<!DOCTYPE html>
< html lang = "en" >
< head >
< meta charset = "UTF-8" >
< meta http-equiv = "X-UA-Compatible" content = "IE=edge" >
< meta name = "viewport" content = "width=device-width, initial-scale=1.0" >
< title > Boiler inspection< / title >
< style >
body{
font-family: Arial, Helvetica, sans-serif;
font-size: 1.2ch;
}
h1{
font-size: 40px;
}
h5{
color: darkgrey;
font-size: 2.5ch;
}
#submit{
width: 600px;
height: 200px;
}
< / style >
< / head >
< body >
< h1 > 🔧 Boiler inspection 🔦< / h1 >
< h3 > what needs to be maintained and how?
< / h3 >
< br > < br >
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
< br > < br > < br >
< form action = "" >
< label for = "org_name" > name of the organization< / label >
< input type = "text" name = "org_name" >
< br >
< label for = "date" > inspected on< / label >
< input type = "text" name = "date" placeholder = "date" >
< label for = "inspector" > by< / label >
< input type = "text" name = "inspector" placeholder = "name/alias of the inspector" >
< br >
< br >
< br >
< label for = "org_description" > short description of the organization's activity< / label > < br >
< textarea name = "org_description" id = "" cols = "80" rows = "6" > < / textarea >
< br >
< br >
Age of the organization: < input type = "text" > < br >
Current warden of the toilet paper: < input type = "text" name = "" id = "" > < br >
Current warden of cleaning procedures: < input type = "text" name = "" id = "" > < br >
Current warden of budgeting-spreadsheets: < input type = "text" > < br >
< br >
The organization uses the following infrastructural elements collectively (select multiple): < br >
< input type = "checkbox" > < label for = "" > server< / label > < br >
< input type = "checkbox" > < label for = "" > meeting/working table< / label > < br >
< input type = "checkbox" > < label for = "" > kitchen< / label > < br >
< input type = "checkbox" > < label for = "" > toilet< / label > < br >
< input type = "checkbox" > < label for = "" > printers< / label > < br >
< input type = "checkbox" > < label for = "" > DIY tools< / label > < br >
< input type = "checkbox" > < label for = "" > open source admin tools (budgeting software, spreadsheets...)< / label > < br >
< input type = "checkbox" > < label for = "" > other< / label > < input type = "text" > < br >
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~< br >
< h5 > financial situation< / h5 >
The following section is optionally supported by an administrational hand massage, please consult the instructions appendix as indicated in the next question before proceeding. < br >
You can ask the help of a colleague or a fellow inspector to perform the massage. For each question, read it out loud holding the hands, breath out, and start the massage while reading the answers and answering. Take your time to conclude the massage and write the answers on the form. < br >
Switch roles for each question of this section. < br >
If you don't want the massage, simply skip the next question and proceed with the filling of the form. < br > < br >
Select the desired administrational massage: < br >
< input type = "radio" > < label for = "" > "Counting money" on the phalanges (see appendix section n. ) < / label > < br >
< input type = "radio" > < label for = "" > "The boa constrictor" (see appendix section n. )< / label > < br >
< input type = "radio" > < label for = "" > "Thumbs saw" (see appendix section n. ) < / label > < br >
< br >
< br >
What are the sources of income? (select multiple)< br >
< input type = "checkbox" > < label for = "" > Contributions from private resources < / label > < br >
< input type = "checkbox" > < label for = "" > Contributions from private individuals incl. associations of friends < / label > < br >
< input type = "checkbox" > < label for = "" > Contributions from companies < / label > < br >
< input type = "checkbox" > < label for = "" > Contributions from private funds< / label > < br >
< input type = "checkbox" > < label for = "" > Contributions from private funds < / label > < br >
< input type = "checkbox" > < label for = "" > Contributions from charity lotteries < / label > < br >
< input type = "checkbox" > < label for = "" > Other contributions from private resources < / label > < input type = "text" > < br >
< input type = "checkbox" > < label for = "" > Contributions from public funds < / label > < br >
< input type = "checkbox" > < label for = "" > Subsidy government (culture funds) < / label > < br >
< input type = "checkbox" > < label for = "" > Municipality subsidy< / label > < br >
< input type = "checkbox" > < label for = "" > European Union subsidy < / label > < br >
< input type = "checkbox" > < label for = "" > Other subsidies for public organizations < / label > < input type = "text" > < br >
< br >
How is wage distributed inside the organization? < br >
< textarea name = "" id = "" cols = "70" rows = "7" > < / textarea >
< br >
< br >
Is the current funding model/schema sustainable? (Please elaborate)< br >
< textarea name = "" id = "" cols = "70" rows = "7" > < / textarea >
< br > < br >
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~< br >
< h5 > working conditions< / h5 >
score the following from 1 to 10 ( 1 = not at all, 10 = ehm, a lot.) < br > < br > < br >
Dependency of the members on the organization's income stream < br >
< input type = "text" min = "1" max = "10" > < br > < br >
Space and resources for failure < br >
< input type = "text" > < br >
Autonomy from bigger cultural institutions and their agenda < br >
< input type = "text" > < br >
Space and resource for learning administration work < br >
< input type = "text" > < br >
Frustration due to technical issues < br >
< input type = "text" > < br >
Time dedicated to connect with the components(members) of the organization < br >
< input type = "text" > < br >
Space and resources for learning technical things < br >
< input type = "text" > < br >
Space and resources for research and experimentation < br >
< input type = "text" > < br >
< br > < br >
< br >
Time is dedicated to the organization outside of designated moments?< br >
< input type = "range" > < br > < br >
< br >
Mental load < br >
< input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < br >
< input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < br >
< input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < br >
< input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < br >
< input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < br >
< input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < br >
< input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < br >
< input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < br >
< input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < br >
< input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < br >
< input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < input type = "checkbox" > < br > < br > < br >
Anxiety experienced< br >
< input type = "color" style = "width:200px;" > < br > < br >
Panic mode before deadlines < br >
< input type = "file" name = "snippet" id = "" > < br > < br >
How many nervous breakdown in the past year?< br >
< input type = "text" > < br > < br >
Frustration due to inter-personal misunderstandings < br >
< input type = "radio" > < input type = "radio" > < input type = "radio" > < input type = "radio" > < input type = "radio" > < br > < br >
Time dedicated to repair broken things, but what needs to be repaired and who decides how?< br >
< input type = "text" > < br > < br >
Is time dedicated to healing fights?< br >
< input type = "radio" > yes< input type = "radio" > no < br > < br >
Time dedicated to address unsolved conflicts < br >
< input type = "radio" > yes< input type = "radio" > no < br > < br >
If you answered yes to the previous 2 questions, HOW? < br >
< textarea rows = "8" cols = "80" > < / textarea > < br > < br >
Are there space and resources for emotional support? < br >
score from 1 to 10 (1 = there's none, 10 = there's a loooot)< br >
< input type = "text" > < br > < br >
< br > < br >
other < input type = "" > < br >
< input type = "text" > < br >
< br > < br >
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
< br >
< h5 > TBC Q& A < / h5 >
Space for more questions: < br >
< textarea name = "" id = "" cols = "70" rows = "7" > < / textarea >
< br > < br >
< br > < br > < br >
< input type = "submit" value = "submit" id = "submit" >
< / form >
< / body >
< / html >
