Form 1 Survey

Welcome to the Sexual and Gender Minority Health Research Summer
Intensive Series!
OMB#: 0925-0648 Exp., date: 06/30/2024

Public reporting burden for this collection of information is estimated to average 5-minutes per
submission. 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.
We look forward to your participation in the Sexual and Gender Minority (SGM) Health Research
Summer Intensive Series (SIS)! To gauge current knowledge about SGM health research, please
complete the following questions before the start of the SIS.
There are only 3 questions. All questions are optional. You may exit the survey at any time.

For the following questions, please note that SGM = Sexual and Gender Minority.

SGM populations include, but are not limited to, individuals who identify as lesbian, gay, bisexual, asexual,
transgender, Two-Spirit, queer, and/or intersex. Individuals with same-sex or -gender attractions or behaviors and
those with a difference in sex development are also included. These populations also encompass those who do not
self-identify with one of these terms but whose sexual orientation, gender identity or expression, or reproductive
development is characterized by non-binary constructs of sexual orientation, gender, and/or sex.

1. What is your current institution?
NIH Bethesda
NIH off-site
University
Non-Profit
Other (please specify)

2. What is your current role at your institution?
Summer Intern
Postbac
Pre-doc
Early Investigator
Established Investigator
Other (please specify)

3. Please rate your confidence and knowledge about SGM health research on a Likert scale of
1-5, with 1 being Strongly disagree to 5 being Strongly agree.
Strongly
Disagree

SGM populations
face health
disparities.
SGM health research
is part of regular
health research; no
special
considerations are
needed.
I feel competent in
my abilities to work
in an environment
focusing on SGM
health.
SGM patients do not
have any specific
health research
needs.
I feel am not able to
find SGM health
resources.
I do not understand
the challenges of
collecting sexual
orientation and
gender identify data
in healthcare
settings.
I know about the
NIH programs aimed
at advancing SGM
health.
I feel confident in my
ability to follow a
career path in SGM
health research if I
choose.

Disagree

Neutral

Agree

Strongly Agree