NASA Intern Survey Text
Internship Outcome Assessments for NASA STEM Gateway
NASA Intern Survey Text
OMB: 2700-0184
As a participant in NASA Internships, you have been selected to take part in a brief questionnaire to test a future survey for clarity and comprehensibility of the questions therein. Your responses to this survey are completely confidential and will not be stored with any identifying information. Thank you for your cooperation! If you wish to participate in this test survey, please continue to the next page.
Privacy Act Notification:
The information you provide via this form is protected from unauthorized disclosure in accordance with the Privacy Act of 1974. It will be used by NASA for the specific purpose of managing registrants, selecting applicants, implementing and evaluating STEM engagement investments. Collection of the information is authorized by the National Aeronautics and Space Act of 1958 § 403(a)(b), 42 U.S.C. § 2473 (c)(1). Provision of the requested information is strictly voluntary; however, failure to provide the information may result in NASA's inability to provide you with the information or STEM services you desire. NASA may disclose information to NASA administrators and managers, Office of Management and Budget officials, and members of Congress for the purposes of accountability and tracking of program and project efficiency and effectiveness. Elaboration and conditions of information disclosure may be found under “Routine Uses” of the full System of Records Notice at https://www.govinfo.gov/content/pkg/PAI-2013-NASA/xml/PAI-2013-NASA.xml#10euda and in Appendix B at https://www.govinfo.gov/content/pkg/PAI-2013-NASA/xml/PAI-2013-NASA.xml#appb.
Paperwork Reduction Act Statement:
This information collection meets the requirements of 44 U.S.C. §3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is XXXX-XXXX and expires XX/XX/XXXX.
Which site did you participate? (Select One) w 0
Ames
Research Center
Armstrong
Flight Research
Center
Glenn Research
Center
Goddard Space Flight
Center
Independent
Verification and
Validation (IV&V)
Facility
Jet Propulsion
Laboratory
Johnson
Space Center
Kennedy Space
Center
Langley Research
Center
Michoud
Assembly Facility
(MAF)
Marshall Space Flight
Center
NASA
Headquarters
NASA
Shared Services
Center (NSSC)
Stennis Space
Center
Wallops
Flight Facility
(WFF)
White Sands
Complex (WSC)
White Sands Test
Facility (WSTF)
Was your internship experience in-person or virtual? w 0
In-person
Virtual
Hybrid
(contained both
in-person and
virtual elements)
What is your gender? (Select One) w 0
Female
Male
Do not wish to
provide
What is your ethnicity? (Select One) w 0
Hispanic or
Latino
Not
Hispanic or
Latino Do not
wish to
provide
What is your race? (Select as many as apply). w 0
American
Indian or
Alaskan Native
Asian
Black or African
American
Native
Hawaiian or
Other Pacific
Islander
White
Do not wish to
provide
Do you have a disability? w 0
Yes
No
Do not wish to
provide
Is English your first/native language? (Select One) w 0
Yes
No
Choose not to
Report
Has at least one of your parents/guardians graduated from college? (Select One) w 0
Yes
No
Do not wish to provide
What is your current grade level in school? (Select One) w 0
High
School Freshman
High School
Sophomore
High School Junior
High
School Senior
College Freshman
College Sophomore
College Junior
College
Senior
Graduate Program
Do not wish
to provide
Other (please
specify)
Have you ever received or are you eligible for a Pell Grant (needs based) at your university? (Select One)
w 0
Yes
No
Do not wish to
provide
Not
applicable (I am not a college student)
When in high school, are/were you able to receive free lunch?(Select One) w 0
Yes
No
Do not wish
to provide
Other (please
specify)
Where is/was your high school located? (Select One) w 0
Urban Rural
Suburban
Do
not wish to provide
How often did you do each of the following in STEM classes at school over the past year? Select one per row. w 0
Not
at all At
least
once Monthly Weekly Every
day
Work with a STEM
researcher
on a
project 
of your own
choosing
Present my STEM research to a panel of judges from a relevant industry
Use
laboratory procedures and tools
Analyze data or
information
and draw 
conclusions
Build or make a computer model
How often did you do each of the following in your NASA internship program this year? Select one per row.
w 0
Not
at all At
least
once Weekly Monthly Every
day
Work with a STEM
researcher
on a
project
of your own
choosing
Present my STEM research to a panel of judges from a relevant industry
Use
laboratory procedures and tools
Analyze data or
information
and draw
conclusions
Build or make a computer model
How much did each of the following resources help you learn about NASA internship programs? Select one per row. w 0
Did
not experience Not
at all A
little Somewhat Very
much
NASA Internships on
Facebook,
Twitter,
or 
other social
media
Internship mentor 
Participation
in the internship program
How much did each of the following resources help you learn about STEM careers at NASA? Select one per row. w 0
Did
not experience Not
at all A
little Somewhat Very
much
NASA Internships on
Facebook,
Twitter,
or 
other social
media
Internship mentor 
Participation
in the internship program
How SATISFIED were you with the following internship program features? Select one per row. w 0
Did
not experience Not
at all A
little Somewhat Very
much
Other administrative tasks
Physical
location of your internship activities
Teaching or mentoring provided during internship program activities
Lunch
& Learn sessions
How much input did you have in selecting your internship research project? Select one. w 0
I was assigned a project
by my mentor.
I worked with my mentor
to design a project.
I had a choice among
various projects suggested by my
mentor.
I
worked with
my mentor
and members
of a
research team
to design
a project.
How often was your mentor available to you during the internship program? Select one. w 0
Less than half the
time.
About
half the
time of
my project.
More than half of the
time.
Always available.
To what extent did you work as part of a group or team during the internship program? Select one. w 0
I worked alone (or along
with my mentor).
I
worked with
others in
a shared
laboratory or
other space,
but we
worked on
different projects.
I worked
alone on
my project
and I
met with
others regularly
for general
reporting or
discussion.
I worked
alone on
a project
that was
closely connected
with projects
of others
in my
group.
I worked with a group
who all worked on the same
project.
How SATISFIED were you with each of the following? Select one per row. w 0
Did
not experience Not
at all A
little Somewhat Very
much
My working relationship with my group
The
amount of time I spent with my mentor
The list bellow includes effective teaching and mentoring strategies. From the list, please indicate which strategies your mentor(s) used when working with you in the internship program: w 0
Yes
– my
mentor used
this strategy
with me No
– my
mentor did
not use
this strategy
with me
Helped me understand
how
I can use STEM
to 
improve my
community
Gave me extra support when I needed it
Allowed
me to work on a team project or activity
Gave me feedback to
help
me improve
in 
STEM
Recommended other NASA or industry programs that match my interests
Which of the following statements apply to your research experience in the internship? Select all that apply. w 0
I
presented a talk or poster to other students or faculty.
I
presented a
talk or
poster at
a professional
symposium or
conference. I attended a symposium or
conference.
I
wrote or
co-wrote a
paper that
was/will be
published in
a research
journal. I wrote or co-wrote a technical paper or
patent.
I will present a talk or poster to other students or faculty.
I
will present
a talk
or poster
at a
professional symposium
or conference. I
will attend a symposium or
conference.
I
will write
or co-write
a paper
that was/will
be published
in a
research journal.
I will write or co-write a technical paper or
patent.
Rate your level of agreement about your gains in the following STEM knowledge areas as a result of your participation in the internship. w 0
Strongly disagree Disagree
Neither agree or
disagree Agree Strongly agree
Knowledge
of research processes, ethics, and rules for conduct in STEM
Knowledge of what
everyday research
work 
is like in
STEM
Which category best describes the focus of your internship activities? Select one. w 0
Science
Technology
Engineering
Mathematics Other
(please specify)
Rate your level of agreement with if you experienced gains in these abilities areas as a result of your participation in the internship. w 0
Strongly disagree Disagree
Neither agree or
disagree Agree Strongly agree
Using my knowledge
and
creativity to
suggest 
a solution to a
problem
Identifying the limitations
of
the methods
and tools 
used for collecting
data
Supporting an
explanation
with STEM 
knowledge
Presenting an argument that uses data and/or
findings
from an 
experiment or investigation
Rate your level of agreement with if you experienced gains in these skills/abilities as a result of your participation in the internship. w 0
Strongly disagree Disagree
Neither disagree or
agree Agree Strongly agree
Using
my creative
ideas to make a product
Evaluating others'
evidence,
arguments, 
and beliefs
Communicating clearly
(written
and oral)
with 
others
Accessing and evaluating information
efficiently
(time) and
critically
(evaluates sources)
Creating media products
like
videos, blogs,
social 
media
Adapting to change
when things
do not
go as 
planned
Rate your level of agreement with if you experienced gains in these areas as a result of your participation in the internship. w 0
Strongly disagree Disagree
Neither agree or
disagree Agree Strongly agree
Deciding
on a path to pursue a STEM career
Feeling prepared for
more
challenging STEM 
activities
Desire to build relationships with mentors who work in STEM
As a result of your internship experience, are you MORE or LESS likely to engage in the following activities in STEM outside of school requirements or activities? w 0
About the same
Much
less likely Less
likely before and
after More likely Much
more likely
Tinker (play) with a
mechanical
or electrical 
device
Mentor or teach other students about STEM
Participate in a STEM
camp,
club, or 
competition
Prior to participating in your internship, how far do you want to go in school? Select one. w 0
Finish
college (get
a bachelor’s
degree)
Get a master’s
degree
Get a
Ph.D.
Get
another professional
degree (law,
business, etc.)
Other (please
specify)
After you have participated in your internship, how far do you want to go in school? Select one. w 0
Finish
college (get
a bachelor’s
degree)
Get more education after
college
Get a
master’s degree
Get a Ph.D.
Get
a medical-related
(M.D.), veterinary
degree (D.V.M.),
or dental
degree (D.D.S.)
Get a combined
M.D./Ph.D.
Get another professional
degree (law, business,
etc.)
How interested are you in participating in future NASA programs? Select one. w 0
Not
at all
A little
Somewhat
Very
much
How many jobs/careers in STEM did you learn about in your internship program? Select one. w 0
None
1
2
3
4
5
or more
How many NASA STEM jobs/careers did you learn about in your internship program? Select one. w 0
None
1
2
3
4
5
or more
Rate your level of agreement with with the following statements as a result of your participation in the internship. w 0
Strongly disagree Disagree
Neither agree or
disagree Agree Strongly agree
I
am more interested in participating in STEM activities outside of
college requirements
I am more interested in
participating
in other
internships
I am more interested in
pursuing
a career
in 
STEM
I have a greater appreciation of NASA
What are the three most important ways that the internship program has helped you? w 0
1.
2.
3.
What are three ways that the internship program should be improved for future participants? w 0
1.
2.
3.
-
Please tell us about your overall satisfaction with your internship experience. w 0
-
How many minutes did it take you to read the instructions and answer the questions? w 0
Please indicate the level to which you agree or disagree with each statement. w 0
Neither agree or
Strongly
disagree Disagree disagree Agree Strongly
agree
The questions were easy to understand.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | View Survey |
| File Modified | 0000-00-00 |
| File Created | 2021-05-10 |
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