One Small Step Participant Matching Questionnaire – University of Mary Washington (2023) One Small Step Participant Matching Questionnaire 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 ALAKASAZARCACOCTDEDCFLGAGUHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDMPOHOKORPAPRRISCSDTNTXUTVIVTVAWAWVWIWYAAAEAP 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.HiddenOne Small Step Region*I live elsewhereCalifornia – Fresno/Central ValleyCalifornia – Sonoma County/North BayGeorgia – ColumbusIndiana – South Bend ElkartKansas – WichitaMaine – Blue HillVirginia – RichmondWashington – SeattleWyoming – JacksonHiddenOne Small Step PartnerNot applicableNationwide – Radio BilingueCalifornia – Central Valley Community FoundationCalifornia – Community Media Center for FresnoCalifornia – Every Neighborhood PartnershipCalifornia – Fresno Arts CouncilCalifornia – Fresno StateCalifornia – KRCBCalifornia – Prophet Muhammad CenterCalifornia – Radio BilingueCalifornia – St. Paul's Catholic Newman CenterCalifornia – Unitarian Universalist Church of FresnoGeorgia – National Infantry MuseumGeorgia – St. Thomas Episcopal ChurchGeorgia – Vineville Methodist ChurchGeorgia – Washington Memorial LibraryIndiana – WVPEKansas – Bethel CollegeKansas – Kansas Health FoundationKansas – Oxford Villas WichitaKansas – WSU Ulrich MuseumMaine – WERUVirginia – ChamberRVAVirginia – Firms in ServiceVirginia – Hunton Andrews Kurth LLPVirginia – Library of VirginiaVirginia – University of Mary WashingtonVirginia – Virginia Museum of History & CultureVirginia – Virginia Tech – Richmond CenterWashington – KUOWWyoming – KHOLIf applicable, select the partner organization or radio station you learned of this initiative through. 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.Opt-In* Yes, please consider me for the self-facilitated One Small Step Connect experience. No thanks, I would prefer to only be considered for a facilitated One Small Step experience. If you don’t live near an Anchor Community or Radio Station Hub, your best option is OSS Connect, though — on rare occasions — we will invite those outside of OSS regions for facilitated interviews.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 HiddenHow did you find out about the opportunity to participate in StoryCorps' One Small Step? Radio Social media Email Flyer, postcard, or other print advertisement Event A friend, family member, or colleague A group or organization Another way Great! Which one? Terrific! Can you share their name? Great! What was the event? Tell us more! What is your role/connection to the campus community?* Student Faculty Staff Alum HiddenDo you know someone you would like to speak with for One Small Step?If you have a conversation partner in mind, we will get in touch with you for further details. No Yes Person's name, and relationship to you Most One Small Step recordings take place online via a video call. 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. How do you prefer to participate in a One Small Step conversation?VirtuallyIn-personNo preferenceWe only offer a select number of in-person recordings and it may take longer for those opportunities.HiddenDo 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 & DemographicsProviding 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.PhoneThis field is for validation purposes and should be left unchanged.
