Form 1 Becoming Resilient Scientist Fall2020 Feedback

BECOMING A RESILIENT SCIENTIST - FEEDBACK
OMB Number: 0925-0648
Expiration Date: 31 May 2021
Burden Time: 20 minutes

GENERIC INFORMATION
What is your a!liation?:*

What is your educational status?:*

How did you participate in this event?:*

SATISFACTION WITH WEBINAR
Overall, how would you rate this webinar?
excellent

very good

good

fair

poor

How likely are you to recommend this webinar to a friend or a colleague?:
very likely
unlikely

somewhat likely

neither likely or unlikely

somewhat unlikely

I can use the information I learned in the webinar.:
strongly agree

agree

neutral

disagree

strongly disagree

The tools from the webinar were practical and easy to apply.:
strongly agree

agree

neutral

disagree

strongly disagree

I intend to share information learnend in this webinnar with a colleague or a friend.:
strongly agree

agree

neutral

disagree

strongly disagree

The following questions pertain to your reactions after the webinar. After the webinar,:
I am motivated to apply what I learned in the webinar.:
strongly agree

agree

neutral

disagree

strongly disagree

very

After the webinar, I am trying to implement the tools/changes I learned.:
strongly agree

agree

neutral

disagree

strongly disagree

How can we make the webinar better?:

What was your single biggest takeaway from the webinar?:

FEEDBACK ON SMALL DISCUSSION GROUPS
Did you attend the small group discussions?:*
yes

no

Overall, how would you rate the small group session?:
excellent

very good

good

fair

poor

How helpful was the small group session?:
extremely helpful

very helpful

moderately helpful

slightly helpful

not at all helpful

The small group session helped solidify what I learned in the webinar.:
strongly agree

agree

neutral

disagree

strongly disagree

The small group session motivated me to implement what I learned in the webinar.:
strongly agree

agree

neutral

disagree

strongly disagree

I felt comfortable discussing various issues in the small group session.:
strongly agree

agree

neutral

disagree

strongly disagree

The number of participants in the small group session was:
too large

a bit large

just right

a bit small

too small

If you have specific feedback about small group discussions, please let us know.:

SESSION I - INTRODUCTION TO RESILIENCE AND WELLNESS
Did you attend the small group facilitation session on Introduction to Resilience and Wellness?:*
yes

no

How well did you understand Introduction to Resilience and Wellness BEFORE participating in the
webinar?:
extremely well

very well

moderately well

slightly well

not well at all

How well did you understand Introduction to Resilience and Wellness AFTER participating in the
webinar?:
extremely well

very well

moderately well

slightly well

not well at all

The following questions pertain to the tools presented in Resilience and Wellness in the
workplace.:
I - How helpful is Journaling?:
extremely helpful

very helpful

moderately helpful

slightly helpful

not at all helpful

moderately helpful

slightly helpful

not at all helpful

moderately helpful

slightly helpful

not at all helpful

moderately helpful

slightly helpful

not at all helpful

I - How helpful is Mindfulness?:
extremely helpful

very helpful

I - How helpful is Community?:
extremely helpful

very helpful

I - How helpful is Therapy?:
extremely helpful

very helpful

SESSION II - EXPLORING OUR SELF-TALK: COGNITIVE DISTORTIONS AND IMPOSTER FEARS
Did you attend the small group discussions on Cognitive Distortions and Imposter Fears?:*
yes

no

How well did you understand Cognitive Distortions and Imposter Fears BEFORE participating in
the webinar?:
extremely well

very well

moderately well

slightly well

not well at all

How well did you understand Cognitive Distortions and Imposter Fears AFTER participating in the
webinar?:
extremely well

very well

moderately well

slightly well

not well at all

The following questions pertain to the tools that could help with cognitive distortions and
imposter fears in the workplace.
II - How helpful is journaling?:
extremely helpful

very helpful

moderately helpful

slightly helpful

not at all helpful

II - How helpful is a Jackal/Gira"e/Ostrich log?:
extremely helpful

very helpful

moderately helpful

slightly helpful

not at all helpful

moderately helpful

slightly helpful

not at all helpful

moderately helpful

slightly helpful

not at all helpful

II - How helpful is Talking About It With Others?:
extremely helpful

very helpful

II - How helpful is HATS?:
extremely helpful

very helpful

SESSION III - EMOTIONS AND EMOTIONAL INTELLIGENCE IN THE WORKPLACE
Did you attend small group discussions on Emotions and Emotional Intelligence in the
Workplace?:*
yes

no

How well did you understand Emotions and Emotional Intelligence in the Workplace BEFORE
participating in the webinar?:
extremely well

very well

moderately well

slightly well

not well at all

How well did you understand Emotions and Emotional Intelligence in the Workplace AFTER
participating in the webinar?:
extremely well

very well

moderately well

slightly well

not well at all

The following questions pertain to the tools presented that could help Emotions and Emotional
Intelligence in the workplace?:
III - How helpful is Tool-A?
extremely helpful

very helpful

moderately helpful

slightly helpful

not at all helpful

moderately helpful

slightly helpful

not at all helpful

moderately helpful

slightly helpful

not at all helpful

moderately helpful

slightly helpful

not at all helpful

III - How helpful is Tool-B?
extremely helpful

very helpful

III - How helpful is Tool-C?
extremely helpful

very helpful

III - How helpful is Tool-D?
extremely helpful

very helpful

SESSION IV - SELF-ADVOCACY AND ASSERTIVENESS
Did you attend the small group facilitation session on Self-Advocacy and Assertiveness?:*
yes

no

How well did you understand Self-Advocacy and Assertiveness BEFORE participating in the
webinar?:
extremely well

very well

moderately well

slightly well

not well at all

How well did you understand Self-Advocacy and Assertiveness AFTER participating in the
webinar?:
extremely well

very well

moderately well

slightly well

not well at all

The following questions pertain to the tool presented that could help self-advocacy and
assertiveness in the workplace.
IV - How helpful are I-Statements?:
extremely helpful

very helpful

moderately helpful

slightly helpful

not at all helpful

slightly helpful

not at all helpful

slightly helpful

not at all helpful

slightly helpful

not at all helpful

IV - How helpful is Empathetic Listening?:
extremely helpful

very helpful

moderately helpful

IV - How helpful is Fogging/Stuck Record?:
extremely helpful

very helpful

moderately helpful

IV - How helpful is Negative/Positive Inquiry?:
extremely helpful

very helpful

moderately helpful

SESSION V - DEVELOPING FEEDBACK RESILIENCE
Did you attend small group discussions on Developing Feedback Resilience?:*
yes

no

How well did you understand Feedback Resilience BEFORE participating in the webinar?:
extremely well

very well

moderately well

slightly well

not well at all

How well did you understand Feedback Resilience AFTER participating in the webinar?:
extremely well

very well

moderately well

slightly well

not well at all

The following questions pertain tools presented during the Developing Feedback Resilience in
the workplace?:
V - How helpful is Tool-E?:
extremely helpful

very helpful

moderately helpful

slightly helpful

not at all helpful

moderately helpful

slightly helpful

not at all helpful

moderately helpful

slightly helpful

not at all helpful

V - How helpful is Tool-F?:
extremely helpful

very helpful

V - How helpful is Tool-G?:
extremely helpful

very helpful

V - How helpful is Tool-H?:
extremely helpful

very helpful

moderately helpful

slightly helpful

not at all helpful

SESSION VI - MANAGING UP TO MAXIMIZE MENTORING RELATIONSHIPS
Did you attend small group discussions on Managing Up to Maximize Mentoring Relationships?:*
yes

no

How well did you understand Managing Up to Maximize Mentoring Relationships BEFORE
participating in the webinar?:
extremely well

very well

moderately well

slightly well

not well at all

How well did you understand Managing Up to Maximize Mentoring Relationships AFTER
participating in the webinar?:
extremely well

very well

moderately well

slightly well

not well at all

The following questions pertain to the tools that could help with Managing Up to Maximize
Mentoring Relationships?:
VI - How helpful is Tool-I?:
extremely helpful

very helpful

moderately helpful

slightly helpful

not at all helpful

moderately helpful

slightly helpful

not at all helpful

moderately helpful

slightly helpful

not at all helpful

moderately helpful

slightly helpful

not at all helpful

VI - How helpful is Tool-J?:
extremely helpful

very helpful

VI - How helpful is Tool-K?:
extremely helpful

very helpful

VI - How helpful is Tool-L?:
extremely helpful

very helpful

Public reporting burden for this collection of information is estimated to average 20-minutes per
submission. 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 20892-7974, ATTN: PRA 0925-0648. Do not return the completed form to this
address.
Collection of this information is authorized by The Public Health Service Act, Section 410 (42 USC 285).
Rights of participants are protected by The Privacy Act of 1974. Participation is voluntary, and there are
no penalties for not participating or withdrawing from the study at any time. The information collected
in this study will be kept private to the extent provided by law. Names and other identifiers will not
appear in any report of the study. Information provided will be combined for all participants and

reported as summaries.

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