Form 1 OGR MENA Workshop

MIDDLE EAST AND NORTH AFRICA WORKSHOP (MENA)

Office of Global Research, National Institute of Allergy and Infectious Diseases

National Institutes of Health, U.S. Department of Health and Human Services

Qatar, May 26 – 29, 2014

OMB Control #0925-0668

Expiration Date: 01/31/2016

Burden Disclosure: Public reporting burden for this collection of information is estimated to average 5 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: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA# 0925-0668. Do not return the completed form to this address.

Thank you for attending the MENA sessions, please take a few minutes to let us know what you thought about the workshop sessions and the various colleagues you met. Your opinion is valued and will be used to shape future workshop sessions.

Overall Evaluation Form

1. Are you a U.S. federal government employee (non-contractor)?:  Yes  No

Workshop Content:

2. The content of the workshop sessions were appropriate and informative.

 Agree

 Somewhat agree

 Neutral

 Somewhat disagree

 Disagree

3. The workshop content was related to the skills and knowledge I needed.

 Agree

 Somewhat agree

 Neutral

 Somewhat disagree

 Disagree

4. The workshop was interesting.

 Agree

 Somewhat agree

 Neutral

 Somewhat disagree

 Disagree

5. The workshop sessions introduced me to a lot of new information.

 Agree

 Somewhat agree

 Neutral

 Somewhat disagree

 Disagree

6. How satisfied are you with what you learned at this workshop?

 Satisfied

 Somewhat Satisfied

 Neutral

 Somewhat Dissatisfied

 Dissatisfied

7. What is the most important concept or idea you learned during the workshop?

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7. How will the information gained at this workshop aid you in your work?

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Potential Collaborations:

7. Were you able to meet any potential collaborators?:  Yes  No

8. How likely are you to apply for a seed grant with collaborators you’ve met at this workshop?

 Very Likely  Likely  Neutral  Unlikely  Very Unlikely

Thank you for completing the survey, please return it to Elizabeth Dillard.