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

Qualtrics Print 11-15-16

Workstyle Survey

OMB: 0925-0648

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 (OMB#: 0925-0648 Exp., date: 03/2018)

 

Introduction

Q0.

Burden Disclosure
Public reporting burden for this collection of information is estimated to average 6­10 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 20892­7974, ATTN:
PRA#0925­0648. Do not return the completed form to this address. 

 

Introduction
This survey asks a series of questions about how you do your work, where you do your work, and to
what extent our current workplace supports your work style and process. Instructions:
•   Your responses are completely anonymous and secure with an extent permitted by law. 
•   For each question select the option that best represents your view.
•   The survey will take approximately 6­10 minutes to complete.
•   Try to answer each question within the survey as honestly and accurately as possible.

 
Questions about this survey can be sent to Stefana Scinta at [email protected].

 

Demographics

Q00. Please provide responses to the following questions on your background. This
information will be used securely with an extent permitted by law, and only for purposes of this
speci㕛�c project.

Q1. Please select your IC. 
OD-ODP-DPCPSI
OD-OAMC-DPCPSI
OD-OER
OD-OIR-OTT
OD-OSP
OD-EDI
OD-OM
OD-EO (OIT)
NLM

Q2. Are you a: 
Federal Employee (full time)
Federal Employee (part time)
Contractor/Consultant
Student/Intern
Fellow

Q3. Are you in a supervisory position? 
Yes
No

Q4. Which of the following statements best describes your job function? 
I am part of executive leadership
I manage/supervise direct reports
I am a Team Lead
I have no direct reports, but I oversee contractors/vendors
I am an individual contributor (I have no direct reports and do not oversee contractors)
I provide administrative support to others in my of㕛�ce

Q5. How long have you worked at NIH (including in other ICs)?

Fewer than 3 years
3-5 years
6-10 years
11-15 years
16-25 years
26+ years

Q6. What type of workspace do you currently have (or spend the majority of your time in)?
Assigned enclosed of㕛�ce
Assigned open workstation/cubicle
Assigned shared enclosed of㕛�ce
Unassigned/shared seat (workstation or of㕛�ce)
Other (please specify)

Q7. Does your assigned seat have access to or a view of a window, providing natural
light/sunlight? 
Yes
No

Typical Workday

Q8. What time do you typically arrive at work? 
Before 6:00AM
6:00AM - 7:00AM
7:01AM - 8:00AM
8:01AM - 9:00AM
After 9:00AM

Q9. What time do you typically leave work? 
Before 3:30PM

3:30PM - 4:30PM
4:31PM - 5:30PM
5:31PM - 6:30PM
6:31PM - 7:30PM
After 7:30PM

Q10. How do you typically get to work?
Drive alone in my own car
Carpool/Vanpool
Car share (Uber, Lyft, etc.)
Walk
Bicycle
Metro
Bus
Multi-modal transit including a portion of my trip on Metro
Other (please specify)

Q11. If you drive to work, where do you park?
Government/facility-provided space
Private parking garage
Accessible parking space
Street parking
Other (please specify)
Not applicable

Q12. Do you participate in an alternate work strategy? 
Yes, I have a 5/4/9 or a 4/10 schedule (AWS schedule)
Yes, I have assigned telework day(s)
I telework on an ad hoc basis
No
Other (please explain)

Q13. On average, how many work days per week do you currently work in a location other than
your assigned location? 
0 days
1 day
2 days
3 days
4 days
5 days

Work Style and Patterns

Q14. On average, I spend ___ percentage of time working at the following locations (total must
add to 100%): 
At my assigned NIH building

0

%

At another NIH site

0

%

At home

0

%

Traveling or at a 3rd party location (e.g. airport, contractor of㕛�ce)

0

%

Other (please specify)

0

%

Total

0

%

Q15. When at my building, I spend ___ percentage of time working in the following places (total
must add to 100%): 
At my desk/of㕛�ce

0

%

At the desk/of㕛�ce of a colleague

0

%

In an enclosed collaboration space

0

%

In an open collaboration space

0

%

Other (please specify)

0

%

Total

0

Q16. In a typical year, how often do you travel to another city/region/country for business?
0-20% of the time
21-40% of the time
41-60% of the time
61-80% of the time
81-100% of the time

Collaboration

Q17.
With whom do you most commonly meet? Select all that apply.
Executives
Managers or supervisors
Colleagues and peers within my work group
Direct reports
Other employees outside of my immediate work group
Partners and/or customers outside of NIH

Q18.
What is the most common style of your meetings?
Mostly spontaneous or unscheduled
An equal mix of unscheduled and scheduled
Mostly planned or scheduled and recurring
Mostly planned or scheduled and not recurring

Q19.
What is the most common meeting format that you use?
Face-to-face
Face-to-face with a virtual component (teleconference/videoconference)

%

Teleconference
Videoconference

Q20. Select the location where you most typically meet with others. Select all that apply.
At someone's desk/of㕛�ce
Enclosed conference room
Informal meeting/break area
Hallways
Outside of the NIH workplace
Other (please specify)

Q21. What is the typical duration of your meetings? Please estimate the percentage of your meetings
that are the following duration. Total must add to 100%.
Less than 15 minutes

0

%

15-30 minutes

0

%

31-60 minutes

0

%

61 minutes -2 hours

0

%

Longer than 2 hours

0

%

Total

0

%

Technology

Q22. What technology do you CURRENTLY have that is most helpful to your job? Select all that
apply.
Double monitor
Video conferencing
Web-based meeting (WebEx, GoToMeeting, etc.)
Lync/Skype
WiFi
Soft phone (use of computer as telephone interface)

Smart phone
Laptop
SharePoint
Wireless headset
Multi-function device (combination copier / printer / scanner)
Other (please specify)

Q23. What technology do you NOT have that would be most helpful to your job? Select all that
apply.
Double monitor
Video conferencing
Web-based meeting (WebEx, GoToMeeting, etc.)
Lync/Skype
Soft phone (use of computer as telephone interface)
Smart phone
Laptop
SharePoint
Wireless headset
Multi-function device (combination copier / printer / scanner)
Other (please specify)

Productivity

Q24. How is your productivity affected by the environmental conditions in this building (e.g.
thermal, lighting, acoustics, cleanliness)?
Not affected at all
Positively affected
Negatively affected
Unable to be productive

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