List
of countries
Options:
All African countries
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4
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Provide
a brief description of what occurred on your Reciprocal Exchange,
including your project’s objectives and programming.
Answer
type: Open-ended
Character
limit: 1,000 characters
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5
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Select
how you met the Mandela Washington Fellow(s) with whom you worked
with as part of your Reciprocal Exchange. Select all that apply.
Answer
type: Multiple selection
Options:
I was a…
Institute
Peer Collaborator
Institute
Staff Member
Institute
Speaker/Presenter
Institute
community service event participant
Institute
community service event organizer
Institute
Networking Event Attendee
Summit
Speaker/Presenter
Summit
Expo Exhibitor
Summit
Networking Reception Attendee
Professional
Development Experience (PDE) Host
PDE
Host co-worker
Other
(please describe)
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6
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Do
you still maintain contact with the Fellow(s) with whom you
collaborated?
Answer
type: Multiple choice (select one)
Options:
Yes
– frequently (at least once a month)
Yes
– somewhat frequently (at least a few times a year)
Yes
– infrequently (maybe once a year)
No
Other
(please describe)
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7
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Select
the ways in which you stay in touch with the Fellows. (Select all
that apply)
Answer
type: Multiple choice. Please select all that apply
Phone
calls
Email
Personal
SMS
Group
SMS
WhatsApp
Facebook
LinkedIn
Twitter
In-person
visits
Other
(please specify)
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Section
3: Impact of Reciprocal Exchange experience on Awardees
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8
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Did
your participation in the Reciprocal Exchange contribute to your
professional development? Please provide a brief explanation for
your selection.
Note:
Professional Development is
defined here as the development of professional knowledge, skills,
competency, and effectiveness as a professional or leader.
Answer
type: Multiple choice and short answer field
Options:
Yes
No
Neutral
I
don’t know
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9
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Did
your participation in the Reciprocal Exchange contribute to the
achievement of your personal goals? Please give brief explanation
for your selection.
Answer
type: Multiple choice and short answer field
Options:
Yes
No
Neutral
I
don’t know
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10
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Is
the project you worked on during the Reciprocal Exchange still
running?
Answer
type: Multiple choice (select one)
Options:
Yes
– I am still working on/leading this project (without
the Fellow)
Yes
– the Fellow(s) and I are still working on/leading this
project
Yes
– the Fellow(s) is/are still working on/leading this
project (without
the Awardee)
Yes
– but neither the Fellow(s) nor I are still working
on/leading the project (please describe)
No
– the project is no longer running
No
- the project is no longer running but the Reciprocal Exchange
project has led me to new or other collaborations
I
don’t know
Other
(please describe)
Any
“Yes” answers, go to Question
10a
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10a
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If
yes, were you and the Fellow able to secure additional funding for
the continuation of the project?
Answer
type: Multiple choice (select one)
Options:
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11
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Briefly
describe
any short and long-term impact this project had, or is currently
having, on the visited country or countries.
Answer
type: Open-ended
Character
limit: 1000
characters
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12
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Did
your participation in the Mandela Washington Fellowship help you
to make change in your
home community or organization/company in the U.S.?
Note:
Home
community is defined here as the community where you are currently
living.
Answer
type: Multiple choice (select one)
Options:
Yes
– the Fellowship helped me to make change in my home
community
Yes
– the Fellowship helped me to make change in my
organization/ company
Yes
– the Fellowship helped me to make change in both
my home community and organization/ company
No
– the Fellowship did not help me to make change in either
my home community or organization/ company
I
don’t know
If
“Yes” selected, go to Question
12a
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12a
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In
what ways has participation in the Reciprocal Exchange allowed you
to make changes in your home community or organization/company in
the U.S. in both the short and long-term?
Note:
Home
community is defined here as the community where you are currently
living.
Answer
type: Multiple choice (Select all that apply)
Changes
in the way I accomplish my work at my organization/company
Changes
in the way my organization/ company accomplishes their work
My
organization/company has expanded into new markets
My
organization/company has entered into an agreement for future
collaboration (MOU, etc.)
My
community has benefited from the partnership from the Reciprocal
Exchange in tangible goods or services
My
community has benefited from what was created during the
Reciprocal Exchange
My
community has increased knowledge of African contexts, African
markets/industries, African systems
My
community has stronger global ties to Africa
Other
(Please specify)
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13
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Indicate
your level of agreement with the following statement: “The
Reciprocal Exchange has helped me build lasting and productive
relationships with individuals and organizations in countries
outside of the U.S.”
Answer
Type: Likert Scale
Options:
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13a
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Optional:
Please explain the reason(s) for your choice in the previous
question
Answer
type: Open-ended
Character
limit: 1000 characters
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14
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Indicate
your level of agreement with the following statement: “The
Reciprocal Exchange award contributed to my professional
development by helping me develop job skills that transfer to my
home community.”
Note:
Professional
Development is
defined here as the development of professional knowledge, skills,
competency, and effectiveness as a professional or leader. Home
community
is defined here as the community where you are currently living.
Answer
Type: Likert Scale
Options:
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14a
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Optional:
Please explain the reason(s) for your choice in the previous
question
Answer
type:
Open-ended
Character
limit: 1000 characters
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Section
5: Suggestions/Recommendations
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15
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Looking
back on your experience as a Reciprocal Exchange Awardee, how
would you rate your satisfaction with your experience?
Answer
Type: Likert Scale
Options:
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15a
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Optional:
Please explain the reason(s) for your choice in the previous
question
Answer
type: Open-ended
Character
limit: 1000 characters
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16
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Which
aspects of the Reciprocal Exchange would you change? Select all
that apply and include the rationale for each suggested change.
Answer
type: Multiple Selection and short answer fields
Pre-departure
process
Availability
of support materials
Subject
matter/topic areas of support materials
Nothing/I
would not change anything
Other
(please describe)
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17
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Is
there anything else that you would like to share regarding how the
Reciprocal Exchange award impacted your life (personally and/or
professionally)?
Answer
type: Open-ended
Character
limit: 1000 characters
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17a
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Please
feel free to use the comment box below to share any web links
(e.g., URLs) that will help further illustrate your survey
feedback (e.g., news articles, videos, etc.)
Answer:
Comment box
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17b
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Please
feel free to upload any media that will help further illustrate
your survey feedback (e.g., news articles, Institute artifacts,
social media posts, etc.)
Answer:
File upload option
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Section
6: Basic Demographic Information
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18
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List
your city/state of residence.
Answer
type: Short answer field
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19
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Check
the option that best describes your gender. (OPTIONAL)
Answer
type: Multiple choice (select one)
Options:
Male
Female
Non-binary
I
do not wish to respond
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20
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Specify
your highest level of education attained:
Answer
type: Multiple choice (select one)
Options:
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21
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Which
of the following best describes your current position?
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22
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What
is your current job title?
(Skip
if full-time student, retired or not previously employed)
Answer:
Short answer field
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23
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In
what sector do you work?
(Skip
if full-time student, retired or not previously employed)
Answer
type: Multiple choice (select one)
Options:
Educational
or Academic institution
Large-for-profit
business or corporation
Small/medium
business
International
multilateral organization (e.g. UN, World Bank, etc.)
International
non-governmental organization (NGO)
U.S.
Non-profit/NGO
Government
agency/public department (local or federal)
Medical
facility
Self-employed
Other
(please describe)
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24
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The
Guidehouse Evaluation Team will be conducting follow-up one-on-one
interviews and group discussions with Reciprocal Exchange Alumni.
If you are interested in participating, please provide your name
and email address.
Answer
type: Three short answer fields
Surname/last
name(s)
Given/first
name(s)
Preferred
email address
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