General Questions:

1. Are you ____ detail oriented?

_____ big picture oriented?

2. Would you rather

_____think up a plan

_____work out the details of the plan

_____supervise the work

_____do the work

3. Do you work best

_____alone

_____as a member of a team

_____as a coordinator of a team

SKILLS

Check off skills you have, then write a brief description of how and when you got them and level of skill you possess.

Feel free to use as much space as you need, or to submit the information electronically. Note that if you put down you have a skill and it turns out you don't, you will be immediately disqualified from participation

Please read the entire questionnaire carefully before beginning to fill in information. Some skills are covered under more than one category, and you may want to select the category more appropriate to your expertise.

Please include everything you consider relevant to life in a Gulch community, whether it's something you do for a living, a hobby, or simply a skill you happen to have acquired or an activity you enjoy.

Please also list any specialized equipment you might be able to bring to the community that would enable you either to earn a living or contribute to the well-being of the community. We understand that you may elect NOT to include personal items like firearms. But we would appreciate knowing about business equipment and other items you might be renting, loaning or using in your dealings with other community members.

The more information we have, the better. However, we also understand that gulchers are inherently seeking privacy. You do not need to include anything you feel violates your privacy or security in any way.

1. MEDICAL

______CPR________________________________________________________________________

______Paramedic___________________________________________________________________

______First Aid____________________________________________________________________

______Physician____________________________________________________________________

______Dentist______________________________________________________________________

______Dental technician______________________________________________________________

______Nursing_____________________________________________________________________

______Anesthesia____________________________________________________________________

______Midwifery_____________________________________________________________________

______Herbal________________________________________________________________________

______Acupuncture___________________________________________________________________

______Chiropractic___________________________________________________________________

______Optometry/optician_____________________________________________________________

______Veterinarian___________________________________________________________________

______Pharmacist/pharmacologist______________________________________________________

______Wilderness medicine____________________________________________________________

______Other_________________________________________________________________________

2. FOOD GATHERING & PREPARATION

______Farming_______________________________________________________________________

______Gardening_____________________________________________________________________

______Beekeeping_____________________________________________________________________

______Animal Husbandry_____________________________________________________________

______Hunting_______________________________________________________________________

______Fishing________________________________________________________________________

______Aquaculture____________________________________________________________________

______Trapping______________________________________________________________________

______Cooking_______________________________________________________________________

______Baking________________________________________________________________________

______Brewing/winemaking____________________________________________________________

______Butchering____________________________________________________________________

______Wild food gathering____________________________________________________________

______Other_________________________________________________________________________

3. FOOD STORAGE

______Canning______________________________________________________________________

______Drying________________________________________________________________________

______Bulk grain preparation__________________________________________________________

______Other________________________________________________________________________

4. CONSTRUCTION AND POWER

Please state whether you've worked in new construction, repair or maintenance, and what kind of structures you've worked on.

______Plan/Design____________________________________________________________________

______Carpentry Framing_____________________________________________________________

______Carpentry Finish_______________________________________________________________

______Plumbing_____________________________________________________________________

______Sewer/septic systems (or alternative waste disposal)__________________________________

______HVAC________________________________________________________________________

______Sanitation_____________________________________________________________________

______Electrical_____________________________________________________________________

______Foundations & excavations_____________________________________________________

______Masonry_____________________________________________________________________

______Metal buildings_______________________________________________________________

______Roofing_____________________________________________________________________

______Alternative housing (domes, rammed earth, etc.)___________________________________

______Alternative heating and power generation_________________________________________

______Roads, bridges_______________________________________________________________

______Tile laying/other finish work____________________________________________________

______Blasting____________________________________________________________________

______Fencing/barriers_____________________________________________________________

______General Handyman_________________________________________________________

______Other______________________________________________________________________

5. REPAIR AND SERVICE

______Auto_________________________________________________________________________

______Generators/pumps______________________________________________________________

______Machinery, general_____________________________________________________________

______Farm equipment_______________________________________________________________

______Heating systems_______________________________________________________________

______Appliances___________________________________________________________________

______Computers___________________________________________________________________

______Telephone____________________________________________________________________

______Radio and television___________________________________________________________

______Other high-tech equipment_____________________________________________________

______General household_____________________________________________________________

______Other_______________________________________________________________________

6. COMMUNICATIONS Methods and Technology

______HAM RADIO_________________________________________________________________

______Other radio/telephone/cellular communications___________________________________

______Computer Hardware___________________________________________________________

______Computer Software____________________________________________________________

______Computer Programming_______________________________________________________

______Specialized low-tech communications (e.g. Morse code, signals & signs)______________

________________________________________________________________________________

______Other______________________________________________________________________

7. TRANSPORTATION

_____Animal-powered vehicles_________________________________________________________

_____Auto_________________________________________________________________________

_____Pilot_________________________________________________________________________

_____Boating/shipping/sailing_________________________________________________________

_____Commercial trucking____________________________________________________________

______Animal transport_______________________________________________________________

______Other specialty goods transport__________________________________________________

_____Vehicle construction_____________________________________________________________

_____Other__________________________________________________________________________

8. PROFESSIONAL & SCIENTIFIC

______Law (please note areas of specialty)_______________________________________________

______Marketing____________________________________________________________________

______Communications______________________________________________________________

______Project leadership/management__________________________________________________

______Geology_______________________________________________________________________

______Structural engineering__________________________________________________________

______Chemistry____________________________________________________________________

______Physics______________________________________________________________________

______Other______________________________________________________________________

9. PERSONAL SERVICES & SMALL-SCALE MANUFACTURING

______Barber/beautician______________________________________________________________

______Sewing/tailoring_______________________________________________________________

______Pottery/handcrafting__________________________________________________________

______Furniture building____________________________________________________________

______Glass blowing________________________________________________________________

______Theraputic massage___________________________________________________________

______Locksmithing_______________________________________________________________

______Leatherworking_______________________________________________________________

______Other_______________________________________________________________________

10. EDUCATION

______Teaching/tutoring____________________________________________________________

______Coaching___________________________________________________________________

______Running a school (including homeschooling)______________________________________

11. DEFENSE

______Firearms____________________________________________________________________

______Reloading__________________________________________________________________

______Other Weapons______________________________________________________________

______Defense Construction_________________________________________________________

______Martial arts_________________________________________________________________

______Strategy/Planning____________________________________________________________

______Other________________________________________________________________________

12. GENERAL SURVIVAL SKILLS

______Wilderness camping__________________________________________________________

______Orienteering________________________________________________________________

______Wild food gathering__________________________________________________________

______Signals and signs______________________________________________________________

______Rafting/kayaking_____________________________________________________________

______Mountaineering/rock climbing_________________________________________________

______Wilderness medicine_________________________________________________________

______Wilderness rescue___________________________________________________________

______Other______________________________________________________________________

13. GENERAL BUSINESS OR COMMUNITY-ORIENTED SKILLS

_____Fire fighting_________________________________________________________________

_____Blacksmithing/metal work_______________________________________________________

_____Retail management/purchasing_________________________________________________

_____Organizational______________________________________________________________

_____Sales/Barter________________________________________________________________

_____Record keeping_______________________________________________________________

_____Forestry/woodcutting__________________________________________________________

_____Ministry/counseling_____________________________________________________________

_____Public speaking_______________________________________________________________

______Publishing___________________________________________________________________

_____Other_______________________________________________________________________

==========================================================

© 1998 by Mary Lou Seymour and Claire Wolfe. This is a work in progress. You may download it for your own use, but it is not yet for circulation. We welcome any comments, corrections or additions you care to offer.

SEE THE COMMENTS FROM READERS page for comments, suggestions and more info!

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