Form 2 STEP-UP Student Feedback Form

STEP-UP Follow-up

OMB # 0925-0748 Expiration
Date: 2/2023
STEP-UP Feedback Form
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Congratulations on your participation in the STEP-UP Program!
Now that the STEP-UP Scientific Research Symposium is over, we would love to gather feedback from you on the quality of the
scientific research symposium and your overall level of satisfaction with the program. Your response to the survey is completely
confidential and voluntary. In the event of any presentation resulting from the survey, no personally identifiable information will be
shared. If you are interested in providing additional feedback regarding your experience, please contact us at [email protected].

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STEP-UP Follow-up

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* 1. Please rate the quality of the components of the Scientific Research Symposium.
Poor

Fair

Good

Very Good

Excellent

Not Applicable

Overall
Oral Presentations
Poster Presentations
Sunday Evening Welcoming and
Networking Events
Food Options
Your STEP-UP
Experience
Career Round Table Medical School
Applications
Career Round Table Science Education
PhD Student Graduate
School
Career Development
Session - Interviewing
for Medical School and
Graduate School
Career Development
Session - Finding the
Right Mentors
Career Development
Session - Financing
Graduate Education
Career Development
Session - Post-Bac
opportunities at NIH
Feedback from Judges
Other (please specify)

* 2. What could we do to improve future Scientific Research Symposiums?

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* 3. What other topic(s) would you like to learn about or discuss at the Scientific Research Symposium that were
not covered?

* 4. What part of Scientific Research Symposium should be removed in future years?

* 5. What coordinating center were you part of?

* 6. Overall how satisfied are you with aspects of the STEP-UP Program?
Very Dissatisfied

Dissatisfied

Satisfied

Very Satisfied

Not Applicable

Overall
The application process
The Mentor-Mentee
matching process
Your interaction with
your research mentor
The interaction with
other staff in your
research lab
Research topic
Your level of
communication with your
coordinating center
The instruction and
guidance given to you to
successfully complete
the program
requirements

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* 7. Please provide suggestions to improve communication with your coordinating center.

* 8. Please provide suggestion to improve the program.

* 9. After completing the STEP-UP Program how likely are you to pursue the following:
Extreme Unlikely

Unlikely

Undecided

Likely

Extremely Likely

Apply to the next years
STEP-UP Program
Consider pursuing a
career in biomedical
research
Apply to Graduate
School in a Science,
Technology, Engineering
or Math related discipline
Apply to Professional
School (Medical,
Dentistry, or
Veterinarian)
Encourage friends to
apply in the STEP-UP
Program
Participate in research in
the future

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* 10. Help us to make STEP-UP better. Please provide any additional comments or recommendations.

* 11. Help us with outreach, what would you tell a friend about your STEP-UP experience?

* 12. Please describe what your academic status will be in the Fall. (Select one)
Sophomore
Junior
Senior

* 13. How many times have you participated in the STEP-UP program? (Select one)
Once
Twice
Three
Four

* 14. How would you describe your gender? (Select one)
Male
Female
Prefer not to answer

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* 15. Please describe your race. (Allow for user to select more than one)
African American/Black
American Indian/Alaska Native
Asian
Native Hawaiian/Pacific Islander
White
Prefer Not to Answer

* 16. Are you Hispanic or Latino?
Yes
No
Prefer Not to Answer

17. Have you been diagnosed with a disability that substantially limits one or more major life activities?
Yes
No
Prefer Not to Answer

18. Do you think the STEP-UP Symposium should be held at NIH in future years? Please provide a reason.

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STEP-UP Follow-up

Thank you! Your input will help to improve the future of the Short-Term Research Experience for
Underrepresented Persons (STEP-UP) program.
If you have any further questions, please email us at [email protected], or visit our website at
https://stepup.niddk.nih.gov/.

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