Form 5800-011 Science Matters Survey

OMB Control Number: 2010-0042

Approval Expiration Date: 3/31/21

Science Matters Survey Draft Form #5800-011

Section 1: General

The U.S. Environmental Protection Agency (EPA) would like to hear from you on how we can improve the EPA Science Matters newsletter. Please respond to the following questions to the best of your ability. Your responses will not be sold or used for any other purpose. The information gathered will be confidential and non-attributable.

1. Please select the category that most closely fits your affiliation to the Science Matters newsletter.

Industry affiliate

State/Local Government employee

Academic educator

Student

Member of the public

Other (please specify):

2. How would you describe your experience with the newsletter?

Extremely satisfied

Satisfied

Neutral

Unsatisfied

Extremely unsatisfied

(If unsatisfied options are chosen):

3. Sorry to hear that! How can we improve your experience?

(fill in answer?) (word limit)

Section 2: Content

4. What do you think about the content? Select all that apply.

☐ It’s fun to read

☐ It’s informative

☐ It’s engaging

☐ It’s educational

☐ Other

Please explain:

5. What topics are you interested in? Select all that apply.

☐ Air quality

☐ Water

☐ Research tools

☐ Chemical safety

☐ Human health

☐ Sustainable and healthy communities

☐ Building resiliency

☐ Ecosystems

☐ Other

Please explain:

6. What areas of the newsletter do you like the most?

☐ Feature stories

☐ Researchers at Work

☐ Webinars

Section 3: Design

7. How would you rate the design of the newsletter?

	Excellent	Good	No opinion	Poor
Overall design
Layout
Graphics/photos
Ease of reading
Article length

Section 4: Newsletter Frequency

8. How much of the newsletter do you read?

☐ Every article

☐ Most articles

☐ Some articles

☐ I just skim the email

9. Do you read:

Every issue

Most issues

Some issues

No issues

Not applicable (new subscriber)

10. The current publishing frequency (every two weeks) is:

☐ As it should be

☐ Not frequent enough

☐ Too frequent

11. How likely are you to share the newsletter with someone?

☐ Very likely

☐ Somewhat likely

☐ Indifferent

☐ Unlikely

12. Is there anything else you’d like to add?

(fill in answer)

Thank you!

Have a great day!

This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2010-0042). Responses to this collection of information are voluntary. 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. The public reporting and recordkeeping burden for this collection of information is estimated to be 5 minutes per response. Send comments on the Agency’s need this formation, the accuracy of the provided burden estimates and any suggested methods for minimizing respondent burden including through the use of automated collection techniques to the Director, Regulatory Support Division, U.S. Environmental Protection Agency (2821T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address.

EPA Form # 5800-011