Form 1 screenshot NCCIH Diversity Supplement Scholar

OMB#0925-0648

Expiration Date: 06/30/2024

NCCIH Diversity Supplement Feedback Survey

Thank you for being a previous Diversity Supplement Scholar!

NCCIH has a strong commitment to support the development of a diverse and well-trained research workforce through diversity supplements. We have developed a survey to help identify strengths/weaknesses of the program and help improve the program for future scholars. As a previous Diversity Supplement Scholar, we ask you to please complete the survey. We anticipate that the survey will take approximately 10 minutes to complete. Thank you for your feedback!

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 (0925-0648). Do not return the completed form to this address. 

* Required

Experience During the Diversity Supplement

How helpful was the experience? 

	Extremely Helpful	Very Helpful	Somewhat Helpful	Slightly Helpful	Not at all Helpful
Research
Education
Career

Were there additional aspects of the experience that were helpful?

Your answer

Was the experience at the right time of your career/education?

• Yes

• No

• Earlier would have been better

• Later would have been better

Other:

What would have enhanced your experience? (Select all that apply)

• More time for the diversity supplement

• A project that was a better fit

• A mentor that had more commitment to your research career development and independence

• Institution that supported the experience more

• Better quality and appropriateness of your mentoring and career development plans

• More networking opportunities

• No improvement recommended

Other:

Overall did the experience meet your expectations?*

• Yes

• No

Most Valuable Outcome

What was the most valuable outcome or skill gained from the diversity supplement?

Your answer

After Your Diversity Supplement 

Have you applied for any NIH grants after your diversity supplement ended?*

• Yes

• No

Current Position

What is your current position? (Please check all that apply)

• Undergraduate Student

• Graduate Student

• Post-Doc

• Faculty Position

• Research Scientist

• Clinical Practitioner

• Industry Position

Other:

Are you currently at a University?*

• Yes

• No

Current Position Continued

Are you currently in Clinical Practice?

• Yes. I am a Acupuncturist.

• Yes. I am a Massage Therapist.

• Yes. I am a Music Therapist.

• Yes. I am a Chiropractic Doctor.

• Yes. I am a Naturopathic or Osteopathic physician.

• No. I am not currently in clinical practice.

Other:

Are you currently doing research?

• Yes. I am doing research in Natural Products (e.g., Botanicals, Diets/Food, Pre/Probiotic, Microbiome, Isolate, Cannabinoids, etc.)

• Yes. I am doing research in Mind-Body Medicine (e.g., Meditation, Acupuncture, Manipulation/Body Based, Yoga, Energy Therapies, Tai Chi/Qigong, etc.)

• Yes. I am doing research in Other Research (not complementary and integrative health research)

• No. I am not currently doing research.

Other:

Approximately how many published articles have you authored since your diversity supplement?

• No publications

• 1-5 publications

• 6-10 publications

• 11-15 publications

• 16-20 publications

• 21-25 publications

• 26-30 publications

Career Level Question 

What was your career stage during your diversity award?*

• Undergraduate

• Post Associates

• Postbaccalaureate

• Graduate Student

• Pre-doctoral

• Medical Student

• PhD Student

• Post-doctoral Fellow

• Investigator

Other:

Follow-up for Undergraduate student/post-associate/post-bac/other

How much did this experience influence you to pursue a career in the biomedical, behavioral, clinical and social sciences? 

1 2 3 4 5

Not at all Influential Extremely Influential