The objective of the survey is to create a base for determining the assets (resources or things that contribute in a positive way to our region) and needs of West Central Minnesota. The survey will be made available to all participants. In the next stage, the participants will have an opportunity to comment, revise, and elaborate on findings that will lead to the final outcome.

INSTRUCTIONS: Please fill out the survey and mail it to us in the enclosed envelope or

visit mnstats.morris.umn.edu//wcrsdp/ to fill out the electronic version.

A. ORGANIZATION INFORMATION

Organization’s Name:
Organization’s Mission:
Organization’s Association with the WCRSDP:	Partner Past Grant Recipient Current Grant Recipient Potential Grant Recipient Other, please specify:
Respondent’s Name and Title:

B. ASSETS OF THE REGION

In this section please consider assets of the region. Respond to the questions in section B.I from your organization’s point of view, but respond to section B.II from an ordinary citizen’s point of view.

B.I. FROM ORGANIZATION POINT OF VIEW

Description of the regional asset:
Status of the asset:	existing potential
Abundance of the asset:	1 (Scarce) 2 3 4 5 (Plentiful)
Importance of the asset in regional development:	1 (Not Important) 2 3 4 5 (Very Important)
Current usage of the asset:	1 (None) 2 3 4 5 (Extensive)
The reasons on importance of the asset in region’s development:
The actions need to be taken to use this asset more fully or develop this asset:
Comments on this asset:

Description of an asset lacking in this region:
Importance of the asset in regional development:	1 (Not Important) 2 3 4 5 (Very Important)
Region’s dependence on this asset:	1 (None) 2 3 4 5 (Extensive)
The reasons on importance of the asset in region’s development:
The existing/potential assets in the region that can complement, replace or support this asset:
Comments on this asset:

B.II. FROM POINT OF VIEW OF ORDINARY CITIZEN

Description of the regional asset:
Status of the asset:	existing potential
Abundance of the asset:	1 (Scarce) 2 3 4 5 (Plentiful)
Importance of the asset in regional development	1 (Not Important) 2 3 4 5 (Very Important)
Current usage of the asset:	1 (None) 2 3 4 5 (Extensive)
The reasons on importance of the asset in region’s development:
The actions need to be taken to use this asset more fully or develop this asset:
Comments on this asset:

Description of an asset lacking in this region:
Importance of the asset in regional development:	1 (Not Important) 2 3 4 5 (Very Important)
Region’s dependence on this asset:	1 (None) 2 3 4 5 (Extensive)
The reasons on importance of the asset in region’s development:
The existing/potential assets in the region that can complement, replace or support this asset:
Comments on this asset:

C. NEEDS OF THE REGION

In this section please consider needs of the region. Respond to the questions in section C.I from your organization’s point of view, but respond to section C.II from an ordinary citizen’s point of view.

C.I. FROM ORGANIZATION POINT OF VIEW

Description of the regional need:
Status of the need:	Addressed Unaddressed
Assets of the region to meet this need:	1 (Scarce) 2 3 4 5 (Plentiful)
Importance of meeting this need:	1 (Not Important) 2 3 4 5 (Very Important)
Actions taken to meet this need:	1 (None) 2 3 4 5 (Extensive)
The reasons on importance of meeting this need in region’s development:
Required assets to meet this need:
Required actions to meet this need:
Comments on this need:

C.II. FROM POINT OF VIEW OF ORDINARY CITIZEN

Description of the regional need:
Status of the need:	Addressed Unaddressed
Assets of the region to meet this need:	1 (Scarce) 2 3 4 5 (Plentiful)
Importance of meeting this need:	1 (Not Important) 2 3 4 5 (Very Important)
Actions taken to meet this need:	1 (None) 2 3 4 5 (Extensive)
The reasons on importance of meeting this need in region’s development:
Required assets to meet this need:
Required actions to meet this need:
Comments on this need:

D. GENERAL COMMENTS

General comments on regional assets and needs: