Form 1 MMR survey

Mentored Mock Review Survey – Screenshots
Overview
This document contains screenshots of each page within the Mentored Mock Review Evaluation survey. The page
header containing the survey title is repeated on each page. To save space in this document, the header is omitted from
Figures 2 – 12. The OMB number and expiration date are displayed at the top of the survey launch page (Figure 1),
before the respondent accesses the first question in the survey.

Page Screenshots

Figure 1. Survey launch page, with OMB information.

Figure 2. Attendee Type Question

Figure 3. Survey Instructions Information Element

Figure 4. Evaluation Question 1

Figure 5. Evaluation Question 2

Figure 6. Evaluation Question 3

Figure 7. Evaluation Question 4

Figure 8. Evaluation Question 5 with Reviewer wording

Figure 9. Evaluation Question 5 with Observer wording

Figure 10. Evaluation Question 6

Figure 11. Evaluation Question 7

Figure 12. Survey Complete Screen