Form NRC Form 659 NRC Form 659 Public Meeting Feedback Form

Generic Customer Satisfactions Surveys and NRC Form 671, Request for Review of a Customer Satisfaction Survey under Generic Clearance

Public Meeting Feedback NRC 659

NRC Form 659, Public Meeting Feedback Form

OMB: 3150-0197

Document [pdf]
Download: pdf | pdf
U.S. NUCLEAR REGULATORY COMMISSION

NRC FORM 659
(MM-YYYY)

Category

NRC PUBLIC MEETING FEEDBACK
Meeting
Date:

Select

Meeting
Title:

Thank you for attending this public meeting hosted by the NRC. In order to help us understand your views about this
meeting and improve future meetings, please take a couple minutes to answer the following questions.
Please address the following statements in terms of your experience at the meeting. 1 is "strongly disagree" and 5 is
"strongly agree."
"STRONGLY
DISAGREE"

"DISAGREE"

"NEITHER
AGREE OR
DISAGREE"

"AGREE"

"STRONGLY
AGREE"

1. The meeting achieved its stated purpose.

1

2

3

4

5

2. This meeting helped me to understand the topics discussed.

1

2

3

4

5

3. The meeting location, starting time, and duration were
reasonably convenient.

1

2

3

4

5

4. The meeting facility, room set up, microphones, and visuals
used contributed to the success of the meeting.

1

2

3

4

5

5. Attendees were given sufficient opportunity to ask questions
or express their views.

1

2

3

4

5

6. Attendees were listened to and understood by NRC staff.

1

2

3

4

5

7. The presentations and explanations given by the NRC staff
were understandable, fair and balanced.

1

2

3

4

5

8. I am satisfied overall with the NRC staff who participated
in the meeting.

1

2

3

4

5

Please provide any suggestions you have on ways the NRC could improve their public meetings:

OMB NO. 3150-0197

Expires: (MM/DD/YYYY)

Public Protection Notification: If a means used to impose an information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person is
not required to respond to, the information collection.

Please fold on the dotted lines with Business Reply side out, tape the bottom, and mail back to the NRC.

Please provide any additional comments:

OPTIONAL
Name

Organization

Telephone No.

Check here if you would like a
member of NRC staff to contact you.

E-Mail

UNITED STATES
NUCLEAR REGULATORY
COMMISSION
WASHINGTON DC 20555-0001

FIRST CLASS MAIL

NO POSTAGE
NECESSARY
IF MAILED
IN THE
UNITED STATES

BUSINESS REPLY MAIL
PERMIT NO. 12904

WASHINGTON DC

POSTAGE WILL BE PAID BY U.S. NUCLEAR REGULATORY COMMISSION

ATTN:

MAIL STOP:
(HQ Staff Only)

Select Location & Address...Use Keyboard Arrows to Make Selection


File Typeapplication/pdf
File Titlec:\temp\ffdah1.wpf
Authordah1
File Modified2012-07-26
File Created2011-08-24

© 2024 OMB.report | Privacy Policy