Form Mentor Survey Mentor Survey 0920-21BN

Data Collection for CDC Fellowship Programs

AttachmentD_MentorSurvey_GenIC_PPEO

CDC Fellowship Programs Assessments

OMB: 0920-1163

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10/26/2020

CDC Evaluation Fellows Program: Mentor/Host Program Survey 2020

Form Approved
OMB No.0920-1163
Expiration Date: 03/31/23

CDC Evaluation Fellows Program:
Mentor/Host Program Survey 2020

You are being asked to take this survey because you have been a Mentor of record
(primary or secondary) for one or more PPEO Evaluation Fellows in their full-time
placement. Please complete this survey describing your experiences as a Mentor for
the CDC Evaluation Fellowship Program. Your responses are confidential and no
information that can link you personally to your responses will be shared with the CDC's
Program Performance and Evaluation Office (PPEO).

Public reporting burden of this collection of information is estimated to average 10 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 CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74 Atlanta, Georgia
30333; ATTN: PRA (0920-1163).

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1.

CDC Evaluation Fellows Program: Mentor/Host Program Survey 2020

For which cohorts did you personally serve as a Mentor for an Evaluation Fellow? This
includes both your current and any previous programs or offices where you have
served as a Mentor. (The years listed below refer to the year in which each Fellow
cohort began.)
Check all that apply.
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011

2.

For how many Evaluation Fellows have you served as the primary or secondary Mentor
within their full-time placement? This includes your current and past programs/offices.
Mark only one oval.
1
2
3
4
5 or more

3.

How much of your CURRENT position is related to evaluation?
Mark only one oval.
None
Some of my job is working on evaluations.
Most of my job is working on evaluations.
All of my job is working on evaluations.

https://docs.google.com/forms/d/1Crt02MlJdBZ46pkHB5-P3Ob2D5d1XfkznLZU2SyXyXo/edit?ts=5f96dfd0&gxids=7628

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4.

CDC Evaluation Fellows Program: Mentor/Host Program Survey 2020

Are you CURRENTLY a mentor for one or more Evaluation Fellows?
Mark only one oval.
Yes
No

https://docs.google.com/forms/d/1Crt02MlJdBZ46pkHB5-P3Ob2D5d1XfkznLZU2SyXyXo/edit?ts=5f96dfd0&gxids=7628

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5.

CDC Evaluation Fellows Program: Mentor/Host Program Survey 2020

Please rate your level of agreement with how Evaluation Fellows have contributed to your
CURRENT program OR the MOST RECENT program for which you were a Mentor.
Mark only one oval per row.
1.
Strongly
disagree

2.

3.

4.
Neutral

5.

6.

7.
Strongly
agree

8. Don't
know

Increased our
ability to do
more program
evaluation
Did evaluation
work we would
not have been
able to do
otherwise
Helped establish
new or improved
evaluation
practices in my
program/office
Provided
evaluation skills
and experiences
that filled a need
in my
program/office
Developed
evaluation
products that
have helped us
share findings
and lessons
learned
Strengthened
our rationale for
adding
evaluation staff
members
Improved our
program/office’s
https://docs.google.com/forms/d/1Crt02MlJdBZ46pkHB5-P3Ob2D5d1XfkznLZU2SyXyXo/edit?ts=5f96dfd0&gxids=7628

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CDC Evaluation Fellows Program: Mentor/Host Program Survey 2020

overall
evaluation
capacity

6.

Has your CURRENT/MOST RECENT program ATTEMPTED to hire one or more of the
Evaluation Fellows that it has hosted?
Mark only one oval.
Yes
No

Skip to question 8

Don't know

Skip to question 8

CURRENT/MOST RECENT (Continued)

7.

Has your CURRENT/MOST RECENT program ACTUALLY hired one or more of the
Evaluation Fellows it has hosted?
Mark only one oval.
Yes
No
Don't know

PREVIOUS Program or Office

8.

Have you been a mentor for one or more Evaluation Fellows in a PREVIOUS program or
office?
Mark only one oval.
Yes
No

Skip to question 13

PREVIOUS Program or Office (continued)

https://docs.google.com/forms/d/1Crt02MlJdBZ46pkHB5-P3Ob2D5d1XfkznLZU2SyXyXo/edit?ts=5f96dfd0&gxids=7628

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9.

CDC Evaluation Fellows Program: Mentor/Host Program Survey 2020

How much of your PREVIOUS position was related to evaluation?
Mark only one oval.
None
Some of my job was working on evaluations.
Most of my job was working on evaluations.
All of my job was working on evaluations.

https://docs.google.com/forms/d/1Crt02MlJdBZ46pkHB5-P3Ob2D5d1XfkznLZU2SyXyXo/edit?ts=5f96dfd0&gxids=7628

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10.

CDC Evaluation Fellows Program: Mentor/Host Program Survey 2020

Please rate your level of agreement with how Evaluation Fellows contributed to your
PREVIOUS program.
Mark only one oval per row.
1.
Strongly
disagree

2.

3.

4.
Neutral

5.

6.

7.
Strongly
agree

8. Don't
know

Increased our
ability to do
more program
evaluation
Did evaluation
work we would
not have been
able to do
otherwise
Helped establish
new or improved
evaluation
practices in my
program/office
Provided
evaluation skills
and experiences
that filled a need
in my
program/office
Developed
evaluation
products that
have helped us
share findings
and lessons
learned
Strengthened
our rationale for
adding
evaluation staff
members
Improved our
program/office’s
https://docs.google.com/forms/d/1Crt02MlJdBZ46pkHB5-P3Ob2D5d1XfkznLZU2SyXyXo/edit?ts=5f96dfd0&gxids=7628

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CDC Evaluation Fellows Program: Mentor/Host Program Survey 2020

overall
evaluation
capacity

11.

Did your PREVIOUS program ATTEMPT to hire one or more of the Evaluation Fellows
that it had hosted?
Mark only one oval.
Yes
No
Don't know

12.

Did your PREVIOUS program ACTUALLY hire one or more of the Evaluation Fellows it
had hosted?
Mark only one oval.
Yes
No
Don't know

Concluding Thoughts

https://docs.google.com/forms/d/1Crt02MlJdBZ46pkHB5-P3Ob2D5d1XfkznLZU2SyXyXo/edit?ts=5f96dfd0&gxids=7628

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13.

CDC Evaluation Fellows Program: Mentor/Host Program Survey 2020

Please rate your overall experience as a mentor for Evaluation Fellows.
Mark only one oval per row.
1.
Strongly
disagree

2.

3.

4.
Neutral

5.

6.

7.
Strongly
agree

Evaluation Fellows
receive the support
they need from the
Evaluation
Fellowship
Program (PPEO).
Mentors receive
the support they
need from the
Evaluation
Fellowship
Program (PPEO).
The finalists
selected for Host
Programs to
interview have a
sufficient
foundation in
evaluation to work
on my program’s
evaluation
activities.
I would
recommend
participating as an
Evaluation
Fellowship Host
Program to other
CDC
programs/offices.

https://docs.google.com/forms/d/1Crt02MlJdBZ46pkHB5-P3Ob2D5d1XfkznLZU2SyXyXo/edit?ts=5f96dfd0&gxids=7628

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14.

CDC Evaluation Fellows Program: Mentor/Host Program Survey 2020

If funding were available, how likely is it that your CURRENT/MOST RECENT
program/office would continue to host one or more Evaluation Fellows in future
years?
Mark only one oval.
1. Not at all likely
2.
3.
4. Somewhat likely
5.
6.
7. Very likely
8. Don't know

15.

What recommendations do you have for PPEO to improve support for mentors?

16.

What recommendations do you have for PPEO to improve support for Fellows?

https://docs.google.com/forms/d/1Crt02MlJdBZ46pkHB5-P3Ob2D5d1XfkznLZU2SyXyXo/edit?ts=5f96dfd0&gxids=7628

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17.

CDC Evaluation Fellows Program: Mentor/Host Program Survey 2020

Please share any other comments about your experiences with the Evaluation
Fellows Program.

If you are willing to participate in a brief interview regarding your experiences as a
mentor please copy and paste the following link into your browser: http://bit.ly/mentcontact

Thank you for your participation!

This content is neither created nor endorsed by Google.

 Forms

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