Individual Survey (Revised)

Evaluation and Monitoring for the National Science Foundation (NSF) Convergence Accelerator (CA) Program

Individual Survey (Revised)

OMB: 3145-0276

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NSF's	Convergence	Accelerator	Individual	Entrance	Survey	(Revised)
Background
Welcome	to	the	Convergence	Accelerator!
Participation	in	this	survey	helps	the	Convergence	Accelerator	adapt	to	your	team's	needs	and	evaluate	our	
progress	as	a	program.	This	will	help	us	improve,	and	in	turn	help	every	team	we	serve.	Your	participation	and	
responses	will	not	be	attributed	to	you	without	prior	consent,	and	will	not	influence	any	current	or	future	funding	
award	decisions	made	by	NSF.	Your	participation	is	also	entirely	voluntary.	We	are	still	very	grateful	for	your	help.
You	can	skip	a	question	if	you	don't	know	the	answer,	but	please	try	to	answer	everything	you	can!
Thank	you!	We	value	your	time	and	appreciate	your	participation!!
OMB	Control	No.	3145-XXXX

1.	What	is	your	name?

2. What	is	your	team	number?	Ex:	A123,	X456	...

3. What	type	of	organization	is	your	primary	employer?
Research	university
Teaching	university
Non-profit
Industry
Government
Other	(please	specify)

4. Briefly,	what	are	your	fields	of	expertise?

5.	What	are	your	current	primary	roles	on	your	team?	Select	all	that	apply.	
Leadership
Technical
Research
Outreach/Partnerships
Support
Sales
Project	Manager
Other

6.	Approximately	how	many	hours	a	week	do	you	intend	to	spend	on	the	Convergence
Accelerator	project?	Please	enter	a	number,	not	words.	

NSF's	Convergence	Accelerator	Individual	Entrance	Survey	(Revised)
Team	Goals
7.	During	the	next	year,	what	specific	goals	do	you	have	for	working	effectively	with	your
team?	

8.	What	are	some	ways	you	hope	the	Convergence	Accelerator	will	support	you	in	your	goals
for	working	effectively	with	your	team?	Please	provide	all	the	details	you	think	would	be
helpful	for	us	to	support	you.	

9.	How	comfortable	are	you	sharing	your	opinions	with	your	team?	
Extremely	comfortable
Somewhat	comfortable
Neither	comfortable	nor	uncomfortable
Somewhat	uncomfortable
Extremely	uncomfortable

NSF's	Convergence	Accelerator	Individual	Entrance	Survey	(Revised)
Project	Goals
10.	During	the	next	year,	what	specific	goals	do	you	have	for	the	development	of	your	product
/	solution?	

11.	What	are	some	specific	ways	you	hope	the	Convergence	Accelerator	will	support	you	in
those	goals	for	your	product	/	solution?	Please	provide	all	the	details	you	think	would	be
helpful	for	us	to	support	you.	

12.	In	a	sentence	or	two,	what	is	your	current	very	long-term	goal	for	the	project	—	your	full
vision	of	the	path	you’re	starting	now?	We're	completely	aware	it	might	change	dramatically,
but	are	still	interested	to	know	your	current	thoughts.	

13.	Teams	meet	with	Convergence	Accelerator	coaches	regularly	to	check	in	on	progress,	and
get	support	where	it’s	most	needed.	Coaches	often	have	expertise	in	fields	like	startups,
entrepreneurship,	and	venture	capital,	but	are	here	to	support	you	broadly.	Is	there	anything
in	particular	you	would	like	to	get	out	of	the	coaching	relationship?	

NSF's	Convergence	Accelerator	Individual	Entrance	Survey	(Revised)
Organizational	Sustainability
14.	Which	of	these	options	BEST	describes	your	current	team?	Or,	if	it	has	not	chosen	a	legal
structure	yet,	which	one	do	you	most	EXPECT	it	to	become?		
For-profit	company
Non-profit	organization
Open	source	project
Don’t	know	yet
Other

15.	During	the	next	year,	what	specific	goals	do	you	have	for	supporting	the	long-term
sustainability	of	your	organization?	

16.	What	are	some	ways	you	hope	the	Convergence	Accelerator	will	support	you	in	your	goals
for	the	long-term	sustainability	of	your	organization?	Please	provide	all	the	details	you	think
would	be	helpful	for	us	to	support	you.	

NSF's	Convergence	Accelerator	Individual	Entrance	Survey	(Revised)
Testing	and	Exploration
17.	Do	you	have	any	specific	goals	for	user	testing	during	Phase	1	(approximately	the	next
year)?	

18.	What	are	some	ways	you	hope	the	Convergence	Accelerator	will	support	you	in	your	goals
for	user	testing?	Please	provide	all	the	details	you	think	would	be	helpful	for	us	to	support
you.	

19.	Currently,	and	overall,	what	proportion	of	your	time	is	spent	on	exploring	what	you
should	do	(such	as	basic	research,	market	research,	experimental	prototyping,	etc),	and	what
proportion	is	spent	on	implementing	things	you’ve	decided	are	good	ideas	(such	as	building
the	solution,	adding	features,	or	installing	systems	for	users)?	Choose	the	response	that	fits
best.	
100%	exploration,	0%	implementation
75%	exploration,	25%	implementation
50%	exploration,	50%	implementation
25%	exploration,	75%	implementation
0%	exploration,	100%	implementation

NSF's	Convergence	Accelerator	Individual	Entrance	Survey	(Revised)
Impact
20.	On	average,	how	much	do	you	think	your	solution	will	change	the	lives	of	those	affected
by	it?	
An	enormous	change	to	their	quality	of	life
A	large	change	to	their	quality	of	life
A	moderate	change	to	their	quality	of	life
A	small	change	to	their	quality	of	life
I	have	no	idea

21.	Please	briefly	describe	the	ways	in	which	you	believe	your	solution	will	affect	their	lives
positively,	and	why	that's	important.	

22.	How	helpful	would	it	be	to	have	training	in	the	Phase	1	innovation	curriculum	to	help	you
evaluate	the	impact	of	your	project?	
Extremely	helpful
Somewhat	helpful
Slightly	helpful
Not	at	all	helpful

NSF's	Convergence	Accelerator	Individual	Entrance	Survey	(Revised)
Ecosystem
23.	Are	you	one	of	the	first	people	in	your	department	or	division	to	found	an	organization
that	delivers	a	product	or	solution?	In	other	words,	this	does	not	include	organizations	that
might	only	host	speaker	series,	for	example.	
Yes
No
I	don’t	know

NSF's	Convergence	Accelerator	Individual	Entrance	Survey	(Revised)
Curriculum
24.	The	Convergence	Accelerator's	Phase	1	curriculum	on	Team	Science	focuses	on	topics
like	team	structure,	social	psychology,	and	collaboration.	How	familiar	are	you	with	these
topics?	
Extremely	familiar	(Ex:	I	could	teach,	or	have	a	taught,	a	course	on	this	topic)
Very	familiar	(Ex:	I	have	worked	with	this	topic	substantially)
Somewhat	familiar	(Ex:	I	have	taken	a	class,	or	training,	on	this	topic)
Slightly	familiar	(Ex:	I	have	a	little,	possibly	self-taught,	familiarity	with	this	topic)
Not	at	all	familiar	(Ex:	I	have	never	had	any	exposure	to	this	topic)

25.	Is	there	anything	in	particular	you	would	be	interested	in	exploring	in	depth,	within	the
topic	of	Team	Science?	

26.	The	Convergence	Accelerator's	Phase	1	curriculum	on	Human	Centered	Design	focuses
on	topics	like	user	research	and	low	fidelity	prototyping.	How	familiar	are	you	with	these
topics?	
Extremely	familiar	(Ex:	I	could	teach,	or	have	a	taught,	a	course	on	this	topic)
Very	familiar	(Ex:	I	have	worked	with	this	topic	substantially)
Somewhat	familiar	(Ex:	I	have	taken	a	class,	or	training,	on	this	topic)
Slightly	familiar	(Ex:	I	have	a	little,	possibly	self-taught,	familiarity	with	this	topic)
Not	at	all	familiar	(Ex:	I	have	never	had	any	exposure	to	this	topic)

27.	Is	there	anything	in	particular	you	would	be	interested	in	exploring	in	depth,	within	the
topic	of	Human	Centered	Design?	

28.	The	Convergence	Accelerator's	Phase	1	curriculum	on	Communications,	Story	Telling,
and	Pitching	focuses	on	topics	like	how	to	effectively	communicate	and	connect	with
stakeholders	about	your	project.	How	familiar	are	you	with	these	topics?	
Extremely	familiar	(Ex:	I	could	teach,	or	have	a	taught,	a	course	on	this	topic)
Very	familiar	(Ex:	I	have	worked	with	this	topic	substantially)
Somewhat	familiar	(Ex:	I	have	taken	a	class,	or	training,	on	this	topic)
Slightly	familiar	(Ex:	I	have	a	little,	possibly	self-taught,	familiarity	with	this	topic)
Not	at	all	familiar	(Ex:	I	have	never	had	any	exposure	to	this	topic)

29.	Is	there	anything	in	particular	you	would	be	interested	in	exploring	in	detail,	within	the
topic	of	Communications,	Pitching,	and	Story	Telling?	

30.	Do	you	have	any	additional	questions,	concerns,	or	comments	at	this	stage?	

31.	Would	you	be	willing	to	have	a	more	in-depth	discussion	to	talk	about	your	answers	to	this
survey?	
Yes
No

That's	the	end	of	the	survey	--	thank	you	so	much	for	your	time	and	contribution!	


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