NSF General and Age Related Disabilities Engineering (GARDE) Program Research Participant Satisfaction Survey

7/25/13

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Block 1

You have been selected to take this survey because of your participation as a researcher in the National Science Foundation's
General and Age-Related Disability Engineering (GARDE) funded research. This survey will ask demographic, career inclination, and
general satisfaction questions. The data collected by these surveys are confidential and will assist NSF GARDE program staff in
improving programmatic efforts for General and Age-Related Disability Engineering.
Pursuant to 5 CFR 1320.5(b), an agency may not conduct or sponsor, and a person is not required to respond to an information
collection unless it displays a valid OMB control number. The OMB control number for this collection is 3145-0157. Public reporting
burden for this collection of information is estimated to average 10 minutes per response, including the time for reviewing
instructions. Send comments regarding this burden estimate and any other aspect of this collection of information, including
suggestions for reducing this burden, to: Suzanne Plimpton, Reports Clearance Officer, Room 1265, Office of the General Counsel,
National Science Foundation, Arlington, VA 22230.

What is your sex?
Male
Female

What is your age (in years)?

Which of the following describes your ethnicity? Please select only one:
Hispanic or Latina/o. (A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or
origin, regardless of race.)
Not Hispanic or Latina/o.

Which of the following describes your race? Please select one or more:
American Indian or Alaska Native. A person having origins in any of the original peoples of North and South America
(including Central America), and who maintains tribal affiliation or community attachment.
Asian. A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent
including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and
Vietnam.
Black or African American. A person having origins in any of the black racial groups of Africa.
Native Hawaiian or Other Pacific Islander. A person having origins in any of the original peoples of Hawaii, Guam,
Samoa, or other Pacific Islands.
White. A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

What is the highest level of school your have completed or highest degree you have received?
Less than high school degree
High school degree or equivalent (for example, GED)
Some college but no degree
Associate degree
Bachelor degree
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Graduate degree (for example, Master's or Ph.D.)

Which of the following best describes the field in which you received your highest degrees?
Computing
Medicine
Technology
Healthcare
Mathematics
Engineering
Science
Business
Other (please specify)

Which of the following best describes your position in the GARDE funded research?
Student, undergraduate (paid or unpaid)
Student, graduate
Volunteer or Intern (unpaid, not student)
Technician
Postdoc
Research Fellow
Visiting Scientist
Other (please specify)

Did/do you have a condition during the reporting period? (e.g., Asperger's syndrome/Autism spectrum disorder, ADD/ADHD, Deaf or
Hard of Hearing, physical impairment/orthopedic/mobility impairment, systemic health/medical condition, psychological/psychiatric
condition, learning disorder, blind or visual impairment, speech impairment, acquired/traumatic brain injury)
Yes
No
Decline to report

Please select the condition(s).
Asperger's syndrome/autism spectrum disorder
Attention deficit disorder (ADD)/attention deficit hyperactivity disorder (ADHD)
Deaf or heard of hearing (D/HoH)
Physical impairment/orthopedic/mobility impairment
Systemic health/medical condition
Psychological/psychiatric condition
Learning disorder

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Learning disorder

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Blind or visual impairment
Speech impairment
Acquired/traumatic brain injury
Other condition

(FOR STUDENTS) During the reporting period, were you registered with the campus disability services office or did you have a 504
Plan?
Yes
No
Decline to report

(FOR STUDENTS) During the reporting period, did you receive services from the campus disability services office or did you receive
services as specified in a 504 Plan?
Yes
No
Decline to report

Please select any significant achievements you have garnered during, or as a result of, your work on GARDE funded research.
Award
Scholarship/Fellowship
Conference Presentation
Recognition
Promotion
Other (please describe)

Please indicate any outreach activities in FORMAL education settings that you have engaged in during, or as a result of, your work on
GARDE funded research.
Guest lecture
Class instruction
Webinar
Massive Online Open Course (MOOC)
Classroom/Laboratory Demonstration
Other (please describe)

Please indicate any outreach activities in INFORMAL education settings that you have engaged in during, or as a result of, your work
on GARDE funded research.
Public speaking
Museum exhibit

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Museum exhibit
Science fair/competition
Science writing
Media dissemination
Other (please describe)

How interested were you in the following career options BEFORE you began your involvement with GARDE funded research?
1
Not at all
interested

2

3

Interested

Very Interested
(this was my
primary career
goal)

Academic Faculty - primarily research position in science or engineering
Academic Faculty - primarily teaching position in science or engineering
Academic Faculty - other
Professional engineer or research scientist in private industry
Professional engineer or research scientist in government lab
Entrepreneurship
Non-technical or research related position in science or engineering (for
example, regulatory, writing, editing, administration, or sales)
Career unrelated to science or engineering

How interested were you in the following career options DURING your involvement with GARDE funded research?
1

2

3
Very Interested
(this was my
primary career
goal)

Not at all
interested

Interested

1

2

3

Interested

Very Interested
(this was my
primary career
goal)

Academic Faculty - primarily research position in science or engineering
Academic Faculty - primarily teaching position in science or engineering
Academic Faculty - other
Professional engineer or research scientist in private industry
Professional engineer or research scientist in government lab
Entrepreneurship
Non-technical or research related position in science or engineering (for
example, regulatory, writing, editing, administration, or sales)
Career unrelated to science or engineering

How interested were you in the following career options NOW?

Not at all
interested
Academic Faculty - primarily research position in science or engineering
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Academic Faculty - primarily research position in science or engineering
Academic Faculty - primarily teaching position in science or engineering
Academic Faculty - other
Professional engineer or research scientist in private industry
Professional engineer or research scientist in government lab
Entrepreneurship

Non-technical or research related position in science or engineering (for
example, regulatory, writing, editing, administration, or sales)
Career unrelated to science or engineering

How likely are your to pursue a leadership position in your career of choice?
Very Unlikely

Unlikely

Undecided

Likely

Very Likely

Please indicate your Agreement with the following statements about your experience participating in GARDE funded research.

Strongly Agree

Agree

I have no
opinion on
this

Disagree

Strongly
Disagree

Not applicable

"I feel/felt that my intellectual
contributions to the project
were taken seriously."
"I feel/felt that my material
contributions to the project
were taken seriously."
"I feel/felt like a valued member
of the research team."
"I feel/felt encouraged to
contribute my ideas and
perspective."
"I feel/felt that the
research/development/design
process was improved or
enhanced by the input from
persons with disabilities and/or
the disability community."

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