Form 1 DIS Survey Instrument

OMB Control Number: 0925-0648
Expiration Date: 05/31/2021
Public reporting burden for this collection of information is estimated to average 15 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 current 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.
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1. What best describes the professional role in which you obtained the Disaster Information
Specialization (DIS)?
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Librarian
Emergency manager
First responder
Health professional
Public health professional
Researcher
Other (Please specify)

2. If you are a librarian, what best describes the setting in which you worked at the time of starting the
DIS coursework?
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Hospital library
Academic library
Public library
State / local government
Federal organization
Private aid organization
Other (Please specify)

3. If you are a librarian, what best describes the setting in which you currently work?
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Hospital library
Academic library
Public library
State / local government
Federal organization
Private aid organization
Other (Please, specify)

4. Which DIS level did you complete?

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Basic
Advanced

5. Did you work in the field of disaster preparedness and / or response prior to starting the DIS
coursework?
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Yes
No
To some extent

6. What best describes your rationale for obtaining the DIS? (check all that apply)
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My manager or employer was required
Gain knowledge and skills for my current essential work duties
Gain knowledge and skills for my current occasional work duties
Expand current work responsibilities
Enter a new professional area
Earn a promotion and / or salary increase
Other (Please explain)

7. How satisfied were you with the content of the DIS coursework?
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Not at all satisfied
Somewhat satisfied
Mostly satisfied
Very satisfied
Please explain your answer

8. Which of the following best describes the outcome of your having completed the DIS? (check all that
apply)
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I did not gain significant new knowledge or skills
I gained some knowledge and/or skills, but did not have a chance to use them in my work
I gained some knowledge and/or skills that improved my ability to perform my essential work
duties
I gained some knowledge and/or skills that improved my ability to perform my occasional work
duties
My work responsibilities changed somewhat and now involve more disaster-related work
My work responsibilities changed significantly and now involve more disaster-related work
I received a promotion / salary increase
I started a new job in the field of disaster preparedness / response
Other (Please explain)

9. How did completing the DIS coursework affect your work? Please describe.
10. How did completing the DIS coursework affect your career opportunities? Please describe.

11. Please provide up to three specific examples of how you used or applied the knowledge gained
through the DIS coursework in disaster planning and response, emergency management and decision
making, interagency coordination, community engagement, or similar.
12. Is there anything you would like to add?

We appreciate you taking the time to share your thoughts about the program with us. If you have any
questions regarding this survey, please contact Dr. Alla Keselman at NLM at [email protected].