Form 1 Survey

Feedback on the Technology and
Resource Dissemination Panel
OMB#: 0925-0648  Expiration date: 06/2024
Public reporting burden for this collection of information is estimated to average 5 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 208927974, ATTN: PRA (0925-0648). Do not return the completed form to this address.
All questions in this survey are optional and participants may exit the survey at any time.

1. How would you rate the session?


2. How likely would you be to attend such a session again? (1= would not attend again,
5= very likely)
1

2

3

4

5

3. What topics in dissemination were not covered enough (e.g. sustainability, user
feedback/engagement, outreach, workshops)?

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4. What topics in dissemination were covered too much (e.g. sustainability, user
feedback/engagement, outreach, workshops)?

5. How would you like to engage with other disseminators going forward? Click all that
apply.
Virtual interactions
In person events
Shorter, more frequent (e.g. at least twice a year) interactions
Annual full/half day in person event (e.g. associated with BRAIN meeting)

Other

6. Please provide any feedback regarding other aspects of the BRAIN Initiative meeting
and engaging with users (e.g. the U24 booth).

7. Provide any other feedback you wish NIH to know.

5/18/2023

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5/18/2023