Form 1 Survey

TRAINEE ONBOARDING SURVEY
OMB Number: 0925-0299
Expiration Date: 31 March 2027
Burden Time: 10 minutes

Collection of this information is authorized by The Public Health Service Act, Section 410 (42 USC 285). Rights of participants are protected by The Privacy Act of 1974.
Participation is voluntary, and there are no penalties for not participating or withdrawing from the study at any time. The information collected in this study will be
kept private to the extent provided by law. Names and other identifiers will not appear in any report of the study. Information provided will be combined for all
participants and reported as summaries.
Public reporting burden for this collection of information is estimated to average 10-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 0925-0299. Do not return the completed form to this address.

Q1
NIH Office of Intramural and Education Onboarding Survey
Welcome to the National Institutes of Health (NIH)!
On behalf of the NIH Office of Training and Education (OITE), we are thrilled to extend a warm and enthusiastic welcome as you
embark on your journey as a trainee at one of the world's leading research institutions. At NIH/OITE, we believe that every individual
brings a unique set of experiences and talents, and we are committed to ensuring that your time here is both enriching and
supportive. To help us achieve this goal and tailor our resources to meet your needs, we kindly request that you take a few moments
to complete our Onboarding Survey.
This survey is designed to gather essential information about you, your background, and your expectations. Rest assured that your
responses will be kept confidential, and you have the option to skip any question or select "prefer not to answer" if you are
uncomfortable providing certain details. We understand that your time is valuable, and we've designed the survey to be
straightforward and concise, taking less than 10 minutes to complete.
Once again, welcome to NIH! We look forward to getting to know you better and working together to make your time at NIH as
fulfilling as possible. If you have any questions, please reach out to us at [email protected]. We are here to support you throughout your
training.

Q2
Before we get started, we need to confirm:
Are you ?
(This is the legal name we have in the system, we will ask about your preferred name later)
o Yes
o No
Q3 Is your preferred name different than your legal name?
o Yes
o No
Q4 [if different preferred name] What is your preferred name?
________________________________________________________________

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Q5 What will your training level be at the NIH?
o Academic Intern
o Post-Baccalaureate
o Graduate Student: Master
o Graduate Student: Doctorate
o Graduate Student: Visiting Fellow
o Medical Student
o Dental Student
o Postdoctorate: IRTA/CRTA
o Postdoctorate: Clinical Fellow
o Postdoctorate: Research Fellow
o Postdoctorate: Visiting Fellow
Q6 What is your personal phone number?
(US number only in XXX-XXX-XXXX format. If you do not have a phone number yet put in 000-000-0000)
This information will only be house in OITE and will be used only in case of emergencies.
________________________________________________________________
Q7 Emergency contact:
Who should we contact in case of an emergency?
Emergency contact name:
________________________________________________________________

Q8 Emergency contact phone number (xxx-xxx-xxxx format):
________________________________________________________________
Q9 What is the highest level of education or degree you've completed?
o High school graduate (high school diploma or equivalent including GED)
o Some college but no degree
o Associate degree in college (2-year)
o Bachelor's degree (e.g, BA or BS, 4-year)
o Master's degree (e.g., MA, MS, MEd)
o Doctorate or Advanced Professional degree or equivalent (e.g., PhD, JD, MD, EdD, DDS)
o Other, please specify __________________________________________________
o Not Applicable (10)
o Prefer not to answer (11)
Q10 Graduation year of your last degree:
(Note: pulldown of years from 1950-2023)
▼ Click to write Choice 1 ... Click to write Choice 3

Q11 Your last degree granting institution name:
Do not use abbreviations - write out the entire name (e.g., National Institutes of Health NOT NIH)
________________________________________________________________

Q12 Your last degree granting institution city:
________________________________________________________________

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Q13 Your last degree granting institution state (if not in the US, select outside of US)
▼ Alabama ... School outside of United States

Q14 [If outside of the US] What country was your institution in?
(note: Pull down is list of all countries)
▼ Afghanistan ... Zimbabwe

Q15 [If postdoc] Is this your first Postdoc?
o Yes
o No
Q16 [If no, not first postdoc] How many postdoc positions have you completed before starting at NIH?
o 1
o 2
o 3
o More than 3
Q17 [If more than one postdoc] How many years prior to NIH have you been a postdoc?
o 1
o 2
o 3
o 4
o 5
o More than 5
Q18 [If GPP] What is your host University or College? (Do not abbreviate - write out your full institution name)
________________________________________________________________

Q19 What is your gender (Check all that apply)?
▢ Male
▢ Female
▢ Transgender
▢ Non-binary
▢ Two-Spirit
▢ I don't know
▢ I use a different term: (please specify) __________________________________________________
▢ Prefer not to answer

Q40 What sex were you assigned at birth, on your original birth certificate?
o Female
o Male

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Q20 Which of the following best represents how you think of yourself?
o Straight, that is heterosexual (not gay or lesbian)
o Gay or Lesbian
o Bisexual
o Two spirit
o I am not sure yet
o Something else: (please specify) __________________________________________________
o Prefer not to answer
Q21 What is your preferred pronoun? Select all that apply
▢ He/Him/His
▢ She/Her/Hers
▢ They/Them/Theirs
▢ Other, please specify __________________________________________________
▢ Prefer not to answer

Q22 What is your marital status?
o Single
o Partnered
o Married
o Widowed
o Divorced
o Separated
o Prefer not to answer
Q23 Which category best describes you? (Check all that apply)
▢ American Indian or Alaska Native
For example: Navajo Nation, Blackfeet Tribe of the Blackfeet Indian Reservation of Montana, Native Village of Barrow
Inupiat Traditional Government, Nome Eskimo Community, Aztec, Maya, etc…
▢ Asian
For example: Chinese, Asian Indian, Filipino, Vietnamese, Korean, Japanese, etc…
▢ Black or African American
For example: African American, Jamaican, Hatian, Nigerian, Ethiopian, Somali, etc…
▢ Hispanic or Latino
For example: Mexican, Puerto Rican, Salvadoran, Cuban, Dominican, Guatemalan, etc…
▢ Middle Eastern or North African
For example: Lebanese, Iranian, Egyptian, Syrian, Iraqi, Israeli, etc…
▢ Native Hawaiian or Pacific Islander
For example: Native Hawaiian, Samoan, Chamorro, Tongan, Fijian, Marshallese, etc…
▢ White
For example: English, German, Irish, Italian, Polish, Scottish, etc…

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Q24 Do you have any disabilities?
o No
o Yes
o Prefer not to answer

Display This Question:
If Do you have any disabilities? = Yes
Q25 You have indicated that you have a disability. Can you please specify? (If you prefer not to answer, just put NA)
________________________________________________________________
Q26 Is English your first (or native) language?
o Yes
o No
o Prefer not to answer
Q27 Are/were you a first generation college student?
o Yes
o No
Q28 Do you have an ORCID ID? (will have a hover over of orchid ID)
o
o

Yes
No

Display This Question:
If Do you have an ORCID ID? (will have a hover over of orchid ID) = Yes
Q29 [If yes, ORCID ID] What is your ORCID ID?
________________________________________________________________

Q30 Do you have a LinkedIn Account?
o Yes
o No
Q31 [If yes, linkedin] What is your LinkedIn link?
________________________________________________________________

Q32 [If on Question #2, if they say the name is not them] What is your name?
________________________________________________________________

Q33 [If on Question #2, if they say the name is not them] Who is your NIH principal investigator (PI)?
________________________________________________________________

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