BT22 End of Meeting Participant Reflections Form Text

End of Meeting Participant Reflections Form

As a participant in Better Together 2022, you have been selected to take part in a brief questionnaire about your experiences at the meeting. If you wish to participate in this survey, please continue to the next page. Thank you for your cooperation!

Privacy Act Notification:
The information you provide via this form is protected from unauthorized disclosure in accordance with the Privacy Act of 1974.  It will be used by NASA for the specific purpose of managing registrants, selecting applicants, implementing and evaluating STEM engagement investments. Collection of the information is authorized by the National Aeronautics and Space Act of 1958 § 403(a)(b), 42 U.S.C. § 2473 (c)(1).  Provision of the requested information is strictly voluntary; however, failure to provide the information may result in NASA's inability to provide you with the information or STEM services you desire.  NASA may disclose information to NASA administrators and managers, Office of Management and Budget officials, and members of Congress for the purposes of accountability and tracking of program and project efficiency and effectiveness.  Elaboration and conditions of information disclosure may be found under “Routine Uses” of the full System of Records Notice at https://www.govinfo.gov/content/pkg/PAI-2013-NASA/xml/PAI-2013-NASA.xml#10euda and in Appendix B at https://www.govinfo.gov/content/pkg/PAI-2013-NASA/xml/PAI-2013-NASA.xml#appb.

Paperwork Reduction Act Statement:
This information collection meets the requirements of 44 U.S.C. §3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a   valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 2700-0153 and expires 07/31/2024.

1. Please select the category that best describes you:

   1. NASA grantee or stakeholder

   2. NASA civil servant or contract staff (OSTEM)

   3. NASA civil servant or contract staff (not OSTEM)

2. Please select the OSTEM project(s) that you work with:

   1. MUREP

   2. Space Grant

   3. EPSCoR

   4. NextGen STEM

   5. Internships

   6. Other (specify)

3. Please rate the extent to which the Better Together 2022 meeting met your expectations:

   1. Exceeded my expectations

   2. Met my expectations

   3. Did not meet my expectations

4. Please rate your agreement with the following statements on a scale of 1 (strongly disagree) to 5 (strongly agree). As a result of my participation in this meeting,

   1. I feel connected to NASA’s Office of STEM Engagement activities.

   2. I feel connected to NASA’s Mission Directorates STEM Engagement efforts.

   3. I feel connected to NASA’s mission, goals, and objectives.

5. Please rate your agreement with the following statements on a scale of 1 (strongly disagree) to 5 (strongly agree).

   1. I connected with someone new at this meeting.

   2. I had the right amount of time to network.

   3. I had the right amount of time to collaborate with people.

   4. This meeting was a good use of my time and resources.

6. What worked well during the meeting? (open-ended) 

7. How can NASA improve future meetings? (open-ended) 

8. Please list up to three actions that you will take as a result of participation in this meeting (3 text boxes):