YEN-私董会健康状况调查表 Forum Health Check Form

Better Leaders through lifelong Learning and Idea Exchange
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私董会名称 Forum Name
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主持人姓名 Moderator's Name
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分会名称 Chapter Name
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地区 Region
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私董会效率评估 FORUM EFFECTIVENESS
数字1-5代表评分由低到高
1=一无所知 Know Nothing2345=充分了解 Fully Understand
对其他成员的了解/熟悉程度 Knowledge/Understanding Of Other Members
对其他成员的了解/熟悉程度 Knowledge/Understanding Of Other Members
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私董会讨论的开放性/风险程度 Openness Of The Forum/Risk Taking
1=成员极力避免敏感性话题 Members of my Forum avoid delicate issues.
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5=成员能够敞开心扉，几乎无所不谈 Members are comfortable with being vulnerable and regularly raise sensitive issues.
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个人的坦诚度/风险承担能力 Openness Of The Individual/Risk-Taking
1=我不会提及敏感性话题 I avoid delicate issues.
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5=我乐于承担一定风险，和大家分享我的问题与迷茫 I am comfortable taking risks and being vulnerable.
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信任 Trust
1=我无法信任私董会的任何一名成员 I trust no one of my Forum to the point where it impedes my sharing.
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5=我完全信任每一位成员并乐于和大家分享 I trust all members of my Forum and it does not impede my sharing.
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会议深度 Meeting Depth
1=讨论的话题有些肤浅和无意义 Issues discussed are superficial and insignificant.
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5=十分有效的帮助与解决了面临的问题 Significant unresolved issues are discussed with meaningful input and thought.
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会议的多样性 Meeting Diversity
1=不断在重复一个话题 We repeatedly discuss the same issues.
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5=话题十分多样性，并使全体成员受益 We discuss a variety of issues which stimulate the group and benefit all.
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会前同步分享 Meeting Updates
1=会前分享缺乏重点、组织性、连贯性 Updates are unstructured, unfocused, rambling and interrupted.
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5=会前分享十分深刻、具备实效性 We start every Forum meeting with updates that are timed and insightful.
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私董会集体探索 Forum Exploration
1=我们并未融入会上的探索环节 We do not engage in explorations in our forum meetings.
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5=探索环节是会议的核心部分，有效地解决了大家的问题 xplorations are at the heart of all our meetings and address significant member issues and opportunities.
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个人好奇心/探索欲 Self-Curiosity
1=我们不会付出实践 We do not practice self-curiosity.
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5=无论是生活还工作，我们都在积极探索，并从中受益 We practice self-curiosity in both business and personal explorations and benefit from the increased depth it provides.
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语言规范 Language Protocol
1=我们无法听取他人的意见，并且爱批判和评价他人 We don't listen, acceptance is low, the tone is judgmental and advice is given.
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5=我们虚心接纳不同的意见，并给予善意的回应 We listen, accept, and share experiences without being judgmental of each other.
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冲突 Conflict
1=我们会极力避免冲突 Our forum avoids addressing conflict.
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5=我们致力于有效的解决冲突 Our forum addresses conflict effectively.
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主导成员 Dominant Member
1=总是某位成员独自主导谈话、回答问题 One member dominates conversations, always has all the answers.
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5=所有人都参与讨论，积极发表看法 Everyone contributes with differing points of view.
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保密性 Confidentiality
1=我不会讨论私密问题，因为我不相信他人会保密 I do not discuss confidential matters because I don't trust people will keep them in confidence.
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5=我充分相信会议上讨论的所有话题，都会被严格保密 I know all matters discussed are held in strictest confidence.
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分会年度峰会 Retreats
1=没有举行Retreat. We do not have annual retreat.
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5=每年至少举办一次分会峰会，成员间存在积极的互动与强有力的联系 We have at least one retreat per year and there is meaningful interaction and strong bonding of members.
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私董会准则 Forum Norms
数字1-5代表评分由低到高
1=没有明确的准则 We do not have Forum Norms.
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5=有明确的准则并且每年会进行回顾 We have Forum Norms and review them every year.
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出席率 Attendance
1=多数成员频繁缺席 Many members are frequently absent.
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5=除特殊情况外，基本全员出席 100% attendance except for unique, infrequent scheduling conflicts.
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时效性 Punctuality
1=会议没有准时召开与结束 Forum meetings do not start or end on time.
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5=会议准时召开与结束 Forum meetings start and end on time.
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利益冲突 Conflicts Of Interest
1=利益冲突阻碍了我们坦诚沟通 There are conflicts of interest that impede our openness.
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5=沟通顺畅，没有利益冲突 There are no conflicts of interest that impede our openness.
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私董会成员间商业往来规范
Policy Regarding Doing Business With Each Other In Forum
1=没有规章制度来规范成员间商业往来 Our Forum has no policy regarding doing business with another member.
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5=有明确的规章制度来规范成员间商业往来 Our Forum has a clear policy prohibiting doing business with another member.
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私董会成员间的商业往来
Doing Business With Each Other In Forum
1=成员间相互开展业务 Members of our Forum conduct business with each other.
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5=成员彼此不进行业务往来 Members of our forum do not conduct business with one another.
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主持人在过去两年中，是否有参加过私董会主持人&领导力(FMLD) 培训?
Has the moderator attended a Forum Moderator & Leadership Development (FMLD) workshop in the last 2 years?
是 YES
否 NO
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领导力 Leadership
1=只有主持人在为会议的成功作出努力 Only the moderator of the Forum takes responsibility for the success of the Forum.
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5=每位成员都在努力地促进会议圆满完成 Everyone in the Forum takes responsibility for the success of the Forum.
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个人信息的价值
Personal Take Home Value
1=会议上了解到的个人信息，质量与数量皆无法令我满意 I am dissatisfied with the quality and quantity of personal take-home value I get from my Forum.
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5=会议上了解到的个人信息，质量与数量皆使我感到十分满意 I am satisfied with the quality and quantity of personal take-home value I get from my Forum.
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专业信息的价值
Professional Take Home Value
1=会议上了解到的专业信息，质量与数量皆无法令我满意 I am dissatisfied with the quality and quantity of professional take-home value I get from my Forum.
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5=会议上了解到的专业信息，质量与数量皆使我感到十分满意 I am satisfied with the quality and quantity of professional take- home value I get from my Forum.
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未来的个人需求 Future Personal Needs
1=我不认为私董会在未来能满足我的个人需求 I am not confident in my Forum's ability to meet my future personal needs whatever they may be.
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5=我十分确信私董会在未来能满足我的个人需求 I am confident in my Forum's ability to meet my future personal needs whatever they may be.
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未来的专业需求
Future Professional Needs
1=我不认为私董会在未来能满足我的专业需求 I am not confident in my Forum's ability to meet my future professional needs whatever they may be.
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5=我十分确信私董会在未来能满足我的专业需求 I am confident in my Forum's ability to meet my future professional needs whatever they may be.
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你的私董会在哪些方面值得赞扬? What does your Forum do well?
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哪些因素阻碍了私董会的最优发挥?
What stops your Forum from being the best it can be?
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你认为私董会哪些方面还能做的更好?
Is there any other specific areas you think your Forum can improve further ?
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大家有什么可以帮到你的吗?
Is there any specific needs that you hope the Forum can help you with ?
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对 Forum Chair想说的话
Is there anything you want to tell Forum Chair?
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