![](media/image1.jpeg){width="8.5in" height="11.008333333333333in"}

The contents of these materials have not been formally disseminated by
the Centers for Disease Control and Prevention and should not be
construed to represent any agency determination or policy.

Instructions for Using the Partnership Trust Tool\
(Please Read Entirely)

Instructions for Responding to Survey Questions

Completing this survey will take time. Completion time is approximated
to be 30 to 60 minutes; however, some people may find that it takes
longer.

In responding to the survey:

-   If you are a **health department** PRC representative, please think
    about your academic and community PRC partners.

-   If you are an **academic** PRC representative, please think about
    your health department and community PRC partners.

-   If you are a **community** PRC representative, please think about
    your health department and academic PRC partners.

For each component of trust (presented alphabetically):

-   Rate its importance on a scale from 1 to 7, with 1 being not at all
    important and 7 being very important.

-   Rate its occurrence, or how good your PRC partners are at carrying
    out each trust component, on a scale from 1 to 7, with 1 being not
    at all good and 7 being very good.

-   Provide an example of a time when your partners were very good at
    the trust component.

-   Provide an example of a time when you felt your partners could do
    better.

Important Notes

-   It is expected that a number of individuals and partnerships will
    have varying definitions and understandings of *trust*; you are
    encouraged to introduce new components that most reflect and
    resonate with your own partnership. There are spaces for you to add
    your own components of trust and rate those as well, if you feel
    something has been missed by the ones listed.

-   The components of trust are presented alphabetically. Some people
    will feel that there is overlap among the components, or that they
    are repetitive. Others will feel that these are all distinct
    components, each with its own unique meaning. [As you complete the
    survey, if you feel a component is the same as another term, feel
    free to skip the ratings and please use the example space to note
    which other component you feel captured the same ideas]{.underline}.

-   It is okay if you cannot think of an example for every component. In
    such cases, please focus on the most important components. However,
    it is important to note that the more examples, the better prepared
    your group will be for the second part of the Partnership Trust Tool
    -- the Facilitated Discussion.

-   The Partnership Trust Tool was developed with the goal of initiating
    discussions around trust within PRC partnerships and enhancing trust
    in those partnerships. This is intended to be a discussion and trust
    enhancing tool for partnerships, rather than a measurement tool. The
    goal is to facilitate open discussion among partners with the hope
    of building and facilitating trust in these relationships.

Partnership Trust Tool Survey

+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| Component of Trust    | Rat |     |     |     |     |     |     |
|                       | ing |     |     |     |     |     |     |
|                       | Sca |     |     |     |     |     |     |
|                       | le: |     |     |     |     |     |     |
|                       | 1 = |     |     |     |     |     |     |
|                       | Not |     |     |     |     |     |     |
|                       | at  |     |     |     |     |     |     |
|                       | all |     |     |     |     |     |     |
|                       | 7 = |     |     |     |     |     |     |
|                       | V   |     |     |     |     |     |     |
|                       | ery |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| 1\. Accessible        | Im  |     |     |     |     |     |     |
|                       | por |     |     |     |     |     |     |
| (Approachable)        | tan |     |     |     |     |     |     |
|                       | ce: |     |     |     |     |     |     |
|                       | How |     |     |     |     |     |     |
|                       | imp |     |     |     |     |     |     |
|                       | ort |     |     |     |     |     |     |
|                       | ant |     |     |     |     |     |     |
|                       | is  |     |     |     |     |     |     |
|                       | the |     |     |     |     |     |     |
|                       | com |     |     |     |     |     |     |
|                       | pon |     |     |     |     |     |     |
|                       | ent |     |     |     |     |     |     |
|                       | for |     |     |     |     |     |     |
|                       | y   |     |     |     |     |     |     |
|                       | our |     |     |     |     |     |     |
|                       | par |     |     |     |     |     |     |
|                       | tne |     |     |     |     |     |     |
|                       | rsh |     |     |     |     |     |     |
|                       | ip? |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | 1   | 2   | 3   | 4   | 5   | 6   | 7   |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | Oc  |     |     |     |     |     |     |
|                       | cur |     |     |     |     |     |     |
|                       | ren |     |     |     |     |     |     |
|                       | ce: |     |     |     |     |     |     |
|                       | Ple |     |     |     |     |     |     |
|                       | ase |     |     |     |     |     |     |
|                       | in  |     |     |     |     |     |     |
|                       | dic |     |     |     |     |     |     |
|                       | ate |     |     |     |     |     |     |
|                       | how |     |     |     |     |     |     |
|                       | [ac |     |     |     |     |     |     |
|                       | ces |     |     |     |     |     |     |
|                       | sib |     |     |     |     |     |     |
|                       | le] |     |     |     |     |     |     |
|                       | {.u |     |     |     |     |     |     |
|                       | nde |     |     |     |     |     |     |
|                       | rli |     |     |     |     |     |     |
|                       | ne} |     |     |     |     |     |     |
|                       | y   |     |     |     |     |     |     |
|                       | our |     |     |     |     |     |     |
|                       | pa  |     |     |     |     |     |     |
|                       | rtn |     |     |     |     |     |     |
|                       | ers |     |     |     |     |     |     |
|                       | are |     |     |     |     |     |     |
|                       | (as |     |     |     |     |     |     |
|                       | a   |     |     |     |     |     |     |
|                       | w   |     |     |     |     |     |     |
|                       | hol |     |     |     |     |     |     |
|                       | e). |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | 1   | 2   | 3   | 4   | 5   | 6   | 7   |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| Behaviors &           |     |     |     |     |     |     |     |
| Expectations          |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| a\. Give an example   |     |     |     |     |     |     |     |
| of a time when you    |     |     |     |     |     |     |     |
| were working with     |     |     |     |     |     |     |     |
| your partners and you |     |     |     |     |     |     |     |
| felt people were      |     |     |     |     |     |     |     |
| especially            |     |     |     |     |     |     |     |
| [acc                  |     |     |     |     |     |     |     |
| essible]{.underline}. |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| b\. What is an        |     |     |     |     |     |     |     |
| example of something  |     |     |     |     |     |     |     |
| your partners could   |     |     |     |     |     |     |     |
| do to be more         |     |     |     |     |     |     |     |
| [ac                   |     |     |     |     |     |     |     |
| cessible]{.underline} |     |     |     |     |     |     |     |
| or                    |     |     |     |     |     |     |     |
| [appro                |     |     |     |     |     |     |     |
| achable]{.underline}? |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| Component of Trust    | Rat |     |     |     |     |     |     |
|                       | ing |     |     |     |     |     |     |
|                       | Sca |     |     |     |     |     |     |
|                       | le: |     |     |     |     |     |     |
|                       | 1 = |     |     |     |     |     |     |
|                       | Not |     |     |     |     |     |     |
|                       | at  |     |     |     |     |     |     |
|                       | all |     |     |     |     |     |     |
|                       | 7 = |     |     |     |     |     |     |
|                       | V   |     |     |     |     |     |     |
|                       | ery |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| 2\. Dependable        | Im  |     |     |     |     |     |     |
|                       | por |     |     |     |     |     |     |
| (Follows through on   | tan |     |     |     |     |     |     |
| promises)             | ce: |     |     |     |     |     |     |
|                       | How |     |     |     |     |     |     |
|                       | imp |     |     |     |     |     |     |
|                       | ort |     |     |     |     |     |     |
|                       | ant |     |     |     |     |     |     |
|                       | is  |     |     |     |     |     |     |
|                       | the |     |     |     |     |     |     |
|                       | com |     |     |     |     |     |     |
|                       | pon |     |     |     |     |     |     |
|                       | ent |     |     |     |     |     |     |
|                       | for |     |     |     |     |     |     |
|                       | y   |     |     |     |     |     |     |
|                       | our |     |     |     |     |     |     |
|                       | par |     |     |     |     |     |     |
|                       | tne |     |     |     |     |     |     |
|                       | rsh |     |     |     |     |     |     |
|                       | ip? |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | 1   | 2   | 3   | 4   | 5   | 6   | 7   |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | Oc  |     |     |     |     |     |     |
|                       | cur |     |     |     |     |     |     |
|                       | ren |     |     |     |     |     |     |
|                       | ce: |     |     |     |     |     |     |
|                       | Ple |     |     |     |     |     |     |
|                       | ase |     |     |     |     |     |     |
|                       | in  |     |     |     |     |     |     |
|                       | dic |     |     |     |     |     |     |
|                       | ate |     |     |     |     |     |     |
|                       | how |     |     |     |     |     |     |
|                       | [de |     |     |     |     |     |     |
|                       | pen |     |     |     |     |     |     |
|                       | dab |     |     |     |     |     |     |
|                       | le] |     |     |     |     |     |     |
|                       | {.u |     |     |     |     |     |     |
|                       | nde |     |     |     |     |     |     |
|                       | rli |     |     |     |     |     |     |
|                       | ne} |     |     |     |     |     |     |
|                       | y   |     |     |     |     |     |     |
|                       | our |     |     |     |     |     |     |
|                       | pa  |     |     |     |     |     |     |
|                       | rtn |     |     |     |     |     |     |
|                       | ers |     |     |     |     |     |     |
|                       | are |     |     |     |     |     |     |
|                       | (as |     |     |     |     |     |     |
|                       | a   |     |     |     |     |     |     |
|                       | w   |     |     |     |     |     |     |
|                       | hol |     |     |     |     |     |     |
|                       | e). |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | 1   | 2   | 3   | 4   | 5   | 6   | 7   |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| Behaviors &           |     |     |     |     |     |     |     |
| Expectations          |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| a\. Give an example   |     |     |     |     |     |     |     |
| of a time when you    |     |     |     |     |     |     |     |
| were working with     |     |     |     |     |     |     |     |
| your partners and you |     |     |     |     |     |     |     |
| felt people were      |     |     |     |     |     |     |     |
| being                 |     |     |     |     |     |     |     |
| [dep                  |     |     |     |     |     |     |     |
| endable]{.underline}. |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| ######                |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| b\. What is an        |     |     |     |     |     |     |     |
| example of something  |     |     |     |     |     |     |     |
| your partners could   |     |     |     |     |     |     |     |
| do to be more         |     |     |     |     |     |     |     |
| [dep                  |     |     |     |     |     |     |     |
| endable]{.underline}? |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| ######                |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+

+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| Component of Trust    | **  |     |     |     |     |     |     |
|                       | Rat |     |     |     |     |     |     |
|                       | ing |     |     |     |     |     |     |
|                       | Sca |     |     |     |     |     |     |
|                       | le: |     |     |     |     |     |     |
|                       | 1 = |     |     |     |     |     |     |
|                       | Not |     |     |     |     |     |     |
|                       | at  |     |     |     |     |     |     |
|                       | all |     |     |     |     |     |     |
|                       | 7 = |     |     |     |     |     |     |
|                       | Ver |     |     |     |     |     |     |
|                       | y** |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| 3\. Good/clear        | Im  |     |     |     |     |     |     |
| communication         | por |     |     |     |     |     |     |
|                       | tan |     |     |     |     |     |     |
| (Shares information;  | ce: |     |     |     |     |     |     |
| promotes clear        | How |     |     |     |     |     |     |
| understanding)        | imp |     |     |     |     |     |     |
|                       | ort |     |     |     |     |     |     |
|                       | ant |     |     |     |     |     |     |
|                       | is  |     |     |     |     |     |     |
|                       | the |     |     |     |     |     |     |
|                       | com |     |     |     |     |     |     |
|                       | pon |     |     |     |     |     |     |
|                       | ent |     |     |     |     |     |     |
|                       | for |     |     |     |     |     |     |
|                       | y   |     |     |     |     |     |     |
|                       | our |     |     |     |     |     |     |
|                       | par |     |     |     |     |     |     |
|                       | tne |     |     |     |     |     |     |
|                       | rsh |     |     |     |     |     |     |
|                       | ip? |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | **  | **  | **  | **  | **  | **  | **  |
|                       | 1** | 2** | 3** | 4** | 5** | 6** | 7** |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | Oc  |     |     |     |     |     |     |
|                       | cur |     |     |     |     |     |     |
|                       | ren |     |     |     |     |     |     |
|                       | ce: |     |     |     |     |     |     |
|                       | Ple |     |     |     |     |     |     |
|                       | ase |     |     |     |     |     |     |
|                       | in  |     |     |     |     |     |     |
|                       | dic |     |     |     |     |     |     |
|                       | ate |     |     |     |     |     |     |
|                       | the |     |     |     |     |     |     |
|                       | le  |     |     |     |     |     |     |
|                       | vel |     |     |     |     |     |     |
|                       | of  |     |     |     |     |     |     |
|                       | [cl |     |     |     |     |     |     |
|                       | ear |     |     |     |     |     |     |
|                       | co  |     |     |     |     |     |     |
|                       | mmu |     |     |     |     |     |     |
|                       | nic |     |     |     |     |     |     |
|                       | ati |     |     |     |     |     |     |
|                       | on] |     |     |     |     |     |     |
|                       | {.u |     |     |     |     |     |     |
|                       | nde |     |     |     |     |     |     |
|                       | rli |     |     |     |     |     |     |
|                       | ne} |     |     |     |     |     |     |
|                       | y   |     |     |     |     |     |     |
|                       | our |     |     |     |     |     |     |
|                       | pa  |     |     |     |     |     |     |
|                       | rtn |     |     |     |     |     |     |
|                       | ers |     |     |     |     |     |     |
|                       | (as |     |     |     |     |     |     |
|                       | a   |     |     |     |     |     |     |
|                       | who |     |     |     |     |     |     |
|                       | le) |     |     |     |     |     |     |
|                       | pr  |     |     |     |     |     |     |
|                       | ovi |     |     |     |     |     |     |
|                       | de. |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | **  | **  | **  | **  | **  | **  | **  |
|                       | 1** | 2** | 3** | 4** | 5** | 6** | 7** |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| Behaviors &           |     |     |     |     |     |     |     |
| Expectations          |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| a\. Give an example   |     |     |     |     |     |     |     |
| of a time when you    |     |     |     |     |     |     |     |
| were working with     |     |     |     |     |     |     |     |
| your partners and you |     |     |     |     |     |     |     |
| felt there was [good  |     |     |     |     |     |     |     |
| and/or clear          |     |     |     |     |     |     |     |
| commun                |     |     |     |     |     |     |     |
| ication]{.underline}. |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| b\. What is an        |     |     |     |     |     |     |     |
| example of something  |     |     |     |     |     |     |     |
| your partners could   |     |     |     |     |     |     |     |
| do to improve         |     |     |     |     |     |     |     |
| [commun               |     |     |     |     |     |     |     |
| ication]{.underline}? |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| Component of Trust    | **  |     |     |     |     |     |     |
|                       | Rat |     |     |     |     |     |     |
|                       | ing |     |     |     |     |     |     |
|                       | Sca |     |     |     |     |     |     |
|                       | le: |     |     |     |     |     |     |
|                       | 1 = |     |     |     |     |     |     |
|                       | Not |     |     |     |     |     |     |
|                       | at  |     |     |     |     |     |     |
|                       | all |     |     |     |     |     |     |
|                       | 7 = |     |     |     |     |     |     |
|                       | Ver |     |     |     |     |     |     |
|                       | y** |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| 4\. Mutual benefit    | Im  |     |     |     |     |     |     |
|                       | por |     |     |     |     |     |     |
| (There is balance in  | tan |     |     |     |     |     |     |
| the relationship; I   | ce: |     |     |     |     |     |     |
| do things to help     | How |     |     |     |     |     |     |
| them, and they do     | imp |     |     |     |     |     |     |
| things to help me)    | ort |     |     |     |     |     |     |
|                       | ant |     |     |     |     |     |     |
|                       | is  |     |     |     |     |     |     |
|                       | the |     |     |     |     |     |     |
|                       | com |     |     |     |     |     |     |
|                       | pon |     |     |     |     |     |     |
|                       | ent |     |     |     |     |     |     |
|                       | for |     |     |     |     |     |     |
|                       | y   |     |     |     |     |     |     |
|                       | our |     |     |     |     |     |     |
|                       | par |     |     |     |     |     |     |
|                       | tne |     |     |     |     |     |     |
|                       | rsh |     |     |     |     |     |     |
|                       | ip? |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | 1   | 2   | 3   | 4   | 5   | 6   | 7   |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | Oc  |     |     |     |     |     |     |
|                       | cur |     |     |     |     |     |     |
|                       | ren |     |     |     |     |     |     |
|                       | ce: |     |     |     |     |     |     |
|                       | Ple |     |     |     |     |     |     |
|                       | ase |     |     |     |     |     |     |
|                       | in  |     |     |     |     |     |     |
|                       | dic |     |     |     |     |     |     |
|                       | ate |     |     |     |     |     |     |
|                       | how |     |     |     |     |     |     |
|                       | [mu |     |     |     |     |     |     |
|                       | tua |     |     |     |     |     |     |
|                       | lly |     |     |     |     |     |     |
|                       | be  |     |     |     |     |     |     |
|                       | nef |     |     |     |     |     |     |
|                       | ici |     |     |     |     |     |     |
|                       | al] |     |     |     |     |     |     |
|                       | {.u |     |     |     |     |     |     |
|                       | nde |     |     |     |     |     |     |
|                       | rli |     |     |     |     |     |     |
|                       | ne} |     |     |     |     |     |     |
|                       | y   |     |     |     |     |     |     |
|                       | our |     |     |     |     |     |     |
|                       | pa  |     |     |     |     |     |     |
|                       | rtn |     |     |     |     |     |     |
|                       | ers |     |     |     |     |     |     |
|                       | hip |     |     |     |     |     |     |
|                       | is  |     |     |     |     |     |     |
|                       | (as |     |     |     |     |     |     |
|                       | a   |     |     |     |     |     |     |
|                       | w   |     |     |     |     |     |     |
|                       | hol |     |     |     |     |     |     |
|                       | e). |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | 1   | 2   | 3   | 4   | 5   | 6   | 7   |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | #   | #   | #   | #   | #   | #   | #   |
|                       | ### | ### | ### | ### | ### | ### | ### |
|                       | ##  | ##  | ##  | ##  | ##  | ##  | ##  |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| Behaviors &           |     |     |     |     |     |     |     |
| Expectations          |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| a\. Give an example   |     |     |     |     |     |     |     |
| of a time when you    |     |     |     |     |     |     |     |
| felt your partnership |     |     |     |     |     |     |     |
| was [mutually         |     |     |     |     |     |     |     |
| ben                   |     |     |     |     |     |     |     |
| eficial]{.underline}. |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| b\. What is an        |     |     |     |     |     |     |     |
| example of something  |     |     |     |     |     |     |     |
| your partnership      |     |     |     |     |     |     |     |
| could do to be more   |     |     |     |     |     |     |     |
| [mutually             |     |     |     |     |     |     |     |
| ben                   |     |     |     |     |     |     |     |
| eficial]{.underline}? |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+

+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| Component of Trust    | **  |     |     |     |     |     |     |
|                       | Rat |     |     |     |     |     |     |
|                       | ing |     |     |     |     |     |     |
|                       | Sca |     |     |     |     |     |     |
|                       | le: |     |     |     |     |     |     |
|                       | 1 = |     |     |     |     |     |     |
|                       | Not |     |     |     |     |     |     |
|                       | at  |     |     |     |     |     |     |
|                       | all |     |     |     |     |     |     |
|                       | 7 = |     |     |     |     |     |     |
|                       | Ver |     |     |     |     |     |     |
|                       | y** |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| 5\. Open              | Im  |     |     |     |     |     |     |
|                       | por |     |     |     |     |     |     |
| (Willing to listen to | tan |     |     |     |     |     |     |
| the ideas of others)  | ce: |     |     |     |     |     |     |
|                       | How |     |     |     |     |     |     |
|                       | imp |     |     |     |     |     |     |
|                       | ort |     |     |     |     |     |     |
|                       | ant |     |     |     |     |     |     |
|                       | is  |     |     |     |     |     |     |
|                       | the |     |     |     |     |     |     |
|                       | com |     |     |     |     |     |     |
|                       | pon |     |     |     |     |     |     |
|                       | ent |     |     |     |     |     |     |
|                       | for |     |     |     |     |     |     |
|                       | y   |     |     |     |     |     |     |
|                       | our |     |     |     |     |     |     |
|                       | par |     |     |     |     |     |     |
|                       | tne |     |     |     |     |     |     |
|                       | rsh |     |     |     |     |     |     |
|                       | ip? |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | **  | **  | **  | **  | **  | **  | **  |
|                       | 1** | 2** | 3** | 4** | 5** | 6** | 7** |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | Oc  |     |     |     |     |     |     |
|                       | cur |     |     |     |     |     |     |
|                       | ren |     |     |     |     |     |     |
|                       | ce: |     |     |     |     |     |     |
|                       | Ple |     |     |     |     |     |     |
|                       | ase |     |     |     |     |     |     |
|                       | in  |     |     |     |     |     |     |
|                       | dic |     |     |     |     |     |     |
|                       | ate |     |     |     |     |     |     |
|                       | how |     |     |     |     |     |     |
|                       | [op |     |     |     |     |     |     |
|                       | en] |     |     |     |     |     |     |
|                       | {.u |     |     |     |     |     |     |
|                       | nde |     |     |     |     |     |     |
|                       | rli |     |     |     |     |     |     |
|                       | ne} |     |     |     |     |     |     |
|                       | you |     |     |     |     |     |     |
|                       | f   |     |     |     |     |     |     |
|                       | eel |     |     |     |     |     |     |
|                       | y   |     |     |     |     |     |     |
|                       | our |     |     |     |     |     |     |
|                       | pa  |     |     |     |     |     |     |
|                       | rtn |     |     |     |     |     |     |
|                       | ers |     |     |     |     |     |     |
|                       | are |     |     |     |     |     |     |
|                       | (as |     |     |     |     |     |     |
|                       | a   |     |     |     |     |     |     |
|                       | w   |     |     |     |     |     |     |
|                       | hol |     |     |     |     |     |     |
|                       | e). |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | **  | **  | **  | **  | **  | **  | **  |
|                       | 1** | 2** | 3** | 4** | 5** | 6** | 7** |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| **Behaviors &         |     |     |     |     |     |     |     |
| Expectations**        |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| a\. Give an example   |     |     |     |     |     |     |     |
| of a time when you    |     |     |     |     |     |     |     |
| were working with     |     |     |     |     |     |     |     |
| your partners and you |     |     |     |     |     |     |     |
| felt partners were    |     |     |     |     |     |     |     |
| very                  |     |     |     |     |     |     |     |
| [open]{.underline}.   |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| b\. What is an        |     |     |     |     |     |     |     |
| example of something  |     |     |     |     |     |     |     |
| your partners could   |     |     |     |     |     |     |     |
| do to be more [open   |     |     |     |     |     |     |     |
| or                    |     |     |     |     |     |     |     |
| f                     |     |     |     |     |     |     |     |
| lexible]{.underline}? |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| Component of Trust    | **  |     |     |     |     |     |     |
|                       | Rat |     |     |     |     |     |     |
|                       | ing |     |     |     |     |     |     |
|                       | Sca |     |     |     |     |     |     |
|                       | le: |     |     |     |     |     |     |
|                       | 1 = |     |     |     |     |     |     |
|                       | Not |     |     |     |     |     |     |
|                       | at  |     |     |     |     |     |     |
|                       | all |     |     |     |     |     |     |
|                       | 7 = |     |     |     |     |     |     |
|                       | Ver |     |     |     |     |     |     |
|                       | y** |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| 6\. Provides accurate | Im  |     |     |     |     |     |     |
| information           | por |     |     |     |     |     |     |
|                       | tan |     |     |     |     |     |     |
| (Being able to be     | ce: |     |     |     |     |     |     |
| relied upon to        | How |     |     |     |     |     |     |
| provide correct       | imp |     |     |     |     |     |     |
| information)          | ort |     |     |     |     |     |     |
|                       | ant |     |     |     |     |     |     |
|                       | is  |     |     |     |     |     |     |
|                       | the |     |     |     |     |     |     |
|                       | com |     |     |     |     |     |     |
|                       | pon |     |     |     |     |     |     |
|                       | ent |     |     |     |     |     |     |
|                       | for |     |     |     |     |     |     |
|                       | y   |     |     |     |     |     |     |
|                       | our |     |     |     |     |     |     |
|                       | par |     |     |     |     |     |     |
|                       | tne |     |     |     |     |     |     |
|                       | rsh |     |     |     |     |     |     |
|                       | ip? |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | 1   | 2   | 3   | 4   | 5   | 6   | 7   |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | Oc  |     |     |     |     |     |     |
|                       | cur |     |     |     |     |     |     |
|                       | ren |     |     |     |     |     |     |
|                       | ce: |     |     |     |     |     |     |
|                       | Ple |     |     |     |     |     |     |
|                       | ase |     |     |     |     |     |     |
|                       | in  |     |     |     |     |     |     |
|                       | dic |     |     |     |     |     |     |
|                       | ate |     |     |     |     |     |     |
|                       | how |     |     |     |     |     |     |
|                       | g   |     |     |     |     |     |     |
|                       | ood |     |     |     |     |     |     |
|                       | you |     |     |     |     |     |     |
|                       | f   |     |     |     |     |     |     |
|                       | eel |     |     |     |     |     |     |
|                       | y   |     |     |     |     |     |     |
|                       | our |     |     |     |     |     |     |
|                       | pa  |     |     |     |     |     |     |
|                       | rtn |     |     |     |     |     |     |
|                       | ers |     |     |     |     |     |     |
|                       | (as |     |     |     |     |     |     |
|                       | a   |     |     |     |     |     |     |
|                       | who |     |     |     |     |     |     |
|                       | le) |     |     |     |     |     |     |
|                       | are |     |     |     |     |     |     |
|                       | at  |     |     |     |     |     |     |
|                       | [   |     |     |     |     |     |     |
|                       | pro |     |     |     |     |     |     |
|                       | vid |     |     |     |     |     |     |
|                       | ing |     |     |     |     |     |     |
|                       | ac  |     |     |     |     |     |     |
|                       | cur |     |     |     |     |     |     |
|                       | ate |     |     |     |     |     |     |
|                       | i   |     |     |     |     |     |     |
|                       | nfo |     |     |     |     |     |     |
|                       | rma |     |     |     |     |     |     |
|                       | tio |     |     |     |     |     |     |
|                       | n]{ |     |     |     |     |     |     |
|                       | .un |     |     |     |     |     |     |
|                       | der |     |     |     |     |     |     |
|                       | lin |     |     |     |     |     |     |
|                       | e}. |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | 1   | 2   | 3   | 4   | 5   | 6   | 7   |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| Behaviors &           |     |     |     |     |     |     |     |
| Expectations          |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| a\. Give an example   |     |     |     |     |     |     |     |
| of a time when you    |     |     |     |     |     |     |     |
| were working with     |     |     |     |     |     |     |     |
| your partners and you |     |     |     |     |     |     |     |
| felt people were      |     |     |     |     |     |     |     |
| doing a good job of   |     |     |     |     |     |     |     |
| [providing accurate   |     |     |     |     |     |     |     |
| info                  |     |     |     |     |     |     |     |
| rmation]{.underline}. |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| b\. What is an        |     |     |     |     |     |     |     |
| example of something  |     |     |     |     |     |     |     |
| your partners could   |     |     |     |     |     |     |     |
| do to be better at    |     |     |     |     |     |     |     |
| [providing accurate   |     |     |     |     |     |     |     |
| info                  |     |     |     |     |     |     |     |
| rmation]{.underline}? |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+

+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| Component of Trust    | **  |     |     |     |     |     |     |
|                       | Rat |     |     |     |     |     |     |
|                       | ing |     |     |     |     |     |     |
|                       | Sca |     |     |     |     |     |     |
|                       | le: |     |     |     |     |     |     |
|                       | 1 = |     |     |     |     |     |     |
|                       | Not |     |     |     |     |     |     |
|                       | at  |     |     |     |     |     |     |
|                       | all |     |     |     |     |     |     |
|                       | 7 = |     |     |     |     |     |     |
|                       | Ver |     |     |     |     |     |     |
|                       | y** |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| 7\. Relationship      | Im  |     |     |     |     |     |     |
| building              | por |     |     |     |     |     |     |
|                       | tan |     |     |     |     |     |     |
| (Spend time in        | ce: |     |     |     |     |     |     |
| community; engage     | How |     |     |     |     |     |     |
| partners)             | imp |     |     |     |     |     |     |
|                       | ort |     |     |     |     |     |     |
|                       | ant |     |     |     |     |     |     |
|                       | is  |     |     |     |     |     |     |
|                       | the |     |     |     |     |     |     |
|                       | com |     |     |     |     |     |     |
|                       | pon |     |     |     |     |     |     |
|                       | ent |     |     |     |     |     |     |
|                       | for |     |     |     |     |     |     |
|                       | y   |     |     |     |     |     |     |
|                       | our |     |     |     |     |     |     |
|                       | par |     |     |     |     |     |     |
|                       | tne |     |     |     |     |     |     |
|                       | rsh |     |     |     |     |     |     |
|                       | ip? |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | **  | **  | **  | **  | **  | **  | **  |
|                       | 1** | 2** | 3** | 4** | 5** | 6** | 7** |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | Oc  |     |     |     |     |     |     |
|                       | cur |     |     |     |     |     |     |
|                       | ren |     |     |     |     |     |     |
|                       | ce: |     |     |     |     |     |     |
|                       | Ple |     |     |     |     |     |     |
|                       | ase |     |     |     |     |     |     |
|                       | in  |     |     |     |     |     |     |
|                       | dic |     |     |     |     |     |     |
|                       | ate |     |     |     |     |     |     |
|                       | how |     |     |     |     |     |     |
|                       | g   |     |     |     |     |     |     |
|                       | ood |     |     |     |     |     |     |
|                       | y   |     |     |     |     |     |     |
|                       | our |     |     |     |     |     |     |
|                       | pa  |     |     |     |     |     |     |
|                       | rtn |     |     |     |     |     |     |
|                       | ers |     |     |     |     |     |     |
|                       | (as |     |     |     |     |     |     |
|                       | a   |     |     |     |     |     |     |
|                       | who |     |     |     |     |     |     |
|                       | le) |     |     |     |     |     |     |
|                       | are |     |     |     |     |     |     |
|                       | at  |     |     |     |     |     |     |
|                       | [   |     |     |     |     |     |     |
|                       | rel |     |     |     |     |     |     |
|                       | ati |     |     |     |     |     |     |
|                       | ons |     |     |     |     |     |     |
|                       | hip |     |     |     |     |     |     |
|                       | b   |     |     |     |     |     |     |
|                       | uil |     |     |     |     |     |     |
|                       | din |     |     |     |     |     |     |
|                       | g]{ |     |     |     |     |     |     |
|                       | .un |     |     |     |     |     |     |
|                       | der |     |     |     |     |     |     |
|                       | lin |     |     |     |     |     |     |
|                       | e}. |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | **  | **  | **  | **  | **  | **  | **  |
|                       | 1** | 2** | 3** | 4** | 5** | 6** | 7** |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| **Behaviors &         |     |     |     |     |     |     |     |
| Expectations**        |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| a\. Give an example   |     |     |     |     |     |     |     |
| of a time when you    |     |     |     |     |     |     |     |
| were working with     |     |     |     |     |     |     |     |
| your partners and     |     |     |     |     |     |     |     |
| felt people were      |     |     |     |     |     |     |     |
| effectively [building |     |     |     |     |     |     |     |
| relati                |     |     |     |     |     |     |     |
| onships]{.underline}. |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| b\. What is an        |     |     |     |     |     |     |     |
| example of something  |     |     |     |     |     |     |     |
| your partners could   |     |     |     |     |     |     |     |
| do to improve         |     |     |     |     |     |     |     |
| [relationship         |     |     |     |     |     |     |     |
| b                     |     |     |     |     |     |     |     |
| uilding]{.underline}? |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| Component of Trust    | **  |     |     |     |     |     |     |
|                       | Rat |     |     |     |     |     |     |
|                       | ing |     |     |     |     |     |     |
|                       | Sca |     |     |     |     |     |     |
|                       | le: |     |     |     |     |     |     |
|                       | 1 = |     |     |     |     |     |     |
|                       | Not |     |     |     |     |     |     |
|                       | at  |     |     |     |     |     |     |
|                       | all |     |     |     |     |     |     |
|                       | 7 = |     |     |     |     |     |     |
|                       | Ver |     |     |     |     |     |     |
|                       | y** |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| 8\. Responsible       | Im  |     |     |     |     |     |     |
|                       | por |     |     |     |     |     |     |
| (Can be counted on)   | tan |     |     |     |     |     |     |
|                       | ce: |     |     |     |     |     |     |
|                       | How |     |     |     |     |     |     |
|                       | imp |     |     |     |     |     |     |
|                       | ort |     |     |     |     |     |     |
|                       | ant |     |     |     |     |     |     |
|                       | is  |     |     |     |     |     |     |
|                       | the |     |     |     |     |     |     |
|                       | com |     |     |     |     |     |     |
|                       | pon |     |     |     |     |     |     |
|                       | ent |     |     |     |     |     |     |
|                       | for |     |     |     |     |     |     |
|                       | y   |     |     |     |     |     |     |
|                       | our |     |     |     |     |     |     |
|                       | par |     |     |     |     |     |     |
|                       | tne |     |     |     |     |     |     |
|                       | rsh |     |     |     |     |     |     |
|                       | ip? |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | 1   | 2   | 3   | 4   | 5   | 6   | 7   |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | Oc  |     |     |     |     |     |     |
|                       | cur |     |     |     |     |     |     |
|                       | ren |     |     |     |     |     |     |
|                       | ce: |     |     |     |     |     |     |
|                       | Ple |     |     |     |     |     |     |
|                       | ase |     |     |     |     |     |     |
|                       | in  |     |     |     |     |     |     |
|                       | dic |     |     |     |     |     |     |
|                       | ate |     |     |     |     |     |     |
|                       | how |     |     |     |     |     |     |
|                       | [   |     |     |     |     |     |     |
|                       | res |     |     |     |     |     |     |
|                       | pon |     |     |     |     |     |     |
|                       | sib |     |     |     |     |     |     |
|                       | le] |     |     |     |     |     |     |
|                       | {.u |     |     |     |     |     |     |
|                       | nde |     |     |     |     |     |     |
|                       | rli |     |     |     |     |     |     |
|                       | ne} |     |     |     |     |     |     |
|                       | you |     |     |     |     |     |     |
|                       | f   |     |     |     |     |     |     |
|                       | eel |     |     |     |     |     |     |
|                       | y   |     |     |     |     |     |     |
|                       | our |     |     |     |     |     |     |
|                       | pa  |     |     |     |     |     |     |
|                       | rtn |     |     |     |     |     |     |
|                       | ers |     |     |     |     |     |     |
|                       | are |     |     |     |     |     |     |
|                       | (as |     |     |     |     |     |     |
|                       | a   |     |     |     |     |     |     |
|                       | w   |     |     |     |     |     |     |
|                       | hol |     |     |     |     |     |     |
|                       | e). |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | 1   | 2   | 3   | 4   | 5   | 6   | 7   |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| Behaviors &           |     |     |     |     |     |     |     |
| Expectations          |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| a\. Give an example   |     |     |     |     |     |     |     |
| of a time when you    |     |     |     |     |     |     |     |
| were working with     |     |     |     |     |     |     |     |
| your partners and you |     |     |     |     |     |     |     |
| felt they were very   |     |     |     |     |     |     |     |
| [resp                 |     |     |     |     |     |     |     |
| onsible]{.underline}. |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| b\. What is an        |     |     |     |     |     |     |     |
| example of something  |     |     |     |     |     |     |     |
| your partners could   |     |     |     |     |     |     |     |
| do to improve         |     |     |     |     |     |     |     |
| [respons              |     |     |     |     |     |     |     |
| ibility]{.underline}? |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+

+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| Component of Trust    | **  |     |     |     |     |     |     |
|                       | Rat |     |     |     |     |     |     |
|                       | ing |     |     |     |     |     |     |
|                       | Sca |     |     |     |     |     |     |
|                       | le: |     |     |     |     |     |     |
|                       | 1 = |     |     |     |     |     |     |
|                       | Not |     |     |     |     |     |     |
|                       | at  |     |     |     |     |     |     |
|                       | all |     |     |     |     |     |     |
|                       | 7 = |     |     |     |     |     |     |
|                       | Ver |     |     |     |     |     |     |
|                       | y** |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| 9\. Shares power/     | Im  |     |     |     |     |     |     |
| responsibilities      | por |     |     |     |     |     |     |
|                       | tan |     |     |     |     |     |     |
| (Shares decision      | ce: |     |     |     |     |     |     |
| making)               | How |     |     |     |     |     |     |
|                       | imp |     |     |     |     |     |     |
|                       | ort |     |     |     |     |     |     |
|                       | ant |     |     |     |     |     |     |
|                       | is  |     |     |     |     |     |     |
|                       | the |     |     |     |     |     |     |
|                       | com |     |     |     |     |     |     |
|                       | pon |     |     |     |     |     |     |
|                       | ent |     |     |     |     |     |     |
|                       | for |     |     |     |     |     |     |
|                       | y   |     |     |     |     |     |     |
|                       | our |     |     |     |     |     |     |
|                       | par |     |     |     |     |     |     |
|                       | tne |     |     |     |     |     |     |
|                       | rsh |     |     |     |     |     |     |
|                       | ip? |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | **  | **  | **  | **  | **  | **  | **  |
|                       | 1** | 2** | 3** | 4** | 5** | 6** | 7** |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | Oc  |     |     |     |     |     |     |
|                       | cur |     |     |     |     |     |     |
|                       | ren |     |     |     |     |     |     |
|                       | ce: |     |     |     |     |     |     |
|                       | Ple |     |     |     |     |     |     |
|                       | ase |     |     |     |     |     |     |
|                       | in  |     |     |     |     |     |     |
|                       | dic |     |     |     |     |     |     |
|                       | ate |     |     |     |     |     |     |
|                       | the |     |     |     |     |     |     |
|                       | le  |     |     |     |     |     |     |
|                       | vel |     |     |     |     |     |     |
|                       | to  |     |     |     |     |     |     |
|                       | wh  |     |     |     |     |     |     |
|                       | ich |     |     |     |     |     |     |
|                       | y   |     |     |     |     |     |     |
|                       | our |     |     |     |     |     |     |
|                       | pa  |     |     |     |     |     |     |
|                       | rtn |     |     |     |     |     |     |
|                       | ers |     |     |     |     |     |     |
|                       | (as |     |     |     |     |     |     |
|                       | a   |     |     |     |     |     |     |
|                       | who |     |     |     |     |     |     |
|                       | le) |     |     |     |     |     |     |
|                       | [sh |     |     |     |     |     |     |
|                       | are |     |     |     |     |     |     |
|                       | p   |     |     |     |     |     |     |
|                       | owe |     |     |     |     |     |     |
|                       | r]{ |     |     |     |     |     |     |
|                       | .un |     |     |     |     |     |     |
|                       | der |     |     |     |     |     |     |
|                       | lin |     |     |     |     |     |     |
|                       | e}. |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | **  | **  | **  | **  | **  | **  | **  |
|                       | 1** | 2** | 3** | 4** | 5** | 6** | 7** |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| **Behaviors &         |     |     |     |     |     |     |     |
| Expectations**        |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| a\. Give an example   |     |     |     |     |     |     |     |
| of a time when you    |     |     |     |     |     |     |     |
| were working with     |     |     |     |     |     |     |     |
| your partners and you |     |     |     |     |     |     |     |
| felt partners [shared |     |     |     |     |     |     |     |
| power or              |     |     |     |     |     |     |     |
| respons               |     |     |     |     |     |     |     |
| ibility]{.underline}. |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| b\. What is an        |     |     |     |     |     |     |     |
| example of something  |     |     |     |     |     |     |     |
| more your partners    |     |     |     |     |     |     |     |
| could do to [share    |     |     |     |     |     |     |     |
| power or              |     |     |     |     |     |     |     |
| respons               |     |     |     |     |     |     |     |
| ibility]{.underline}? |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| Component of Trust    | **  |     |     |     |     |     |     |
|                       | Rat |     |     |     |     |     |     |
|                       | ing |     |     |     |     |     |     |
|                       | Sca |     |     |     |     |     |     |
|                       | le: |     |     |     |     |     |     |
|                       | 1 = |     |     |     |     |     |     |
|                       | Not |     |     |     |     |     |     |
|                       | at  |     |     |     |     |     |     |
|                       | all |     |     |     |     |     |     |
|                       | 7 = |     |     |     |     |     |     |
|                       | Ver |     |     |     |     |     |     |
|                       | y** |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| 10\. Supportive       | Im  |     |     |     |     |     |     |
|                       | por |     |     |     |     |     |     |
| (Helpful)             | tan |     |     |     |     |     |     |
|                       | ce: |     |     |     |     |     |     |
|                       | How |     |     |     |     |     |     |
|                       | imp |     |     |     |     |     |     |
|                       | ort |     |     |     |     |     |     |
|                       | ant |     |     |     |     |     |     |
|                       | is  |     |     |     |     |     |     |
|                       | the |     |     |     |     |     |     |
|                       | com |     |     |     |     |     |     |
|                       | pon |     |     |     |     |     |     |
|                       | ent |     |     |     |     |     |     |
|                       | for |     |     |     |     |     |     |
|                       | y   |     |     |     |     |     |     |
|                       | our |     |     |     |     |     |     |
|                       | par |     |     |     |     |     |     |
|                       | tne |     |     |     |     |     |     |
|                       | rsh |     |     |     |     |     |     |
|                       | ip? |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | 1   | 2   | 3   | 4   | 5   | 6   | 7   |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | Oc  |     |     |     |     |     |     |
|                       | cur |     |     |     |     |     |     |
|                       | ren |     |     |     |     |     |     |
|                       | ce: |     |     |     |     |     |     |
|                       | Ple |     |     |     |     |     |     |
|                       | ase |     |     |     |     |     |     |
|                       | in  |     |     |     |     |     |     |
|                       | dic |     |     |     |     |     |     |
|                       | ate |     |     |     |     |     |     |
|                       | how |     |     |     |     |     |     |
|                       | [su |     |     |     |     |     |     |
|                       | ppo |     |     |     |     |     |     |
|                       | rti |     |     |     |     |     |     |
|                       | ve] |     |     |     |     |     |     |
|                       | {.u |     |     |     |     |     |     |
|                       | nde |     |     |     |     |     |     |
|                       | rli |     |     |     |     |     |     |
|                       | ne} |     |     |     |     |     |     |
|                       | y   |     |     |     |     |     |     |
|                       | our |     |     |     |     |     |     |
|                       | pa  |     |     |     |     |     |     |
|                       | rtn |     |     |     |     |     |     |
|                       | ers |     |     |     |     |     |     |
|                       | are |     |     |     |     |     |     |
|                       | (as |     |     |     |     |     |     |
|                       | a   |     |     |     |     |     |     |
|                       | w   |     |     |     |     |     |     |
|                       | hol |     |     |     |     |     |     |
|                       | e). |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       | 1   | 2   | 3   | 4   | 5   | 6   | 7   |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| Behaviors &           |     |     |     |     |     |     |     |
| Expectations          |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| a\. Give an example   |     |     |     |     |     |     |     |
| of a time when you    |     |     |     |     |     |     |     |
| were working with     |     |     |     |     |     |     |     |
| your partners and you |     |     |     |     |     |     |     |
| felt people were      |     |     |     |     |     |     |     |
| being                 |     |     |     |     |     |     |     |
| [sup                  |     |     |     |     |     |     |     |
| portive]{.underline}. |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
| b\. What is an        |     |     |     |     |     |     |     |
| example of something  |     |     |     |     |     |     |     |
| your partners could   |     |     |     |     |     |     |     |
| do to be more         |     |     |     |     |     |     |     |
| [sup                  |     |     |     |     |     |     |     |
| portive]{.underline}? |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+
|                       |     |     |     |     |     |     |     |
+-----------------------+-----+-----+-----+-----+-----+-----+-----+

+-----------------------+---+-----+-----+-----+-----+-----+-----+-----+
| Component of Trust    |   | **  |     |     |     |     |     |     |
|                       |   | Rat |     |     |     |     |     |     |
|                       |   | ing |     |     |     |     |     |     |
|                       |   | Sca |     |     |     |     |     |     |
|                       |   | le: |     |     |     |     |     |     |
|                       |   | 1 = |     |     |     |     |     |     |
|                       |   | Not |     |     |     |     |     |     |
|                       |   | at  |     |     |     |     |     |     |
|                       |   | all |     |     |     |     |     |     |
|                       |   | 7 = |     |     |     |     |     |     |
|                       |   | Ver |     |     |     |     |     |     |
|                       |   | y** |     |     |     |     |     |     |
+-----------------------+---+-----+-----+-----+-----+-----+-----+-----+
| 11\. Truthful         |   | Im  |     |     |     |     |     |     |
|                       |   | por |     |     |     |     |     |     |
| (Honest)              |   | tan |     |     |     |     |     |     |
|                       |   | ce: |     |     |     |     |     |     |
|                       |   | How |     |     |     |     |     |     |
|                       |   | imp |     |     |     |     |     |     |
|                       |   | ort |     |     |     |     |     |     |
|                       |   | ant |     |     |     |     |     |     |
|                       |   | is  |     |     |     |     |     |     |
|                       |   | the |     |     |     |     |     |     |
|                       |   | com |     |     |     |     |     |     |
|                       |   | pon |     |     |     |     |     |     |
|                       |   | ent |     |     |     |     |     |     |
|                       |   | for |     |     |     |     |     |     |
|                       |   | y   |     |     |     |     |     |     |
|                       |   | our |     |     |     |     |     |     |
|                       |   | par |     |     |     |     |     |     |
|                       |   | tne |     |     |     |     |     |     |
|                       |   | rsh |     |     |     |     |     |     |
|                       |   | ip? |     |     |     |     |     |     |
+-----------------------+---+-----+-----+-----+-----+-----+-----+-----+
|                       |   | **  | **  | **  | **  | **  | **  | **  |
|                       |   | 1** | 2** | 3** | 4** | 5** | 6** | 7** |
+-----------------------+---+-----+-----+-----+-----+-----+-----+-----+
|                       |   |     |     |     |     |     |     |     |
+-----------------------+---+-----+-----+-----+-----+-----+-----+-----+
|                       |   | Oc  |     |     |     |     |     |     |
|                       |   | cur |     |     |     |     |     |     |
|                       |   | ren |     |     |     |     |     |     |
|                       |   | ce: |     |     |     |     |     |     |
|                       |   | Ple |     |     |     |     |     |     |
|                       |   | ase |     |     |     |     |     |     |
|                       |   | in  |     |     |     |     |     |     |
|                       |   | dic |     |     |     |     |     |     |
|                       |   | ate |     |     |     |     |     |     |
|                       |   | how |     |     |     |     |     |     |
|                       |   | [   |     |     |     |     |     |     |
|                       |   | tru |     |     |     |     |     |     |
|                       |   | thf |     |     |     |     |     |     |
|                       |   | ul] |     |     |     |     |     |     |
|                       |   | {.u |     |     |     |     |     |     |
|                       |   | nde |     |     |     |     |     |     |
|                       |   | rli |     |     |     |     |     |     |
|                       |   | ne} |     |     |     |     |     |     |
|                       |   | you |     |     |     |     |     |     |
|                       |   | f   |     |     |     |     |     |     |
|                       |   | eel |     |     |     |     |     |     |
|                       |   | y   |     |     |     |     |     |     |
|                       |   | our |     |     |     |     |     |     |
|                       |   | pa  |     |     |     |     |     |     |
|                       |   | rtn |     |     |     |     |     |     |
|                       |   | ers |     |     |     |     |     |     |
|                       |   | are |     |     |     |     |     |     |
|                       |   | (as |     |     |     |     |     |     |
|                       |   | a   |     |     |     |     |     |     |
|                       |   | w   |     |     |     |     |     |     |
|                       |   | hol |     |     |     |     |     |     |
|                       |   | e). |     |     |     |     |     |     |
+-----------------------+---+-----+-----+-----+-----+-----+-----+-----+
|                       |   | **  | **  | **  | **  | **  | **  | **  |
|                       |   | 1** | 2** | 3** | 4** | 5** | 6** | 7** |
+-----------------------+---+-----+-----+-----+-----+-----+-----+-----+
|                       |   |     |     |     |     |     |     |     |
+-----------------------+---+-----+-----+-----+-----+-----+-----+-----+
| Behaviors &           |   |     |     |     |     |     |     |     |
| Expectations          |   |     |     |     |     |     |     |     |
+-----------------------+---+-----+-----+-----+-----+-----+-----+-----+
| a\. Give an example   |   |     |     |     |     |     |     |     |
| of a time when you    |   |     |     |     |     |     |     |     |
| were working with     |   |     |     |     |     |     |     |     |
| your partners and you |   |     |     |     |     |     |     |     |
| felt people were      |   |     |     |     |     |     |     |     |
| being                 |   |     |     |     |     |     |     |     |
| [t                    |   |     |     |     |     |     |     |     |
| ruthful]{.underline}. |   |     |     |     |     |     |     |     |
+-----------------------+---+-----+-----+-----+-----+-----+-----+-----+
|                       |   |     |     |     |     |     |     |     |
+-----------------------+---+-----+-----+-----+-----+-----+-----+-----+
| b\. What is an        |   |     |     |     |     |     |     |     |
| example of something  |   |     |     |     |     |     |     |     |
| your partners could   |   |     |     |     |     |     |     |     |
| do to improve         |   |     |     |     |     |     |     |     |
| [truth                |   |     |     |     |     |     |     |     |
| fulness]{.underline}? |   |     |     |     |     |     |     |     |
+-----------------------+---+-----+-----+-----+-----+-----+-----+-----+
|                       |   |     |     |     |     |     |     |     |
+-----------------------+---+-----+-----+-----+-----+-----+-----+-----+
| Component of Trust    | * |     |     |     |     |     |     |     |
|                       | * |     |     |     |     |     |     |     |
|                       | R |     |     |     |     |     |     |     |
|                       | a |     |     |     |     |     |     |     |
|                       | t |     |     |     |     |     |     |     |
|                       | i |     |     |     |     |     |     |     |
|                       | n |     |     |     |     |     |     |     |
|                       | g |     |     |     |     |     |     |     |
|                       | S |     |     |     |     |     |     |     |
|                       | c |     |     |     |     |     |     |     |
|                       | a |     |     |     |     |     |     |     |
|                       | l |     |     |     |     |     |     |     |
|                       | e |     |     |     |     |     |     |     |
|                       | : |     |     |     |     |     |     |     |
|                       | 1 |     |     |     |     |     |     |     |
|                       | = |     |     |     |     |     |     |     |
|                       | N |     |     |     |     |     |     |     |
|                       | o |     |     |     |     |     |     |     |
|                       | t |     |     |     |     |     |     |     |
|                       | a |     |     |     |     |     |     |     |
|                       | t |     |     |     |     |     |     |     |
|                       | a |     |     |     |     |     |     |     |
|                       | l |     |     |     |     |     |     |     |
|                       | l |     |     |     |     |     |     |     |
|                       | 7 |     |     |     |     |     |     |     |
|                       | = |     |     |     |     |     |     |     |
|                       | V |     |     |     |     |     |     |     |
|                       | e |     |     |     |     |     |     |     |
|                       | r |     |     |     |     |     |     |     |
|                       | y |     |     |     |     |     |     |     |
|                       | * |     |     |     |     |     |     |     |
|                       | * |     |     |     |     |     |     |     |
+-----------------------+---+-----+-----+-----+-----+-----+-----+-----+
| 12\. Values           | I |     |     |     |     |     |     |     |
| differences           | m |     |     |     |     |     |     |     |
|                       | p |     |     |     |     |     |     |     |
| (Has respect for      | o |     |     |     |     |     |     |     |
| race, power, and      | r |     |     |     |     |     |     |     |
| class differences; is | t |     |     |     |     |     |     |     |
| aware of cultural     | a |     |     |     |     |     |     |     |
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+-----------------------+---+-----+-----+-----+-----+-----+-----+-----+
|                       | 1 |     | 2   | 3   | 4   | 5   | 6   | 7   |
+-----------------------+---+-----+-----+-----+-----+-----+-----+-----+
|                       |   |     |     |     |     |     |     |     |
+-----------------------+---+-----+-----+-----+-----+-----+-----+-----+
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|                       | n |     |     |     |     |     |     |     |
|                       | d |     |     |     |     |     |     |     |
|                       | e |     |     |     |     |     |     |     |
|                       | r |     |     |     |     |     |     |     |
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|                       | i |     |     |     |     |     |     |     |
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|                       | } |     |     |     |     |     |     |     |
|                       | . |     |     |     |     |     |     |     |
+-----------------------+---+-----+-----+-----+-----+-----+-----+-----+
|                       | 1 |     | 2   | 3   | 4   | 5   | 6   | 7   |
+-----------------------+---+-----+-----+-----+-----+-----+-----+-----+
|                       |   |     |     |     |     |     |     |     |
+-----------------------+---+-----+-----+-----+-----+-----+-----+-----+
| Behaviors &           |   |     |     |     |     |     |     |     |
| Expectations          |   |     |     |     |     |     |     |     |
+-----------------------+---+-----+-----+-----+-----+-----+-----+-----+
| a\. Give an example   |   |     |     |     |     |     |     |     |
| of a time when you    |   |     |     |     |     |     |     |     |
| were working with     |   |     |     |     |     |     |     |     |
| your partners and you |   |     |     |     |     |     |     |     |
| felt partners [valued |   |     |     |     |     |     |     |     |
| diff                  |   |     |     |     |     |     |     |     |
| erences]{.underline}. |   |     |     |     |     |     |     |     |
+-----------------------+---+-----+-----+-----+-----+-----+-----+-----+
|                       |   |     |     |     |     |     |     |     |
+-----------------------+---+-----+-----+-----+-----+-----+-----+-----+
| b\. What is an        |   |     |     |     |     |     |     |     |
| example of something  |   |     |     |     |     |     |     |     |
| more your partners    |   |     |     |     |     |     |     |     |
| could do to show they |   |     |     |     |     |     |     |     |
| [value                |   |     |     |     |     |     |     |     |
| diff                  |   |     |     |     |     |     |     |     |
| erences]{.underline}? |   |     |     |     |     |     |     |     |
+-----------------------+---+-----+-----+-----+-----+-----+-----+-----+
|                       |   |     |     |     |     |     |     |     |
+-----------------------+---+-----+-----+-----+-----+-----+-----+-----+

+-----------------------+------+-----+-----+-----+-----+-----+-----+
| Component of Trust    | **Ra |     |     |     |     |     |     |
|                       | ting |     |     |     |     |     |     |
|                       | Sc   |     |     |     |     |     |     |
|                       | ale: |     |     |     |     |     |     |
|                       | 1 =  |     |     |     |     |     |     |
|                       | Not  |     |     |     |     |     |     |
|                       | at   |     |     |     |     |     |     |
|                       | all  |     |     |     |     |     |     |
|                       | 7 =  |     |     |     |     |     |     |
|                       | Ve   |     |     |     |     |     |     |
|                       | ry** |     |     |     |     |     |     |
+-----------------------+------+-----+-----+-----+-----+-----+-----+
| 13\. Other            | Imp  |     |     |     |     |     |     |
|                       | orta |     |     |     |     |     |     |
| (Enter description of | nce: |     |     |     |     |     |     |
| the component of      | How  |     |     |     |     |     |     |
| trust)                | i    |     |     |     |     |     |     |
|                       | mpor |     |     |     |     |     |     |
|                       | tant |     |     |     |     |     |     |
|                       | is   |     |     |     |     |     |     |
|                       | the  |     |     |     |     |     |     |
|                       | c    |     |     |     |     |     |     |
|                       | ompo |     |     |     |     |     |     |
|                       | nent |     |     |     |     |     |     |
|                       | for  |     |     |     |     |     |     |
|                       | your |     |     |     |     |     |     |
|                       | part |     |     |     |     |     |     |
|                       | ners |     |     |     |     |     |     |
|                       | hip? |     |     |     |     |     |     |
+-----------------------+------+-----+-----+-----+-----+-----+-----+
|                       | *    | **  | **  | **  | **  | **  | **  |
|                       | *1** | 2** | 3** | 4** | 5** | 6** | 7** |
+-----------------------+------+-----+-----+-----+-----+-----+-----+
|                       |      |     |     |     |     |     |     |
+-----------------------+------+-----+-----+-----+-----+-----+-----+
|                       | Occ  |     |     |     |     |     |     |
|                       | urre |     |     |     |     |     |     |
|                       | nce: |     |     |     |     |     |     |
|                       | Pl   |     |     |     |     |     |     |
|                       | ease |     |     |     |     |     |     |
|                       | indi |     |     |     |     |     |     |
|                       | cate |     |     |     |     |     |     |
|                       | how  |     |     |     |     |     |     |
|                       | well |     |     |     |     |     |     |
|                       | this |     |     |     |     |     |     |
|                       | c    |     |     |     |     |     |     |
|                       | ompo |     |     |     |     |     |     |
|                       | nent |     |     |     |     |     |     |
|                       | of   |     |     |     |     |     |     |
|                       | t    |     |     |     |     |     |     |
|                       | rust |     |     |     |     |     |     |
|                       | oc   |     |     |     |     |     |     |
|                       | curs |     |     |     |     |     |     |
|                       | with |     |     |     |     |     |     |
|                       | your |     |     |     |     |     |     |
|                       | part |     |     |     |     |     |     |
|                       | ners |     |     |     |     |     |     |
|                       | (as  |     |     |     |     |     |     |
|                       | a    |     |     |     |     |     |     |
|                       | who  |     |     |     |     |     |     |
|                       | le). |     |     |     |     |     |     |
+-----------------------+------+-----+-----+-----+-----+-----+-----+
|                       | *    | **  | **  | **  | **  | **  | **  |
|                       | *1** | 2** | 3** | 4** | 5** | 6** | 7** |
+-----------------------+------+-----+-----+-----+-----+-----+-----+
|                       |      |     |     |     |     |     |     |
+-----------------------+------+-----+-----+-----+-----+-----+-----+
| Behaviors &           |      |     |     |     |     |     |     |
| Expectations          |      |     |     |     |     |     |     |
+-----------------------+------+-----+-----+-----+-----+-----+-----+
| a\. Give an example   |      |     |     |     |     |     |     |
| of a time when you    |      |     |     |     |     |     |     |
| were working with     |      |     |     |     |     |     |     |
| your partners and you |      |     |     |     |     |     |     |
| felt there was this   |      |     |     |     |     |     |     |
| component of trust.   |      |     |     |     |     |     |     |
+-----------------------+------+-----+-----+-----+-----+-----+-----+
|                       |      |     |     |     |     |     |     |
+-----------------------+------+-----+-----+-----+-----+-----+-----+
| b\. What is an        |      |     |     |     |     |     |     |
| example of something  |      |     |     |     |     |     |     |
| your partners could   |      |     |     |     |     |     |     |
| do to build this      |      |     |     |     |     |     |     |
| component of trust?   |      |     |     |     |     |     |     |
+-----------------------+------+-----+-----+-----+-----+-----+-----+
|                       |      |     |     |     |     |     |     |
+-----------------------+------+-----+-----+-----+-----+-----+-----+
| Component of Trust    | **Ra |     |     |     |     |     |     |
|                       | ting |     |     |     |     |     |     |
|                       | Sc   |     |     |     |     |     |     |
|                       | ale: |     |     |     |     |     |     |
|                       | 1 =  |     |     |     |     |     |     |
|                       | Not  |     |     |     |     |     |     |
|                       | at   |     |     |     |     |     |     |
|                       | all  |     |     |     |     |     |     |
|                       | 7 =  |     |     |     |     |     |     |
|                       | Ve   |     |     |     |     |     |     |
|                       | ry** |     |     |     |     |     |     |
+-----------------------+------+-----+-----+-----+-----+-----+-----+
| 14\. Other            | Imp  |     |     |     |     |     |     |
|                       | orta |     |     |     |     |     |     |
| (Enter description of | nce: |     |     |     |     |     |     |
| the component of      | How  |     |     |     |     |     |     |
| trust)                | i    |     |     |     |     |     |     |
|                       | mpor |     |     |     |     |     |     |
|                       | tant |     |     |     |     |     |     |
|                       | is   |     |     |     |     |     |     |
|                       | the  |     |     |     |     |     |     |
|                       | c    |     |     |     |     |     |     |
|                       | ompo |     |     |     |     |     |     |
|                       | nent |     |     |     |     |     |     |
|                       | for  |     |     |     |     |     |     |
|                       | your |     |     |     |     |     |     |
|                       | part |     |     |     |     |     |     |
|                       | ners |     |     |     |     |     |     |
|                       | hip? |     |     |     |     |     |     |
+-----------------------+------+-----+-----+-----+-----+-----+-----+
|                       | 1    | 2   | 3   | 4   | 5   | 6   | 7   |
+-----------------------+------+-----+-----+-----+-----+-----+-----+
|                       |      |     |     |     |     |     |     |
+-----------------------+------+-----+-----+-----+-----+-----+-----+
|                       | Occ  |     |     |     |     |     |     |
|                       | urre |     |     |     |     |     |     |
|                       | nce: |     |     |     |     |     |     |
|                       | Pl   |     |     |     |     |     |     |
|                       | ease |     |     |     |     |     |     |
|                       | indi |     |     |     |     |     |     |
|                       | cate |     |     |     |     |     |     |
|                       | how  |     |     |     |     |     |     |
|                       | well |     |     |     |     |     |     |
|                       | this |     |     |     |     |     |     |
|                       | c    |     |     |     |     |     |     |
|                       | ompo |     |     |     |     |     |     |
|                       | nent |     |     |     |     |     |     |
|                       | of   |     |     |     |     |     |     |
|                       | t    |     |     |     |     |     |     |
|                       | rust |     |     |     |     |     |     |
|                       | oc   |     |     |     |     |     |     |
|                       | curs |     |     |     |     |     |     |
|                       | with |     |     |     |     |     |     |
|                       | your |     |     |     |     |     |     |
|                       | part |     |     |     |     |     |     |
|                       | ners |     |     |     |     |     |     |
|                       | (as  |     |     |     |     |     |     |
|                       | a    |     |     |     |     |     |     |
|                       | who  |     |     |     |     |     |     |
|                       | le). |     |     |     |     |     |     |
+-----------------------+------+-----+-----+-----+-----+-----+-----+
|                       | 1    | 2   | 3   | 4   | 5   | 6   | 7   |
+-----------------------+------+-----+-----+-----+-----+-----+-----+
|                       |      |     |     |     |     |     |     |
+-----------------------+------+-----+-----+-----+-----+-----+-----+
| Behaviors &           |      |     |     |     |     |     |     |
| Expectations          |      |     |     |     |     |     |     |
+-----------------------+------+-----+-----+-----+-----+-----+-----+
| a\. Give an example   |      |     |     |     |     |     |     |
| of a time when you    |      |     |     |     |     |     |     |
| were working with     |      |     |     |     |     |     |     |
| your partners and you |      |     |     |     |     |     |     |
| felt there was this   |      |     |     |     |     |     |     |
| component of trust.   |      |     |     |     |     |     |     |
+-----------------------+------+-----+-----+-----+-----+-----+-----+
|                       |      |     |     |     |     |     |     |
+-----------------------+------+-----+-----+-----+-----+-----+-----+
| b\. What is an        |      |     |     |     |     |     |     |
| example of something  |      |     |     |     |     |     |     |
| your PRC partners     |      |     |     |     |     |     |     |
| could do to build     |      |     |     |     |     |     |     |
| this component of     |      |     |     |     |     |     |     |
| trust?                |      |     |     |     |     |     |     |
+-----------------------+------+-----+-----+-----+-----+-----+-----+
|                       |      |     |     |     |     |     |     |
+-----------------------+------+-----+-----+-----+-----+-----+-----+

+-----------------------+----------------------------------------------+
| Please select the TOP |                                              |
| THREE components of   |                                              |
| trust that you think  |                                              |
| are most important    |                                              |
| for your partnership  |                                              |
| to discuss during the |                                              |
| facilitated           |                                              |
| discussion session.   |                                              |
+-----------------------+----------------------------------------------+
| **Components of       | **Comments:**                                |
| Trust**               |                                              |
|                       |                                              |
| *(Check top three     |                                              |
| components)*          |                                              |
+-----------------------+----------------------------------------------+
| Accessible            |                                              |
+-----------------------+----------------------------------------------+
| Dependable            |                                              |
+-----------------------+----------------------------------------------+
| Good/clear            |                                              |
| communication         |                                              |
+-----------------------+----------------------------------------------+
| Mutual benefit        |                                              |
+-----------------------+----------------------------------------------+
| Open                  |                                              |
+-----------------------+----------------------------------------------+
| Provides accurate     |                                              |
| information           |                                              |
+-----------------------+----------------------------------------------+
| Relationship building |                                              |
+-----------------------+----------------------------------------------+
| Responsible           |                                              |
+-----------------------+----------------------------------------------+
| Shares                |                                              |
| p                     |                                              |
| ower/responsibilities |                                              |
+-----------------------+----------------------------------------------+
| Supportive            |                                              |
+-----------------------+----------------------------------------------+
| Truthful              |                                              |
+-----------------------+----------------------------------------------+
| Values differences    |                                              |
+-----------------------+----------------------------------------------+
| Other (*please        |                                              |
| specify):*            |                                              |
+-----------------------+----------------------------------------------+
| Other (*please        |                                              |
| specify):*            |                                              |
+-----------------------+----------------------------------------------+

+---+-------------------------------------------------------------------+
| 1 | > Which of the PRC partner groups do you primarily represent?     |
| \ |                                                                   |
| . |                                                                   |
+---+-------------------------------------------------------------------+
|   | > Academic partner                                                |
+---+-------------------------------------------------------------------+
|   | > Community partner                                               |
+---+-------------------------------------------------------------------+
|   | > Health agency partner                                           |
+---+-------------------------------------------------------------------+
|   | > Other agency/organization partner                               |
+---+-------------------------------------------------------------------+

+---+-------------------------------------------------------------------+
| 2 | > Do you plan to attend the facilitated discussion about results  |
| \ | > of this survey that will take place on [XX/XX/XXXX at XX:XX     |
| . | > \_\_M]{.mark}?                                                  |
+---+-------------------------------------------------------------------+
|   | > Yes                                                             |
+---+-------------------------------------------------------------------+
|   | > No                                                              |
+---+-------------------------------------------------------------------+
|   | > Unsure                                                          |
+---+-------------------------------------------------------------------+

**[Thank You!]{.smallcaps}**

**Survey Return Instructions:**

######## *[Insert return instructions here]{.mark}.*