Form 1 NLM ToxTutor User Survey Instrument

ToxTutor User Survey 2016·17
OMB Control Number: 09250648
Expiration Date: 03/31/2018
Public reporting burden for this collection of information is estimated to average 3 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 current 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, ATIN:
PRA (09250648). Do not return the completed form to this address.

Survey Overview:
The National Library of Medicine (NLM) currently hosts and maintains a self-paced tutorial (ToxTutor,
https://toxtutor.nlm.nih.gov/) covering key principles of toxicology for users of the National Library of
Medicine (NLM) chemical and toxicology databases. An understanding of these users will help to
enhance and further develop the site's content. The purpose of this survey is to collect common
demographic information (regarding age, profession, education) and to identify health information needs
(reason for use of the resource) for the recently refreshed tutorial.

1. What is your age?
☐ Under 18
☐ 18-34
☐ 34-50
☐ Over 50
2. What is the highest level of school you have completed or the highest degree you have received?
☐ Less than high school degree
☐ High school degree or equivalent
☐ Some college but no degree
☐ Associate degree
☐ Bachelor’s degree
☐ Master’s degree
☐ Doctorate
☐ Post-graduate degree or certificate
Other (please specify)
3. Are you currently enrolled as a student?
☐ No, I am not currently enrolled as a student
☐ Yes, in a middle school or equivalent
☐ Yes, in a high school or equivalent
☐ Yes, in a two year undergraduate college/university
☐ Yes, in a four year undergraduate college/university
☐ Yes, in graduate school
Other (please specify)
4. Why are you exploring Tox Tutor?
☐ Part of an academic requirement
☐ Professional interest
☐ Personal interest
Other (please specify)
5. In what role are you using Tox Tutor today?
☐ Chemist
☐ Educator
☐ Emergency responder
☐ Environmental professional
☐ Environmental activist
☐ Health care provider
☐ Industrial hygienist
☐ Interested citizen
☐ Librarian or information professional
Other (please specify)

☐ Patient
☐ Poison control professional
☐ Public health professional
☐ Regulator: federal, state, local
☐ Researcher/Scientist
☐ Student
☐Toxicologist/Pharmacologist
☐Veterinarian or Animal Care Technician