Annex 3: Pre-Workshop Questionnaire

For identification purposes and yet to maintain anonymity, we'd appreciate it if you would complete your birth date:

Birth date: ________________

Are you participating at this workshop as a representative of a private company?
Yes ___ No ___

Do you have experience with strategic planning?
Yes ___ No ___

Is the concept of Technology Foresight known to you ?
Yes ___ No ___

By participating in this workshop, do you expect benefits for you personally?
Yes ___ No ___

If yes, please indicate which: ________________________

By participating in this workshop, do you expect benefits for your organization?
Yes ___ No ___

If yes, please indicate which: ________________________

Do you expect discussions to be affected by the fear to disclose proprietary data?
Yes ___ No ___