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Program Evaluation Instruments - Environmental Conflict Resolution Services Participant Questionnaires (Five Instruments)

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	Facilitated	Process	Evaluation	-	Participant	Questionnaire
OMB	Number:	3320-0010
Approval	Expiry	Date:	02/28/2015
The	U.S.	Institute	for	Environmental	Conflict	Resolution	requests	your	assistance	in	evaluating	this	process.	As	a
part	of	this	evaluation	we	ask	the	various	participants	who	have	been	involved	in	this	project	to	provide	us	with
information	about	their	experience.	The	data	compiled	will	be	used	to	improve	future	mediation	and	facilitation
processes.	The	average	estimated	reporting	burden	for	this	questionnaire	is	12	minutes.	This	estimate	includes
time	for	reviewing	the	instructions,	gathering	the	data	needed,	completing,	and	reviewing	the	questionnaire.	Send
comments	regarding	this	burden	estimate	or	any	other	aspect	of	this	collection	of	information,	including
suggestions	for	reducing	this	burden,	to	the	Institute.	The	Institute	will	not	report	information	from	this	evaluation
in	a	way	that	respondents	or	their	organizations	can	be	identified.	Moreover,	the	identity	of	individual	respondents
will	be	kept	confidential	and	will	not	be	disclosed.	The	Office	of	Management	and	Budget	(OMB)	number	that	is
displayed	on	the	cover	is	currently	valid	and	authorizes	this	collection	of	information.	

Base	Survey:	Facilitated	Process	Evaluation	-	Participant	Questionnaire
1.	Using	the	scale	provided,	please	rate	the	following	questions	about	the	participants	and
resources?	

1a.	The	participants,	as	a	group,	represented	all	affected	concerns.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

1b.	The	participants	continued	to	be	engaged	so	long	as	their	involvement	was	necessary.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

1c.	The	participants	had	sufficient	authority	to	make	commitments	on	behalf	of	their
organizations.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

1d.	I	had	the	resources	(e.g.,	time,	money)	needed	to	participate	effectively	in	the	process.	

0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

1e.	I	had	sufficient	access	to	relevant	information	I	needed	in	order	to	participate	effectively
in	this	collaborative	process.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

1f.	Relevant	information	was	effectively	integrated	into	the	process	(e.g.,	a	project	web	site
was	used	to	share	information,	spatial	analysis	and	decision	support	tools	were	used).	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

Base	Survey:	Facilitated	Process	Evaluation	-	Participant	Questionnaire
2.	Using	the	scale	provided,	please	rate	the	following	for	each	facilitator	involved	in	this
process:
Please	identify	each	facilitator	by	placing	their	initials	in	the	space	provided,	and	then	rate
each	statement	for	each	facilitator.	

2.	Initials	of	Facilitator(s)	

2a.	The	facilitator	kept	us	on	track	and	helped	us	find	ways	to	move	forward	constructively.	

0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

2b.	The	facilitator	dealt	with	all	participants	in	a	fair	and	unbiased	manner,	and	made	sure
that	no	one	dominated	the	process.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

2c.	The	facilitator	helped	us	manage	technical	discussions	efficiently.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

2d.	The	facilitator	helped	the	participants	test	the	practicality	of	the	options	under
discussion.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

2e.	The	facilitator	was	helpful	in	documenting	our	work.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

Base	Survey:	Facilitated	Process	Evaluation	-	Participant	Questionnaire
2.	Using	the	scale	provided,	please	rate	the	following	for	each	facilitator	involved	in	this
process:
Please	identify	each	facilitator	by	placing	their	initials	in	the	space	provided,	and	then	rate
each	statement	for	each	facilitator.	

2.	Initials	of	Facilitator(s)	

2a.	The	facilitator	kept	us	on	track	and	helped	us	find	ways	to	move	forward	constructively.	

0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

2b.	The	facilitator	dealt	with	all	participants	in	a	fair	and	unbiased	manner,	and	made	sure
that	no	one	dominated	the	process.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

2c.	The	facilitator	helped	us	manage	technical	discussions	efficiently.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

2d.	The	facilitator	helped	the	participants	test	the	practicality	of	the	options	under
discussion.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

2e.	The	facilitator	was	helpful	in	documenting	our	work.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

Base	Survey:	Facilitated	Process	Evaluation	-	Participant	Questionnaire
2.	Using	the	scale	provided,	please	rate	the	following	for	each	facilitator	involved	in	this
process:
Please	identify	each	facilitator	by	placing	their	initials	in	the	space	provided,	and	then	rate
each	statement	for	each	facilitator.	

2.	Initials	of	Facilitator(s)	

2a.	The	facilitator	kept	us	on	track	and	helped	us	find	ways	to	move	forward	constructively.	

0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

2b.	The	facilitator	dealt	with	all	participants	in	a	fair	and	unbiased	manner,	and	made	sure
that	no	one	dominated	the	process.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

2c.	The	facilitator	helped	us	manage	technical	discussions	efficiently.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

2d.	The	facilitator	helped	the	participants	test	the	practicality	of	the	options	under
discussion.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

2e.	The	facilitator	was	helpful	in	documenting	our	work.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

Base	Survey:	Facilitated	Process	Evaluation	-	Participant	Questionnaire
3.	Using	the	scale	provided,	please	rate	the	following	questions	about	the	participants	and
resources?	

3a.	The	process	helped	you	gain	a	better	understanding	of	the	other	participants’	views	and
perspectives.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

3b.	The	process	helped	you	identify	and	focus	on	the	key	issues	that	had	to	be	addressed.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

3c.	The	process	helped	the	participants,	as	a	group,	to	explore	options	or	resolutions	that
meet	the	common	needs	of	all	participants.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

Base	Survey:	Facilitated	Process	Evaluation	-	Participant	Questionnaire
4.	Please	indicate	the	extent	to	which	progress	was	made	(select	only	one):	
Progress	made	on	all	key	issues
Progress	made	on	most	key	issues
Progress	made	on	some	key	issues
We	ended	the	process	without	making	much	progress	at	all.

Use	the	space	below	if	you	would	like	to	elaborate	on	your	response:	

Base	Survey:	Facilitated	Process	Evaluation	-	Participant	Questionnaire
5.	Using	the	scale	from	the	previous	page,	please	rate	the	extent	to	which	the	participants
were	able	to	work	together	cooperatively	when	the	process	began	and	as	a	result	of	the
process.	

5a.	Before	the	process	began,	the	participants	were	able	to	work	together	cooperatively.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

5b.	As	a	result	of	the	process,	the	participants	were	able	to	work	together	cooperatively.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

Base	Survey:	Facilitated	Process	Evaluation	-	Participant	Questionnaire
6.	Using	the	scale	provided,	please	rate	the	following:	

6.	I	would	recommend	this	type	of	process	to	colleagues	in	a	similar	situation.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

Base	Survey:	Facilitated	Process	Evaluation	-	Participant	Questionnaire
7.	What	is	your	top	suggestion	on	how	this	collaborative	process	could	have	been	improved?
PLEASE	WRITE	"NONE"	IF	YOU	FEEL	THIS	PROCESS	COULD	NOT	HAVE	BEEN
IMPROVED.	

Base	Survey:	Facilitated	Process	Evaluation	-	Participant	Questionnaire
8.	From	your	perspective,	what	will	be	the	effect	(e.g.,	impacts	or	benefits)	of	the	progress	made?	PLEASE	RANK
THE	MOST	IMPORTANT	EFFECTS	(E.G.,	1ST	MOST	IMPORTANT,	2ND	MOST	IMPORTANT).	PLEASE	ALSO
BRIEFLY	DESCRIBE	THE	EFFECTS.	

8a.	Natural	resources	and	environmental	conditions	

8a.	Please	briefly	describe	the	effects.	

8b.	Historic	and	cultural	resources	

8b.	Please	briefly	describe	the	effects.	

8c.	Community	and	social	conditions	

8c.	Please	briefly	describe	the	effects.	

8d.	Economic	conditions	

8d.	Please	briefly	describe	the	effects.	

8e.	Recreational	uses	

8e.	Please	briefly	describe	the	effects.	

8f.	Other	

8f.	Please	briefly	describe	the	effects.	

Base	Survey:	Facilitated	Process	Evaluation	-	Participant	Questionnaire
9.	If	an	assisted	collaborative	process	had	not	been	used,	what	would	have	been	the	most
likely	approach	for	the	issues	to	be	addressed	or	resolved?	(click	only	one):	
a.	Unassisted	negotiation
b.	Judicial	settlement	conference
c.	Litigation
d.	Lobbying	or	working	to	achieve	legislative	action
e.	Rulemaking
f.	Arbitration
g.	Administrative	proceeding	(e.g.,	agency	appeals	process,	contested	process	hearing,	agency	order)
h.	Wait	for	a	better	time	to	take	action
i.	Don't	know
j.	Other

9.	If	you	selected	Other,	please	specify:	

Base	Survey:	Facilitated	Process	Evaluation	-	Participant	Questionnaire
10.	Overall,	what	did	this	collaborative	process	accomplish?	(please	select	the	MOST
important	one):	
a.	A	potentially	costly	or	divisive	dispute	was	likely	avoided.
b.	An	impasse	(stalemate)	was	broken.
c.	A	crisis	was	likely	averted.
d.	Conflict	didn’t	escalate.
e.	Costly	or	protracted	litigation	was	likely	avoided.
f.	Relationships	among	parties	in	this	process	were	improved.
g.	The	process	resulted	in	timely	decisions	and	outcomes.
h.	Nothing	was	accomplished.
i.	The	process	made	the	issues	or	dispute	worse.

Base	Survey:	Facilitated	Process	Evaluation	-	Participant	Questionnaire
11.	Using	the	scale	provided,	please	rate	the	following	final	questions:	

11a.	On	reflection,	this	was	the	right	facilitator(s)	to	guide	this	process.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

11b.	I	was	involved	in	selecting	the	facilitator(s).	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

Base	Survey:	Facilitated	Process	Evaluation	-	Participant	Questionnaire
12.	Which	category	best	describes	the	interest	or	organization	you	represented	in	this
process?	SELECT	THE	MOST	APPROPRIATE	OPTION	ONLY.	
a.	Federal	Government
b.	State	Government
c.	Local/County/Regional	Government
d.	Tribal	Government
e.	Environmental/Conservation
f.	Recreational
g.	Industrial/Resource	Extraction
h.	Business/Commercial
i.	Community	or	Private	Citizen	(e.g.,	neighborhood	association,	local	resident)
j.	Special	Advocacy	Interests
k.	Other

If	you	selected	j	or	k,	please	specify:	

Base	Survey:	Facilitated	Process	Evaluation	-	Participant	Questionnaire
13.	Please	use	the	space	below	for	any	additional	comments	you	would	like	to	make.	


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