Form No number No number NIOSH Customer Satisfaction Survey

Attachment E: Survey Questions from 2003 Survey and New Questions

NIOSH CUSTOMER SATISFACTION SURVEY

Note: This document lists all of the questions in the proposed 5-year follow-up survey. Survey Questions from the OMB-Approved 2003 NIOSH Customer Satisfaction Survey [OMB No. 0920-0544, expiration 3/31/03] appear in regular text in this document. New questions that have been added for the 5-year follow-up survey are italicized and highlighted.

SECTION I

BACKGROUND - TELL US ABOUT YOURSELF

1.	How would you define your professional training/background? Please mark () all that apply.
	 Physician
	 Industrial safety engineer
	 Nurse
	 Industrial hygienist
	 Other (Specify):

2.	In your CURRENT job, what type of organization do you work for? Please mark ()) all that apply.
	 Company/business
	 Labor organization
	 Industry or trade association
	 Hospital/clinic
	 Private consultant
	 Professional society staff
	 Federal/State/Local government agency
	 Other (Specify):

3.	In your current job, how would you classify the overall size of the organization in which you work? Please mark () one response.
	 Self only
	 Small (less than 100 employees)
	 Medium (101 to 500 employees)
	 Large (more than 500 employees)

4.	In your current job, in which of the following sectors do you work and/or apply your professional skills? Please mark () all that apply.
	 Agriculture, forestry, and fishing
	 Construction
	 Healthcare and social assistance
	 Mining | Oil and gas extraction
	 Manufacturing
	 Services
	 Transportation, warehousing, and utilities
	 Wholesale and retail trade
	 Other (Specify)

SECTION II

YOUR SOURCES FOR OCCUPATIONAL SAFETY AND HEALTH INFORMATION

5.	In your current job, how often do you use the following sources of occupational safety and health (OSH) information? Please mark () one response for EACH source.
	Printed Sources e.g., books, journals, tech reports	Electronic Sources e.g., Web search, CD-ROMs, software	Interpersonal Sources e.g., colleagues, experts, meetings, conferences
	 Daily	 Daily	 Daily
	 Weekly	 Weekly	 Weekly
	 Monthly	 Monthly	 Monthly
	 Less than monthly	 Less than monthly	 Less than monthly

6.	Please select the three organizations that provide the most important occupational safety and health (OSH) information (via the web or printed) for your job. Please mark () up to THREE (3) responses.
	 AAOHN American Association of Occupational Health Nurses
	 ACGIH American Conference of Governmental Industrial Hygienists
	 ACOEM American College of Occupational and Environmental Medicine
	 AIHA American Industrial Hygiene Association
	 ANSI American National Standards Institute
	 ASSE American Society of Safety Engineers
	 ATSDR Agency for Toxic Substances and Disease Registry
	 EPA Environmental Protection Agency
	 NFPA National Fire Protection Agency
	 NIOSH National Institute for Occupational Safety and Health
	 NSC National Safety Council
	 OSHA Occupational Safety and Health Administration
	 Trade Organizations
	 Labor Organizations
	 Commercial newsletters, magazines, publications, etc. (Specify):

The following questions pertain to your organization's use of NIOSH’s occupational safety and health (OSH) information/publications/website.

7.	Have you ever USED or REFERRED to NIOSH’s OSH information? (i.e., from a NIOSH publication, NIOSH web site, NIOSH e-News, CD-ROM, or NIOSH/CDC 800-Number)
	 Yes  IF "YES" CONTINUE TO QUESTION 8
	 No  IF "NO" GO TO SECTION V (Page 8)

8.	Has NIOSH’s OSH information—either from their documents or the NIOSH Web site—been referred to or cited by name in your organization's policy and procedures? Please mark () one response.
	 Yes
	 No
	 Don't know
	 Does not apply - no written OSH policy and procedures

9.	To what extent have your organization's safety and health practices been influenced by NIOSH’s OSH information, either from their documents or from NIOSH’s Web site? Please mark () one response.
	 A lot
	 A little
	 Not at all
	 Don’t know

10.	How would you rate the quality of NIOSH information and/or training as it contributes to the effectiveness of your organization’s safety and health program? Please mark () one response.
	 Excellent
	 Good
	 Fair
	 Poor
	 Don’t know

11.	How would you rate the quality of NIOSH information and/or training as it contributes to the effectiveness of your professional practice? Please mark () one response.
	 Excellent
	 Good
	 Fair
	 Poor
	 Don’t know

12.		Please indicate the frequency that you performed each of the following tasks within the PAST 12 MONTHS. Please mark () one response for EACH statement below.
STATEMENTS			Frequently > 10 Times	Occasionally 3-10 Times	Rarely 1-2 Times	Never 0 Times
a.	Used NIOSH printed publications to find OSH information.					
b.	Used the NIOSH Web site to find OSH information.					
c.	Opened or downloaded the NIOSH e- News					
d.	Recommended a NIOSH publication, CD-ROM, or material from the NIOSH Web site to a colleague.					
e.	Taken a course/internet seminar or attended an education/training program in which NIOSH publications were used as information materials.					
f.	Used technical information in scientific journals, books or conference proceedings that was authored by NIOSH researchers or NIOSH technical experts.					

13.		In your current job, which of the following activities best represent your 3 primary responsibilities? For each of your 3 primary responsibilities, please indicate whether or not you referred to any of NIOSH’s sources of information when performing this task during the past 12 months. (Sources: printed publications, CD-ROMs, NIOSH website, e-News) Please mark () up to THREE (3) responses.
Activities			Mark  if primary responsibility	If  marked		Referred to NIOSH information source
						Yes	No
a.	Establishing and/or maintaining occupational safety and health programs						
b.	Conducting occupational safety and health training						
c.	Assessing workplace safety and health exposure conditions						
d.	Maintaining medical records						
e.	Conducting workplace safety audits and inspections						
f.	Investigating occupational safety & health incidents						
g.	Providing medical treatment						
h.	Interpreting/applying/enforcing OSHA regulations						
i.	Designing/implementing hazard control measures						
j.	Formulating new/revised safety and health policies/practices						
k.	Developing/conducting research projects						
l.	Participating in emergency/disaster response or preparing emergency/disaster response written programs.						

SECTION III

YOUR OPINION ABOUT NIOSH AND ITS COMMUNICATION PRODUCTS

14.		Please indicate how strongly you AGREE or DISAGREE with each of the following statements. Please mark () one response for EACH statement below.
STATEMENTS			Strongly Agree	Agree	Disagree	Strongly disagree	No Opinion
a.	NIOSH is a credible source for obtaining OSH information.						
b.	NIOSH eNews keeps me informed about OSH current events and research findings.						
c.	The NIOSH Web site contains high-quality, usable information.						
d.	The NIOSH/CDC 800-Number provides high quality, usable information.						
e.	The NIOSH exhibits at conferences keep me informed about new NIOSH publications and services.						
f.	NIOSH is an important resource for the OSH community.						
g.	NIOSH publications contain current, up-to-date information.						
h.	NIOSH publications are impartial.						
i.	NIOSH publications are at the appropriate technical level.						
j.	NIOSH publications provide useful recommendations and guidance.						

SECTION IV

YOUR PREFERENCES AND RECOMMENDATIONS

15.		Listed below are various methods of obtaining NIOSH information. Please indicate YOUR preference on a scale of 1 to 5 for each method of obtaining NIOSH documents, publications, or web site content, where "1" indicates a high preference for that method and "5" indicates a low preference. Please mark () one response for EACH statement below.
STATEMENTS			High Preference 1	2	3	4	Low Preference 5
a.	Request and/or download from NIOSH Web site						
b.	Call NIOSH/CDC 800-Number						
c.	Obtain conference topic/literature compilations on CD-ROM						
d.	Request at NIOSH conferences or exhibits						
e.	Access via NIOSH eNews links						
f.	Other (Specify):						

16.		Listed below are suggested ways for improving NIOSH dissemination of information. Please indicate the value to YOU on a scale of 1 to 5 for each suggested improvement where "1" indicates a high value to you and "5" indicates a low value. Please mark () one response for EACH statement below.
STATEMENTS			High Value 1	2	3	4	Low Value 5
a.	Publicize and increase the circulation of NIOSH Health Hazard Evaluation Reports.						
b.	Package and distribute NIOSH publications around common themes (e.g., noise and hearing loss, ergonomics, agriculture).						
c.	Make publications available in different languages. (Specify languages):						
d.	Support a blog on the NIOSH Web site to discuss current science issues.						
e.	Promote the use of electronic social media (e.g., YouTube, MySpace, Wikipedia) for safety and health information.						
f.	Disseminate more through alliances with partners such as industry, labor, professional associations, trade associations, academia and other stakeholders.						

17.	Please list THREE new safety and health topics that NIOSH should address in the near future..
	a.
	b.
	c.

18.		Which of the following types of publications should NIOSH consider emphasizing in the future? Please rank your top 3 choices in order of importance to you. Enter a "1" to indicate the most important topic, "2" for the second most important, and "3" for the third most important. RANK
			Recommended safety and health standards (criteria documents)
			Booklets or documents for educating and informing workers
			Booklets or documents for educating and informing owners and managers
			Case studies (e.g., Health Hazard Evaluations, fatality investigations, Research to Practice (r2p) outcomes)
			Scientific/technical documents
			Manual of Analytical Methods
			Practical applications and guides (e.g., checklists, self-audits, "how-to" publications)

19.		Please rank the following occupational health research topics in order of importance to you as potential areas of focus for NIOSH in the future. Please rank your top 3 choices. Enter a "1" to indicate the most important topic, "2" for the second most important, and "3" for the third most important. RANK
			Investigating associations between workplace exposures and disease
			Identifying early indicators of work-related disease (sentinel health events)
			Identifying controls for various exposures
			Developing screening tests to identify early occupational disease
			Investigating the pathophysiological basis for disease

20.	Please list the top THREE occupational safety and health problems that you think deserve more research.
	a.
	b.
	c.

SECTION V

NIOSH AS RESEARCH PARTNER WITH ACADEMIA, INDUSTRY, LABOR

UNIONS, NONPROFITS, AND OTHER DIVERSE STAKEHOLDERS

	Over the last decade, NIOSH has developed several new initiatives that build on and extend NIOSH partnerships with diverse stakeholders. We are interested in your awareness of these new initiatives and your opinions about the importance of each.
		Very Important 1	2	3	Not at all Important 4	Not Familiar
21.	The National Occupational Research Agenda (NORA) provides an opportunity for stakeholders to have input into NIOSH’s research program. How important is this initiative to you in your profession?					
22.	The NIOSH Research to Practice (r2p) initiative translates research results into information and documents that can be more readily used by practitioners. How important is this initiative to you in your profession?					
23.	The NIOSH WorkLife initiative provides information and support for the concepts that “healthy living and lifestyles” are also important to reduce and prevent chronic disease. How important is this initiative to you in your profession?					
24.	The NIOSH Prevention through Design (PtD) initiative provides information and focuses on the need to design work and all work related tools with the goal of minimizing risk. How important is this initiative to you in your profession?					

25.	Please indicate how strongly you AGREE or DISAGREE with the following statement.
		Strongly Agree	Agree	Disagree	Strongly disagree	No Opinion
	NIOSH’s impact on the occupational safety and health community has been strengthened as a result of its partnerships with professional, academic, labor, and business organizations.					

26.	Please list topic areas or OSH initiatives you would like to see included in NORA, r2p, WorkLife, or PtD initiatives.

27.	Please list stakeholders you would like to see partner with NIOSH via the NORA, r2p, WorkLife, or PtD initiatives.

SECTION VI

FINAL COMMENTS

28.	WE CARE ABOUT WHAT YOU THINK. Please use this space to provide us any additional comments you have about this survey or about the services and products provided by NIOSH.

THANK YOU FOR COMPLETING THE QUESTIONNAIRE!

Your help is greatly appreciated. Please take the following steps.

• Place your questionnaire in the pre-paid envelope provided and seal it.

• Fill out the enclosed Survey Response Card so we will know you’ve completed a survey.

• Mail the questionnaire and Response Card separately to assure your anonymity.

Further information about the NIOSH outreach initiatives is available at the following links:

National Occupational Research Agenda (NORA): http://www.cdc.gov/niosh/nora

Research to Practice (r2p): http://www.cdc.gov/niosh/r2p

WorkLife: http://www.cdc.gov/niosh/worklife

Prevention through Design (PtD): http://www.cdc.gov/niosh/topics/ptd

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