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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