Survey #2

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIOSH 2)

survey #2_web survey 3-31-15

Survey #2

OMB: 0920-0953

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Form Approved

OMB No. 0920-0953

Exp. Date 12/31/15



Public reporting burden of this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to - CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333 ATTN: PRA (0920-0953).

Survey #2

All of the following questions are related to the information on [e.g., Flight Attendants’ Health] that you have reviewed on this website.

  1. What sections of information did you read through (please check all that apply)?

    • [title section one, e.g., “How the study was done”]

    • [title section two]

    • [title section three]

    • [title section four]

    • [title section five]



  1. Did the information you read meet your needs?

    • Yes

    • Somewhat

    • No

[If “no” or “somewhat” are selected, the following prompt will follow]


Please tell us why:_________________________________________________________________________

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


  1. Do you think that the scientists who did the study understand the issues that are important to workers?



    • They don’t understand at all

    • They understand just a little

    • They understand to some degree

    • They understand quite a bit

    • They understand very well



  1. Do you think that the scientists who did the study are honest about how the study was done?



    • They are not honest at all

    • They are honest just a little

    • They are honest to some degree

    • They are quite honest

    • They are very honest

  1. Do you think that the scientists who did the study have the necessary knowledge to [description of the study (e.g. evaluate health effects of flight attendants)]?



    • They have no knowledge at all

    • They have just a little knowledge

    • They have the knowledge to some degree

    • They have quite a bit of knowledge

    • They have all the knowledge necessary





  1. Do you think that the scientists who did the study have workers’ best interest in mind?

  • They don’t have it in mind at all

  • They have it in mind just a little

  • They have it in mind to some degree

  • They have it in mind quite a bit

  • They certainly have it in mind



  1. Do you think that the scientists who did the study are upfront about what was found in the study?



    • They are not upfront at all

    • They are upfront just a little

    • They are upfront to some degree

    • They are quite upfront

    • They are very upfront



  1. Do you think that the scientists who did the study make helpful recommendations based on the evidence?



    • Their recommendations are not helpful at all

    • Their recommendations are helpful just a little bit

    • Their recommendations are helpful to some degree

    • Their recommendations are quite helpful

    • Their recommendations are very helpful


  1. Do you think that the scientists who did the study are honest with the information presented here?



    • They are not honest at all

    • They are honest just a little

    • They are honest to some degree

    • They are quite honest

    • They are very honest

  1. All in all, how much do you trust the information presented here?



  • I don’t trust it at all

  • I trust it just a little

  • I trust it to some degree

  • I trust it quite a bit

  • I trust it almost completely



  1. How did you find the [e.g. Flight Attendants Health] page?

    • You received a letter from NIOSH because you are a [current/former] worker in the study

    • You received a letter from NIOSH because you are a family member of a [current/former] worker in the study

    • You did not receive a letter, but you know someone who did

    • You found it through using a search engine (e.g., Google)

    • Other: __________________________________________



  1. Is this your first time completing this survey for the [e.g. Flight Attendants Health] page?

    • Yes

    • No





  1. Please share any other comments you have. Please do not provide your name or other information that would identify you. If you would like us to contact you, please email [email protected]:________________­­­­­_ ________________________________________________________________________________________________________________________________________________________________________________



Thank you for taking the time to complete our feedback survey. This information will help us improve how we communicate our research.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorCDC User
File Modified0000-00-00
File Created2021-01-30

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