Form 1 6710B Change Readiness Survey

7/28/2020

Qualtrics Survey Software

OMB#: 0925-0648, exp. date: 05/31/2021

Introduction
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 20892-7974, ATTN: PRA#0925-0648. Do not
return the completed form to this address. 
Introduction
This survey asks a series of questions about your readiness
to move to 6710B 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
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valuable and will be used to evaluate the effectiveness of
our communication efforts, as well as help us understand
what types of additional information and/or training should
be provided before move-in.
Instructions
• Your responses are anonymous and secure.
• For each question, select the option that best represents
your view.
• The survey will take approximately 5 minutes to
complete.
• Try to answer each question as honestly and accurately
as possible.
• At any point, you may exit the survey and return at a
later time. Your answers will be saved.
Questions about this survey can be sent to Jodi Williams at
[email protected].

Demographic Information
Which of the statements below applies to you?
Federal employee (full time)
Federal employee (part time)
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Contractor/Consultant
Student/Intern

Are you in a supervisory position? 
Yes
No

How long have you worked at NIH (including in other ICOs
or as a contractor)?
Fewer than 3 years
3-5 years
6-10 years
11-15 years
16-25 years
26+ years

Information Sources and Activities
Please identify all of the information sources that you have
accessed, or the activities in which you have participated. 
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I attended an all-hands meeting where the move was discussed
I accessed the NIH on the Move website at
https://nihonthemove.nih.gov/activemoves/6710BRockledge/Pages/default.asp
I read information about the move in the AoU newsletter
I read a communication from the leadership of AoU
I spoke with or contacted a member of the project team
I read the Frequently Asked Questions on the NIH on the Move website
I submitted a question for an answer
I have not accessed any of the above, but heard about the move from my
coworkers
None of the above
Other (please specify)

Workplace Understanding
The following questions are provided to help us understand
your comfort level with moving to the new work
environment. Your responses will help us understand what
additional communications and/or training will be needed
prior to move-in. 

In general, I understand what the new work environment
will be like.
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Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree

In general, I am personally very comfortable with the
change to the new work environment.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree

The people in my work group are generally very
comfortable with the change to the new work environment.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree

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I possess the skills and knowledge necessary to transition
into the upcoming workplace change successfully. 
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree

I understand the overall business reasons for the change
to the new workplace.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree

I would like to receive more information about the move
via: (Please select all that apply.)
Direct communication from my supervisor or director
E-mail communications from my supervisor or director
IC-wide e-mail
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NIH on the Move website
Other (please specify)

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

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