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Initial
Contact Questionnaire
This
is the form Ways of Wisdom used when conducting
the initial case study candidate phone interviews. |
| Name: |
| Number
in Household: |
| Address: |
| County: |
| Phone/e-mail: |
| Suggested
by: |
|
|
Questions |
1.
Do you live in a rural setting?
| a.
How far is the nearest town? |
| b.
Describe your farm/homestead. |
|
2.
How long have you lived in Northern
Minnesota?
| a.
Do you live here seasonally or year
around? |
| b.
If you moved to Northern Minnesota, where
did you come from? |
| c.
Why did you move here? |
|
3.
How many are in your household?
| a.
Are there school age children and/or
retirement age adults? |
|
4.
How do you make a living?
| a.
Are you self-employed, employed by someone
else, or a combination of these? |
| b.
Do you work out of the home? |
| c.
Is your work seasonal? |
| d.
Do you earn income off of your land? |
| e.
Are there other ways that you try to
supplement your income such as from
hobbies, etc. |
|
5.
Food systems: Do you grow and process a lot
of your own food?
| a.
Do you try to eat organic or have other
dietary guidelines (vegetarian, etc)? |
| b.
What are your other food sources (i.e.:
food co-op, other area growers, wild
foods, etc.) |
|
6.
Energy systems: Do you have electricity?
| a.
Do you generate any of your own power? |
| b.
How do you heat your home, light your
rooms and cook your food? |
| c.
How do you save energy? |
|
7.
Shelter systems: Are your buildings/home
sustainably constructed using recyclable or earth
friendly materials?
| a.
Is there anything innovative about your
buildings that you would like to talk
about? |
| b.
Did you construct them yourself? |
| c.
What are your future building plans? |
|
8.
Transportation systems: Do you drive a
vehicle every day?
| a.
To save gasoline, do you carpool or bunch
up errands to town? |
| b.
Do you use alternative transportation such
as walking, cycling, or horseback riding? |
|
9.
Waste systems: How do you handle your
sewage and gray water?
| a.
Do you recycle? |
| b.
What are the other ways that you
consciously reduce waste (example:
composting food wastes, using cloth bags
at the market or buying in bulk to prevent
“over-packaging”). |
|
10.
Community interaction: Are you involved in
your community as a volunteer, activist, committee
member etc.?
| a.
Have you been instrumental in initiating
change in your community/neighborhood? |
| b.
How do you interact with the global
community?
Do you find yourself getting
involved with larger issues such as
environmentalism, social justice, food
issues etc? |
|
| 11.
How would you define sustainable living?
|
12.
If you are chosen as a final participant
for this study, would you be willing to share your
story with others?
| a.
Would you be willing to participate in
workshops or be open to having others
visit your home in organized tours? |
|
|
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