Forum Health Survey & Personal Questionnaire Forum Health Survey & Personal Questionnaire Full Name*Email*Age*Name of Forum*# of years in Forum*Which forum training have you completed?* Forum Training Only Moderator Training Only Both Forum and Moderator Training None of the above Please read the statements below carefully and the select the response that feels most true for you.I have experienced significant personal value and personal growth as a result of forum work.*Strongly AgreeAgreeDisagreeStrongly DisagreeI am pleased with the level of authenticity and transparency in my forum.*Strongly AgreeAgreeDisagreeStrongly DisagreeI fully trust and respect the people in my forum, I feel comfortable sharing just about anything with them.*Strongly AgreeAgreeDisagreeStrongly DisagreeI wish we focused more on business issues and challenges.*Strongly AgreeAgreeDisagreeStrongly DisagreeI wish we focused more on personal explorations.*Strongly AgreeAgreeDisagreeStrongly DisagreeOur current structure and agenda is too loose, this is negatively impacting the group.*Strongly AgreeAgreeDisagreeStrongly DisagreeI get the sense that members "pretend" everything is alright even when it isn’t.*Strongly AgreeAgreeDisagreeStrongly DisagreeOur norms and guidelines are up to date, relevant, and fully understood by all.*Strongly AgreeAgreeDisagreeStrongly DisagreeLeadership is shared, each member who has a role is held accountable. Everyone is expected to experience each role, especially moderator.*Strongly AgreeAgreeDisagreeStrongly DisagreeThe calendar is followed. Meetings are held as planned with no more than two cancelled or rescheduled meetings per year.*Strongly AgreeAgreeDisagreeStrongly DisagreeI have no concerns about confidentiality in this group.*Strongly AgreeAgreeDisagreeStrongly DisagreeIn meeting presenters come fully prepared to present. There has been a coaching session and/or the presenter has filled out a presentation preparation form in advance.*Strongly AgreeAgreeDisagreeStrongly DisagreeI have concerns about business conflicts of interest in this group.*Strongly AgreeAgreeDisagreeStrongly DisagreeMeeting logistics and preparation instructions are emailed/communicated at least 3 days before the meeting.*Strongly AgreeAgreeDisagreeStrongly DisagreeMembers arrive on time; meetings start and end on time.*Strongly AgreeAgreeDisagreeStrongly DisagreeIn meetings, members are fully present, electronics are off.*Strongly AgreeAgreeDisagreeStrongly DisagreeCheck-ins and updates are crisp, pertinent, and engaging.*Strongly AgreeAgreeDisagreeStrongly DisagreeMeetings stay on track because members respect their allotted time.*Strongly AgreeAgreeDisagreeStrongly DisagreeMeetings are compelling and hold the interest of members; discussions are meaningful with take home value for all.*Strongly AgreeAgreeDisagreeStrongly DisagreeWe have at least one deep meaningful presentation every meeting.*Strongly AgreeAgreeDisagreeStrongly DisagreeThe most important and/or difficult issues are typically explored or presented (vs. the easy and comfortable).*Strongly AgreeAgreeDisagreeStrongly DisagreeProtocol (gestalt) guidelines are followed; experience is shared over giving advice. Members seldomly fix, shame, blame, or “should” others.*Strongly AgreeAgreeDisagreeStrongly DisagreeWe have an attendance issue.*Strongly AgreeAgreeDisagreeStrongly DisagreeThe meeting venue works for me, it is comfortable and private with limited interruptions.*Strongly AgreeAgreeDisagreeStrongly DisagreeI feel a sense of pride and commitment for this forum.*Strongly AgreeAgreeDisagreeStrongly DisagreeYou connect with at least one member at least one time in between meetings.*Strongly AgreeAgreeDisagreeStrongly DisagreeI feel confident in my coaching skills. I know how to ask poignant and challenging questions without leading or guiding.*Strongly AgreeAgreeDisagreeStrongly DisagreeI feel confident in my active listening skills. In meetings, I am able to reflect back what I am hearing without injecting my opinions.*Strongly AgreeAgreeDisagreeStrongly DisagreeWhen interpersonal issues, unproductive behavior, and ineffective group dynamics arise, members quickly, directly, and maturely raise and clear the issue with the group or individuals.*Strongly AgreeAgreeDisagreeStrongly DisagreeThere is something not working for me in this forum but I have not surfaced my concerns with the group.*Strongly AgreeAgreeDisagreeStrongly DisagreeThere is a direct difficult conversation I have been avoiding with someone in my forum.*Strongly AgreeAgreeDisagreeStrongly DisagreeWe have a set, effective protocol for “clearing issues” or having “direct conversations;” members are skilled at following the protocol.*Strongly AgreeAgreeDisagreeStrongly DisagreeLooking forward, given current forum dynamics and its trajectory, I feel confident in my ability to gain professional value and personal growth in this group.*Strongly AgreeAgreeDisagreeStrongly DisagreeI know my fellow members well. I understand their background, history, personalities, professional priorities, and personal ambitions.*Strongly AgreeAgreeDisagreeStrongly DisagreeMeetings have a sense of moving forward and continuity. As a group we set individual goals and have a sustainable process to keep each other accountable.*Strongly AgreeAgreeDisagreeStrongly DisagreeMembers will tap one another's skills and expertise in and outside of monthly meetings.*Strongly AgreeAgreeDisagreeStrongly DisagreeI have a firm understanding of my forum-mates businesses.*Strongly AgreeAgreeDisagreeStrongly DisagreeI have thought about leaving the group over the past year.*Strongly AgreeAgreeDisagreeStrongly DisagreeOn a 1-10 scale, how would you rate your forum take home value?*If below a 9, what would need to change for you to rate it a 9 or 10?On a 1-10 scale, how would you rank your current participation as forum member? (i.e. you are fully committed, show up on-time, come fully prepared, are present and ready to work, open and vulnerable, push to get what you want/need from forum, lead by example, etc...)*If below a 9, would you need to show up differently to be able to rate yourself a 10 out 10 member?Our moderator needs help in:*What would a successful forum experience look like for you this year?*From a forum health perspective, what would a successful retreat look like?*Anything else you would like to share about the forum?Personal QuestionnaireUsed to develop other retreat themes outside of forum health. Describe your vocational situation and any issues you may be facing:*Describe your family dynamics (relationship with significant other, kids, parents, siblings etc) and any issues you may be facing:*Describe relevant personal dynamics and any issues or life transitions you may be facing:*Describe your spiritual life.*Relationship authenticity is a common retreat theme. Please provide comments on one or more relationships that you know are draining your energy … and what you want to have happen relative to these relationships.*What do you want for YOURSELF from this retreat?*Please provide other comments or suggestions that could help. This iframe contains the logic required to handle Ajax powered Gravity Forms.
