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    Hello!

    The Intention of the questionnaire is to establish a list of organizers and contacts.

    The intent is to help get these organizers networked more effectively.

    All information gathered in this questionnaire is being collected and protected under confidentiality laws. After stating who you are comfortable with seeing your info, the information will be disclosed appropriately.

    This form was originally compiled by Daniel-Léo Richard
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    1. How would you like your information to be shared?
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    Public
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    All organizers
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    All organizers in your local area
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    Key contacts from your local area
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    Only Provincial Leads can see my information
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    Other
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    If "Other", please specify
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    2. Contact Info
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    Name
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    FB Profile Address
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    Twitter
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    Other Social Media
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    E-mail
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    Phone
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    City
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    Province/State
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    Country
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    Other
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    3. As far as activism goes, what strengths do you bring?
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    4. What are your weaknesses?
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    5. What is your level of intensity?
    1 being laid back 10 being extremely active
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    Other (please specify)
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    6. What do people close to you typically say about you?
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    7. What are your interests for organizing?
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    On the ground organizer
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    Social Media
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    Sub-Committees
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    Provincial wide Steering Committee
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    Nation wide steering Committee
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    World wide steering Committee
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    Videographer
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    Journalist
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    Media Liaison
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    Other (please specify)
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    8. How much time, on average, can you commit per week?
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    0-3 hours
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    3-7 hours
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    8-12 hours
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    12-20 hours
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    20-40 hours
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    40+ hours
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    Other (please specify)
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    9. There have been 'incidences' lacking common courtesy in how to relate to other organizers. If you have experienced this, without naming people, unless it is a serious concern, please share. There is much to learn from these experiences and if we do not work through them, they will reappear.
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    10. Other Comments
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