Form 1 NIH6700B Phase2 Post Occupancy CM Survey

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

103019-BMoss-SurveyPrint-NIH6700B Phase2-Post-Occupancy-CM-Survey

NIH 6700B-Phase 2 Post Occupancy Change Management (CM) Survey (ORS/OD)

OMB: 0925-0648

Document [pdf]
Download: pdf | pdf
11/5/2019

Qualtrics Survey Software

OMB#: 0925-0648; Expiration Date: 05/31/2021

Burden Disclosure
Burden Disclosure: 
Public reporting burden for this collection of information is
estimated to average 5 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: NIH, Project Clearance
Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 208927974, ATTN: PRA (0925-0648). Do not return the completed form
to this address. 
Introduction: 
This survey asks a series of questions about your involvement
with the change management portion of the move to the fourth
floor of 6700B Rockledge Drive. The questions also assess your
level of comfort with the changes impacting your workplace as a
part of this move. Your feedback is valuable and will be used to
evaluate the effectiveness of our change management efforts, as
well as help us understand what types of additional information
and/or training should be provided before move-in. Survey
responses reside behind the NIH firewall and are secure to the
extent permitted by law. For each question select the option that
best represents your view. The survey will take about 5 minutes to
complete. Try to answer each question within the survey as
honestly and accurately as possible. Questions about this survey
may be sent to Jodi Williams at [email protected]. 
https://rtkl.az1.qualtrics.com/Q/EditSection/Blocks/Ajax/GetSurveyPrintPreview

1/7

11/5/2019

Qualtrics Survey Software

Demographic Information
Please select your IC/OD organization. 
CSR
OD/IRB
Other (please specify)

Information Sources and Activities
Please identify all of the information sources that you accessed, or
the activities in which you participated. 
I attended a Change Management Steering Committee/Working Group meeting
I am a Change Champion and/or Move Coordinator
I have accessed the NIH on the Move website (https://nihonthemove.nih.gov) for
information about the move
I have accessed my IC-specific SharePoint site
I have read the Frequently Asked Questions on the NIH on the Move website
I have submitted a question for an answer
I have e-mailed the project e-mail box at [email protected]
I have read a newsletter
I have read a communication from the leadership of my IC/OD organization

https://rtkl.az1.qualtrics.com/Q/EditSection/Blocks/Ajax/GetSurveyPrintPreview

2/7

11/5/2019

Qualtrics Survey Software

I have seen posters in the hallway
I have spoken with (or contacted) a member of the Change Management Steering
Committee
I submitted answers to the change readiness survey (August 2019)
I attended a Town Hall/Packing Clinic (September 2019)
I attended a Site Tour (October 2019)
I read the Welcome Book
I have not accessed any of the above, but have heard about the move from my
coworkers
None of the above
Other (please specify)

Workplace Design Feedback
The following questions pertain to the physical attributes of the
new workplace (i.e. lighting, furniture, flooring, technology,
equipment, etc).

What are you most excited about in the new workplace?

https://rtkl.az1.qualtrics.com/Q/EditSection/Blocks/Ajax/GetSurveyPrintPreview

3/7

11/5/2019

Qualtrics Survey Software

What areas, features and/or elements are working in the new
workplace?

What areas, features and/or elements are NOT working in the new
workplace?

What issues have you or your colleagues faced in the new
workplace?

Change and Move Management Feedback
The following questions pertain to the change and move
management process. 
https://rtkl.az1.qualtrics.com/Q/EditSection/Blocks/Ajax/GetSurveyPrintPreview

4/7

11/5/2019

Qualtrics Survey Software

What could have made the move process easier?

How could communication be improved?

What do you wish you knew sooner?

What methods of communication worked best for you and your
colleagues: (Please select all that apply.)
Face-to-face communications from my supervisor or director

https://rtkl.az1.qualtrics.com/Q/EditSection/Blocks/Ajax/GetSurveyPrintPreview

5/7

11/5/2019

Qualtrics Survey Software

E-mail communications from my supervisor or director
IC-wide e-mails
Newsletters
Posters
NIH on the Move website
IC-wide Town Hall presentation
Other (please specify)

Do you and your colleagues feel like responses were provided in a
timely manner?
Yes
No
Other

Is there anything else you wish you knew more about to make the
transition go more smoothly?

https://rtkl.az1.qualtrics.com/Q/EditSection/Blocks/Ajax/GetSurveyPrintPreview

6/7

11/5/2019

Qualtrics Survey Software

If you have suggestions for additional information or training that
should have been provided prior to the move, please identify
these below. 

Powered by Qualtrics

https://rtkl.az1.qualtrics.com/Q/EditSection/Blocks/Ajax/GetSurveyPrintPreview

7/7


File Typeapplication/pdf
File Modified2019-11-05
File Created2019-11-05

© 2024 OMB.report | Privacy Policy