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Sample Pre Dialogue Survey

Sample Pre Dialogue Survey

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Published by Mitch Chanin

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Published by: Mitch Chanin on Oct 10, 2011
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Sample Pre-Dialogue Survey fora Dialogue Session on a College Campus
We look forward to working with you during the upcoming dialogue session! Your responses to thesequestions will help us to plan the session. Only the facilitators will see what you write, and we will keep your responses strictly confidential. Please complete the survey by one week before the dialogue.There is no need to use all the space provided, but please make your responses as specific as possible.
1.What is your name?2.What is your email address?3.In which year do you expect to graduate?4.Are you affiliated with any Jewish organizations at ___, or organizations that address theIsraeli-Palestinian conflict? If so, which ones?5.What leads you to want to participate in this conversation? What would you like to learn or experience? What do you hope to accomplish -- individually or as a community?6.Is there anything you can share about your background or your perspective on Israel that wouldhelp us to set up the program so that it is as useful as possible for you? You may want to tell usabout your personal or family background, past experiences discussing Israel, politicalcommitments or activism, or anything else that seems relevant.

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