1 Evaluation Form

Office of Minority Health Research Coordination (OMHRC) Research Training and Mentor Programs Applications (NIDDK)

(6) NMRI Evaluation form Day 1

OMB: 0925-0748

Document [pdf]
Download: pdf | pdf
Page 1

NMRI Annual Workshop Evaluation Day 1
OMB #: 0925-0748
Expiration Date: 08/2023

Public reporting burden for this collection of information is estimated to average 10 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 (0925-0748). Do not return the completed form to this address.

Please rate the NMRI Workshop agenda item "Introduction to Leadership".
1)

Overall

Poor
Fair
Good
Very Good
Excellent
N/A - did not attend

2)

Dr. Ricardo Azziz,
Professor, University of Alabama at Birmingham

Poor
Fair
Good
Very Good
Excellent
N/A - did not attend

3)

Dr. Patricia Heyn,
Director, Center for Optimal Aging, Marymount
University

Poor
Fair
Good
Very Good
Excellent
N/A - did not attend

4)

Dr. Absalon Gutierrez,
Associate Professor of Medicine, The University of
Texas Health Science Center at Houston

Poor
Fair
Good
Very Good
Excellent
N/A - did not attend

5)

Comments
__________________________________________

05/02/2023 2:52pm

projectredcap.org

Page 2

Please rate the NMRI Workshop agenda item "Why Leadership Development?".
6)

Overall

Poor
Fair
Good
Very Good
Excellent
N/A - did not attend

7)

Dr. Ricardo Azziz,
Professor, University of Alabama at Birmingham

Poor
Fair
Good
Very Good
Excellent
N/A - did not attend

8)

Comments
__________________________________________

Please rate the NMRI Workshop agenda item "Basic Elements of Leadership Development".
9)

Overall

10) Dr. Ricardo Azziz,
Professor, University of Alabama at Birmingham

Poor
Fair
Good
Very Good
Excellent
N/A - did not attend
Poor
Fair
Good
Very Good
Excellent
N/A - did not attend

11) Comments
__________________________________________

Please rate the NMRI Workshop agenda item "Leadership Development: The Power of
Mentoring".
12) Overall

Poor
Fair
Good
Very Good
Excellent
N/A - did not attend

13) Dr. Patricia Heyn,
Director, Center for Optimal Aging, Marymount
University

Poor
Fair
Good
Very Good
Excellent
N/A - did not attend

05/02/2023 2:52pm

projectredcap.org

Page 3

14) Comments
__________________________________________

Please rate the NMRI Workshop agenda item "Leading: A Conversation".
15) Overall

Poor
Fair
Good
Very Good
Excellent
N/A - did not attend

16) Dr. Otis Brawley
Bloomberg Distinguished Professor of Oncology and
Epidemiology, John Hopkins University

Poor
Fair
Good
Very Good
Excellent
N/A - did not attend

17) Comments
__________________________________________

Please rate the NMRI Workshop agenda item "NMRI Leadership Panel: A Conversation".
18) Overall

Poor
Fair
Good
Very Good
Excellent
N/A - did not attend

19) Dr. Carmen Sceppa,
Dean, Bouve College of Health Sciences, Northeastern
University

Poor
Fair
Good
Very Good
Excellent
N/A - did not attend

20) Dr. Keith Norris,
Professor of Medicine, University of California, Los
Angeles

Poor
Fair
Good
Very Good
Excellent
N/A - did not attend

21) Dr. Ricardo Azziz
Professor, University of Alabama at Birmingham

Poor
Fair
Good
Very Good
Excellent
N/A - did not attend

22) Dr. Ricardo Azziz

05/02/2023 2:52pm

projectredcap.org

Page 4

23) Comments
__________________________________________

Please rate the NMRI Workshop agenda item "The LEADER Program: An Outline and
Conversation".
24) Overall

Poor
Fair
Good
Very Good
Excellent
N/A - did not attend

25) Dr. Ricardo Azziz,
Professor, University of Alabama at Birmingham

Poor
Fair
Good
Very Good
Excellent
N/A - did not attend

26) Dr. Patricia Heyn,
Director, Center for Optimal Aging, Marymount
University

Poor
Fair
Good
Very Good
Excellent
N/A - did not attend

27) Comments
__________________________________________

Please rate the NMRI Workshop agenda item " Council on Undergraduate Research (CUR)"
28) Council on Undergraduate Research (CUR)
Dr. Bethany Usher, President, CUR

05/02/2023 2:52pm

Poor
Fair
Good
Very Good
Excellent
N/A - did not attend

projectredcap.org


File Typeapplication/pdf
File Modified2023-05-03
File Created2023-05-02

© 2024 OMB.report | Privacy Policy