个人信息
姓名Name： ____________
邮箱E-mail： ____________
您所处的年龄阶段 When were you born?
1990-2000
1990-2000
1970-1979
1960-1969
1950-1959
其他 Others
请选择您的工作领域 Please tick in what area you are working
销售 Sales
市场 Marketing
研发 RD
研发 RD
财务 Finance
工程 Engineering
管理 Management
其他 Others
您管理团队吗？ Do you manage people?
不 No
是的，我的团队里有_________人。 Yes, I have _________ direct reports
您是否参加过以下的课程？ Have you attended any of the following courses?
六顶思考帽 Six Thinking Hats
感知的力量 The Power of Perception
其他与“思维”、“问题解决”或“创造力”有关的课程，如果有，请简单描述一下： Other courses related to “thinking”,“problem solving” or “ creativity”? If so, please state them here:
您了解水平思考吗？ Do you know about Lateral Thinking？
从来没有听说过 No, never
曾听说过名字 Have heard the name
大体有所了解 Roughly know what it is about
曾阅读过有关书籍 I have read the book
非常了解 I know it fairly well
您是否认为创新是一门技能，就像其他技能一样，是可以通过学习来提高能力的？ Do you think Innovation is a skill, like many others, that can be learned and improved?
是的 Yes
不是 No
不确定 Not sure
您为什么选择参加这门课程？ Why have you chosen to attend this course?
年度规划结果 As a result of my annual development plan talks
公司目前重要课题 Because “Innovation” is an important strategic topic in our organization during this time
领导的要求 Because my boss asked me to
同事推荐了这门课程 Because someone else here in our organization has recommended it
课程名让我好奇 Because the course name makes me curious
变得更有创造力 Because I want to see if there are ways I can become more creative
其他Others
您对这门课程的期待是什么? What do you want to get out of this course？
学习“打破思维框架”的工具 Learn tools to help me "think out of the box"
就已有主题产生更多新主意 Create more ideas on a certain subject than I already have
学会工具并带回工作中 Learn how to use creative tools and apply to my own work
放松可能学到一些东西 Relax and maybe learn something
没有具体期待 No specific expectations
关于你们公司的创新情况，请对下面的说法标明你同意或不同意的程度。About innovation in your company，Please indicate your level of agreement / disagreement with the following statements.
| | Strongly disagree 坚决不同意 | Disagree不同意 | Agree同意 | Strongly agree 强烈赞同 |
| 我们公司非常具有创新性Our company is very creative/innovative | | | | |
| 公司高层领导经常提到创新的必要性 Top Managers often mention the need to be innovative | | | | |
| 我工作的部门具有创新性 The department I am working in is innovative creative | | | | |
| 我的上司鼓励我要有创造力和创新性，能够想出新主意 My manager encourages me to be innovative and creative, to come up with new ideas | | | | |
| 我个人应该更加有创造力 I personally should be more creative | | | | |
| 我们的主要竞争对手比我们更加有创造力 Our main competitors are more creative than we are | | | | |
| 我的上司不太喜欢接受新建议 My manager is not open for new suggestions | | | | |
你与你的团队在思考创意与产生主意时遇到最大的困难是什么？What’s the most difficult thing for you and your team when you want to be innovative to generate more ideas?
总想到一样的没新想法 Always come up with the same ideas without any new ideas
想法常离题 Ideas often digress from the subject
有新想法即遭否 New ideas are immediately negated by others
想法数量少 The number of new ideas is small
只少数人可有独特主意 Only few people can think of very unique ideas
没可借鉴就想不出 Can’t come up with new ideas without any references
其他 Others
请提议你希望用水平思考法来讨论与你工作或者公司业务相关的题目.（至少提议一个，并尽量能够描述详细）Please propose some topics related with your work or company business to incorporate in the lateral thinking training. (Give at least one suggestion and describe in detail)