Form 1 NEH Programming Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)

NLM NEH Programming Survey_Instrument

2013-2018 NLM/NEH Co-Sponsored Symposium/Seminar Long-Term Impact Survey (NLM)

OMB: 0925-0648

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OMB Control Number: 0925-0648 
Expiration Date: 06/30/2024 
 
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address.

Give Your Feedback - National Library of Medicine Co-Sponsored Events
Long-Term Impact Study
Thank you for your willingness to provide feedback about your experience
participating in a National Library of Medicine (NLM) co-sponsored symposium
or seminar. We are hoping to learn more about the long-term impact of these
programs on your professional development, to improve our future
programming.
 

You are eligible to participate in this survey if you participated in any one of the
five NLM events listed on the next page, which occurred between 2013 and
2018. Your participation is voluntary, and does not impact your future ability to
participate in NLM co-sponsored events. You may leave the survey at any time.
The survey should take no more than 5 minutes to complete.
 
Your responses to this survey are anonymous and no personally identifiable
information (PII) will be collected (unless you enter PII into open-ended
response questions). All data and results that are reported or shared will be
anonymous and cannot be connected to you. 
 
If you have any questions about this survey, please contact Dr. Jeffrey S.
Reznick ([email protected]).
Question Block 1
What is your primary job classification? (Please choose the best answer)
Primary Education Teacher (K-5)
Secondary Education Teacher (6-12)
Post-secondary/Higher Education Teacher
Librarian
Administrator
Researcher
Other (please specify)

Which of the following events did you participate in? (If you participated in
multiple events, please select a single event from this list and limit your
responses on this survey to your experiences with that event)
Shared Horizons: Data, Biomedicine, and the Digital Humanities (2013)

NEH Summer K-12 Teachers' Seminar on the Spanish Influenza of 1918 (2015)
Images and Texts in Medical History: An Introduction to Methods, Tools, and Data
from the Digital Humanities (2016)
Flu! The 1918 Spanish Influenza in American and World History (2018)
Viral Networks: A Workshop in the Digital Humanities and Medical History (2018)

To what extent do you agree with the following statements about the event you
participated in:
Strongly
   Disagree

 
Participation in this
event had a lasting
impact on my
  
professional
development

Somewhat
disagree

Neither
agree nor
disagree

Somewhat
agree

Strongly
agree

The impact of my
participation in this
event on my
  
professional
development was
positive
I have used skills or
knowledge learned
during this event in   
my professional
setting

Please describe the impact that this event had on your professional
development

On a scale from 0-10, how likely are you to recommend programming like this
event to a colleague?

Not at all likely
0

1

Extremely likely
2

3

4

5

6

7

8

9

10


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