Form 1 2019 Nonprofit Forum on-site meeting feedback survey

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

2019 NINDS Non-profit Forum meeting feedback survey

2019 Nonprofit Forum on-site meeting feedback (NINDS)

OMB: 0925-0648

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OMB#: 0925-0648 Exp Date: 05/2021

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1. What is your overall evaluation of the NINDS Nonprofit Forum? (Check one)

( ) 5–Outstanding ( ) 4–Good ( ) 3–Satisfactory ( ) 2–Less than Satisfactory ( ) 1–Poor



2. What segments of the program were of most value to you? (Select up to three.)

  • Orientation

  • Cell Therapy

  • Gene Therapy and Gene Editing

  • Issues in Data Collection and Storage

  • Big Data: How to Address Custom Needs

  • Meet the Program Directors/Division Directors

  • Breakout Sessions

  • Motivating the Next Generation of Researchers

  • Neuroethics

  • Featured Success Stories

3. What segments of the program were of least value to you? (Select up to three.)

  • Orientation

  • Cell Therapy

  • Gene Therapy and Gene Editing

  • Issues in Data Collection and Storage

  • Big Data: How to Address Custom Needs

  • Meet the Program Directors/Division Directors

  • Breakout Sessions

  • Motivating the Next Generation of Researchers

  • Neuroethics

  • Featured Success Stories

4. How satisfied were you with the topics overall?

( ) 5–Very Satisfied ( ) 4–Satisfied ( ) 3–Neutral ( ) 2–Dissatisfied ( ) 1–Very Dissatisfied



5. Which topics would you like to see on the agenda for the next Forum?



6. How likely are you to attend the next Forum? (Note: The dates for the 2020 Forum have not yet been confirmed.)

( ) 5–Very Likely ( ) 4–Likely ( ) 3–Neutral ( ) 2–Unlikely ( ) 1–Very Unlikely



7. Would you recommend the Forum to others?

( ) Yes ( ) No



8. What is your overall evaluation of the Forum facilities and location?

( ) 5–Outstanding ( ) 4–Good ( ) 3–Satisfactory ( ) 2–Less than Satisfactory ( ) 1–Poor



9. How did you learn about the Forum?

( ) E-mail from NINDS ( ) Other (please specify)



10. Additional comments/suggestions regarding the Forum:

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