Survey to Improve Worker Notification Efforts - #3

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

survey #3_hard copy survey-33115

Survey to Improve Worker Notification Efforts #3

OMB: 0920-0953

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FINAL



Form Approved

OMB No. 0920-0953

Exp. Date 12/31/15

All of the following questions are about the enclosed information on [e.g., flight attendants’ health].

  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 evaluate health effects of [description of the study population (e.g., flight attendants, workers who are exposed to PCBs)]?



    • 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. Was it easy for you to find the information you were looking for?

  • Yes

  • Somewhat

  • No



  1. Please write any other comments or suggestions you may have:_________________________

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________









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).

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorKaori Fujishiro
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File Created2021-01-30

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