Form 1 Alumni Survey Questions

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Alumni Survey Questions 10-20-16

NCI Explore On Site (EXPOSE) Customer Satisfaction Survey

OMB: 0925-0642

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Thank you for participating in the 2016 Cohort EXPOSE Alumni Survey!
OMB No.: 0925-0642
Expiration Date: 08/2017
Collection of this information is authorized by The Public Health Service Act, Section 411 (42 USC
285a). Rights of study participants are protected by The Privacy Act of 1974. Participation is
voluntary, and there are no penalties for not participating or withdrawing from the study at any time.
Refusal to participate will not affect your benefits in any way. The information collected in this
study will be kept private to the extent provided by law. Names and other identifiers will not appear
in any report of the study. Information provided will be combined for all study participants and
reported as summaries. You are being contacted by email to complete this instrument so that we
can understand the customers’ experience to improve the program.
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 (0925-0642). Do not return the completed form to this address.

1. What is your current position?
Postdoctoral/Research Fellow
Other
If other, please specify.

2. What is the primary career activity(s) in which you are engaged? Check all that apply.
Research
Research Administration
Communications, policy and analysis
Education, teaching
Intellectual property
Regulatory science
Business development, marketing, sales
Other
If other, please specify

3. Who is your current employer?
National Cancer Institute
National Institutes of Health (institute other than NCI)
Other
If other, please specify

4. In which sector would you classify your employer?
Academia
Government
Non-profit
Private Industry - research & development
Private Industry - consulting, legal services, regulatory
Other
If other, please specify

5. To what extent do you believe EXPOSE has helped/will help you to make an informed career
decision(s)?
Great extent
Some extent
Little extent
No extent

6. Would you recommend EXPOSE to other NCI postdoctoral fellows looking to identify their career path?
Yes
No
Maybe

7. Please provide any comments about the EXPOSE program you wish to share:


File Typeapplication/pdf
File TitleView Survey
File Modified0000-00-00
File Created2016-10-17

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