Dynamic Agreement™ Questionnaire Report [SAMPLE]

Explanation and Instructions:

Your responses to the Dynamic Agreement™ Questionnaire (DAQ) questions/prompts help you discover and reveal Values & Principles, and Motivations (VPM) that may affect your decisions, your actions, and how you address change, challenges, and conflict as they apply to the purpose of the agreement.

This compilation of VPM are non-scientific assessments, subjectively inferred from your responses by your Dynamic Agreement Attorney (DAA) when not expressly stated, and are not exhaustive. No judgment of right/wrong or good/bad is made on the VPM listed. They are offered for your consideration and the consideration of the prospective collaborative co-creator(s) of your agreement. This report may be helpful as each person determines their compatibility for the purpose of the agreement. You may agree with some of the VPM, and disagree with others. They are not objective qualifiers. They are intended to provide information that may identify topics for exploration and dialogue, and to be used to co-create the Foundation Statement of your agreement.

The following are descriptions of Foundation Statement clauses you and the other person(s) will collaboratively co-create if each participant decides to proceed with a Dynamic Agreement™:

Our World, Guiding Values & Principles, and Purpose of Agreement:

  • Our World – Describes the world in which you and your co-creator(s) want to live; how the world would be if all participants could waive a magic wand and make it that way.
  • Guiding Values & Principles – A statement of what behaviors and principles are important to you and your co-creator(s); a conscious, intentional declaration of how all participants intend to treat one another, and how each person would like to be treated in the context of the purpose of the agreement.
  • Purpose of Agreement – A statement of motivation and intent: why you and your co-creator(s) desire to enter into this agreement, and the action all participants intend to take, in the context of the agreement, to implement the terms of the Statement of Agreement while actively participating in creation of the world in which all participants want to live.

If the VPM listed on another person’s report result in questions or concerns, you may notify your DAA and request a dialogue with the other person to further explore their responses. If the combined VPM of each person are acceptable to all participants for the purpose of the agreement, they will serve as the basis for the agreement’s Foundation Statement. If any of the VPM of the other person are not acceptable to you, AND those VPM are relevant to the relationship and the purpose of the agreement, the unacceptable factors may be an indication you and the other person are not compatible for the purpose of the agreement.

This report will not be shared with the other person(s) without your express permission. After reviewing your report, please indicate your permission or refusal to share this information with the other person(s) by checking the box next to the statement below that indicates your preference. Please then sign and date where indicated, keep a copy for your records, and return the report to our office in person, by mail, by fax at [DAA fax number], or by email to [DAA email address].

____ I GRANT permission to [DAA name] to share my Dynamic Agreement™ Questionnaire Report with [participant’s(s’) name(s)].

____ I DENY permission to [DAA name] to share my Dynamic Agreement™ Questionnaire Report with [participant’s(s’) name(s)].

Signed: ______________________________________     Date: _________
[Participant’s Name]

If you GRANTED permission for your report to be shared with the other person(s), you have reviewed the report of the other person(s), and you desire to proceed with the collaborative co-creation of your Dynamic Agreement™, please email [DAA email address] and schedule a meeting with [DAA name] to begin the process.

If you DENIED permission for your report to be shared with the other person(s) it will not be possible to proceed with the Dynamic Agreement™ process. You may email [DAA email address] and schedule a meeting with [DAA name] to converse about any questions or concerns you may have that resulted in you choosing not to share the report with the other person(s).

Values & Principles:

Please find below a non-exhaustive list of overtly expressed and/or subjectively determined Values & Principles, and the number of times they are expressed in, and/or inferred from, your DAQ responses. Although no determination is made of the weight given each value and principle based on the number of times it is indicated, it may be worthwhile to take note of the frequency.

VALUES & PRINCIPLES TIMES INDICATED
Safety/Security 8
Connection 5
Respect 5
Diversity 4
Openness 4
Dignity 3
Humility 3
Peace 3
Selflessness 3
Humor 2
Inclusiveness 2
Non-judgment 2
Truth 2
Compassion 1
Cooperation 1
Empathy 1
Fairness 1
Gentleness 1
Honesty 1
Integrity 1
Justice 1
Kindness 1
Listening 1
Transparency 1
Trust 1
Vulnerability 1

Motivations:

Please find below a non-exhaustive list of overtly expressed and/or subjectively determined Motivations, and the number of times they are expressed in, and/or inferred from, your DAQ responses. Although no determination is made of the weight given each motivation based on the number of times it is indicated, it may be worthwhile to take note of the frequency.

MOTIVATIONS TIMES INDICATED
Inter-personal connection 4
Professionalism 2
Self-knowledge/Knowledge 2
Serving others 2
Avoidance 1
Comfort 1
Competence 1
Consideration of others 1
Excellence 1
Fear 1
Feeling necessary/needed 1
Justice 1
Peace 1
Safety 1
Self-confidence 1
Sufficiency 1
Teamwork 1

Thank you!

Click here to download a pdf of this sample DAQ.