Division of Cancer Control and Population Services (DCCPS) Webinar Survey

Form Approved

OMB No. 0990-0379

Exp. Date 08/31/2017

DCCPS Webinar Series Customer Feedback Survey

Thank you for participating in our webinar. Please take a moment to complete this brief feedback survey.

1. How would you rate the webinar overall? (1=Not Very Good, 5=Very Good)

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2. At what level would you rate your knowledge of this subject BEFORE this program? (1= Very Poor, 5=Very Good)

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3. At what level would you rate your knowledge of this subject AFTER this program? (1= Very Poor, 5=Very Good)

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4. After viewing this webinar, how prepared do you feel to submit an application? (1=Not Prepared, 5=Very Prepared)?

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According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-0379. The time required to complete this information collection is estimated to average 5 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, to review and complete the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer

5. How informative did you find the Webinar? (1=Not Informative, 5=Very Informative)

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6. How interesting did you find the Webinar?

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7. Have you ever submitted an NIH grant proposal before?

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8. Have you ever received an NIH grant before?

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