One Small Step Questionnaire – 2023 Hub – WVPE – FORM

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One Small Step

Get connected with a One Small Step conversation partner who shares your curiosity, even if your beliefs differ. Read our FAQs to learn more.

The form usually takes around 5-7 minutes to complete.

IMPORTANT: Your details will help us match you and personalize email content. Before your interview, we will share your first name, last initial, and a brief bio with your partner exactly as you submit it here.
Let's get started!
Name*
First Last
Email Address*
Location (City, State, ZIP)*
City State ZIP Code
Preferred phone number*
By providing your phone number, you agree to receive text messages from StoryCorps and One Small Step. Message and data rates may apply. Message frequency varies.
One Small Step Connect is our new platform, currently in beta testing, to bridge political divides regardless of where you live.

If you opt in to OSS Connect, the following information will be shared with potential participants exactly as you submit in this questionnaire: first name, city & state, gender, age range (e.g., 20–30), political party, social issues score, interests, bio, key descriptors and life events.
How did you find out about the opportunity to participate in StoryCorps' One Small Step?*
- I saw an advertisement (Facebook ad, radio ad, door hanger, poster, etc.)
- I heard about it at an event
- I learned about it from a friend, family member, or colleague
- I heard about it from a group or an organization I'm a part of
- Another way
What is your role/connection to the campus community?*
- Student
- Faculty
- Staff
- Alum
What year did you graduate?
Please enter a number from 1900 to 2040.
How do you prefer to participate in a One Small Step conversation?
We only offer a select number of in-person recordings and it may take longer for those opportunities.
In person interviews will take place on the Vanderbilt campus.
In person interviews will take place on the Dartmouth campus.
Hidden
Do you have access to a computer or mobile device (iPad, tablet, etc.) and reliable internet?
- Yes
- No
If not, don't worry! We want to make this opportunity available to everyone, so we will work with you to find another way to participate.
Politics & Beliefs
Help us understand your beliefs around politics, religion, and more. This information will be used to match you with others whose beliefs differ from yours.
Drag the slider to where you see yourself on the scale, with the left being the most liberal and the right the most conservative.
How often do you engage in conversations with people who have different beliefs than you?
- Often
- Sometimes
- Rarely
- Never
Where on this scale would you place your thinking on social issues? *
I prefer not to place myself on this scale.
Briefly describe your thinking on social issues.
Where on this scale would you place your thinking on economic issues? *
I prefer not to place myself on this scale.
Briefly describe your thinking on economic issues.
How important is religion in your life? *
I prefer not to place myself on this scale.
- I prefer not to place myself on this scale
Briefly describe the role of religion in your life.
Are you a registered voter in the US?*
- Yes
- No
- Prefer not to answer
Which party are you registered with, if any?
- Democratic
- Republican
- Green
- American Independent
- Libertarian
- No party affiliation/independent
- Another party
Please specify
Life Events & Interests

While One Small Step pairs strangers with different beliefs, the goal is to remind us that we're all human and that we have more in common than we think. The following questions will help us pair you with others who share similar passions or life experiences.
Do any of these describe you?
Please select as many as you like.
- Grandparent
- Parent
- Political
- Veteran / From military family
- Active in my community
- Outdoorsy / Nature lover
- Outgoing
- Animal lover
- Religious / Spiritual
- Shy
- Tech-savvy
- Creative
Have you experienced any of these life events recently?
Please select as many as you like.
- Became a parent
- Became a grandparent
- Lost a loved one
- Moved to a new community
- Started a new job
- Lost a job
- Got married
- Got divorced / Had a breakup
- Fought with family or friends over politics
- Another major event
Please describe
List up to three (3) additional passions or interests (i.e., hobbies, sports/sports teams, music etc.)
Bio & Demographics
Providing the demographic information we ask for below is optional. Having more information about you will help us match you with an interview partner, so we encourage you to provide as much information as you are comfortable sharing.
Introduce Yourself*
Introduce yourself with a concise bio sharing who you are and your background: family, community, significant life events, personal values, and important issues. Avoid sharing personally identifiable information like your full name or employer. This bio will be read aloud at the beginning of your recorded conversation.
Example: I am the youngest of 6 kids and was raised on a farm in rural California. My faith as a Christian drives my politics. Hunting and fishing are important to me, and I care deeply about public land use and conservation. I have been married for 47 years. I have adult children and 6 grandchildren. I lost one of my children a few years ago.
Age*
Gender
- Female / Woman
- Male / Man
- Another gender identity
Please specify
Race / Ethnicity
- American Indian or Alaska Native
- Asian
- Black or African American
- Hispanic or Latino/a/x
- Native Hawaiian or Pacific Islander
- White/Caucasian
- Not listed above
Please specify
Religious affiliation
- Buddhist
- Christian
- Hindu
- Jewish
- Muslim
- Secular/Atheist/Agnostic
- Unitarian Universalist
- Not listed above
Please specify
You've reached the end!
Once you submit, our team will begin looking for a conversation partner. This thoughtful process takes time, so we appreciate your patience. If you are matched, we will email you with further instructions on scheduling.
Comments
This field is for validation purposes and should be left unchanged.

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Politics & Beliefs

Life Events & Interests

Bio & Demographics

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