NEPHIP Survey - WORD

Attachment B - NEPHIP Survey (text).docx

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

NEPHIP Survey - WORD

OMB: 0923-0047

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Form Approved

OMB No. 0923-0047

Exp. Date: 12/31/2018



National Environmental Public Health Internship Program Survey


Page 1


Welcome to the 2016 NEPHIP Survey.


Thank you for participating in this short online survey about your internship experience and satisfaction with the NEPHIP internship program. Your response will assist us with determining program impacts and identifying any areas for improvement. The survey will take about 10 minutes to complete. Please note, your responses will be used only in aggregate and individual responses will not be identifiable. Your participation in this survey is voluntary.


CDC estimates the average public reporting burden for this collection of information as approximately 10 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 collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden statement or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ ATSDR Reports Clearance Officer, 1600 Clifton Road, MS D-74, Atlanta, GA 30333, ATTN: PRA (0923-0047).

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1. Please rate how important the below factors were in choosing your top three host health departments on your application. (Very Important, Somewhat Important, Not Important, N/A)

Location was interesting

Location was close to family, friends, or college campus

Health

Department description of complex project and/or programmatic areas fit my interests

Other (please specify below)


2. Would you have been willing to complete an internship at a host health department that was not one of your top three choices?

Yes

No


3. Please rate the following items regarding coordination of the internship program (this is NOT regarding the coordination from your host health department): (Excellent, Good, Fair, Poor)

Application Process

Match with host health department

Communication regarding internship expectations

Support throughout the internship

Stipend disbursements


4. How can coordination of the internship program be improved? Please be honest so we can improve the program next year.


5. Did you relocate for the internship?

Yes

No (if no skip to Question 7)


Page 3


6. Please indicate your level of agreement with the following statement:

My stipend was enough to cover my relocation travel, housing, and living expenses while completing the internship.

Strongly Agree

Agree

Neither Agree nor Disagree

Disagree

Strongly Disagree


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7. Approximately how often did you meet with your mentor during the internship?

Once a day or more

Twice a week

Once a week

Once every 2 week

Once a month

Other (please specify)


8. What do you think the ideal frequency of meetings would be?

Once a day or more

Twice a week

Once a week

Once every 2 week

Once a month

Other (please specify)


9. Please indicate your level of agreement with the following statements: (Strongly Agree, Agree, Neither Agree nor Disagree, Disagree, Strongly Disagree)

My host health department was helpful in providing me assistance with finding /securing housing

My mentor clearly communicated workplace expectations (dress code, schedule, responsibilities, etc.)

I had open and honest communication with my mentor

My mentor was attentive to my interests when assigning my workload, projects, and/or additional education opportunities

I was assigned an appropriate amount of workload (neither too little nor too much)

The work I performed was interesting

I had opportunities to gain experience in a wide range of environmental health programs or activities

I was able to apply university course concepts, theory, and skills in a field setting

The internship experience has better prepared me to enter the workforce

The internship experience influenced or changed my career outlook or expected career plans

I developed a strong understanding of the role of a public health department

I can talk about the internship experience to promote myself in a cover letter or job interview


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10. Which of the following environmental health programs were you exposed to / gained experience in? (Please mark all that apply)

Animal Control

Body Art (Tattoo)

Campgrounds & RVs

Children’s Camps

Climate Change

Collection of Unused Pharmaceuticals Cosmetology Businesses

Day Care/Early Child Development Facilities Emergency Preparedness and Response Food Safety and Protection

Hazardous Waste Disposal

Hazmat Response

Health Related Facilities

Healthy Homes

Hotels/Motels

Indoor Air Quality

Injury Prevention

Land Use Planning

Lead Prevention

Milk Processing

Mobile Homes

Noise Pollution

Occupational Health

Outdoor Air Quality

Poison Control

Pollution Prevention

Radiation Control

Radon Control

Schools

Sustainability

Smoke-Free Ordinances

Solid Waste

Special Events/Mass Gatherings

Tobacco Retailers

Toxicology

Tracking

Vector Control

Water – Onsite Wastewater (e.g. Septic Systems) Water – Other Recreational Water (e.g., beaches) Water – Private or Onsite Drinking Water

Water – Public Drinking Systems

Water – Public Swimming Pools

Other (please specify)


11. Is there a topic/area of environmental health you wanted to gain experience in but did not get to? If so, please tell us which topic/area.


12. Which of the following activities were you exposed to or gained experience in? (Please mark all that apply)

Conduct research or in-depth studies

Develop and establish policies

Disease or hazard surveillance

Educate the public

Engage in partnerships with the community, stakeholders, or other agencies

Investigate disease outbreaks or respond to emergencies

Issue permits or licenses

Maintain databases or electronic information systems for environmental health data

Perform inspections

Provide training (e.g., food handler’s courses)

Respond to complaints

Other (please specify)


Page 6


13. Were you assigned an independent project to complete over the duration of the internship?

Yes

No


14. How would you rate your independent project?

Excellent

Good

Fair

Poor

N/A


15. What type of additional education did you receive at your host site? (Please mark all that apply)

Conferences

In-person Training / Workshops

Online Training

I did not receive additional education

Other (please specify)


16. Based on your selection above, what were the topics covered and skills gained from this additional education? Please leave blank if you did not receive additional education.


17. Would you recommend this internship program to other students?

Yes

No


18. Please tell us why or why not:


19. Were you offered a part-time or fulltime position with the host health department (or other nearby health department)?

Yes

No

Other (please specify):


20. Did this internship make you more or less likely to pursue a position in the field of environmental health?

More Likely

Somewhat more likely

Neither more nor less likely

Somewhat less likely

Less likely


21. Did this internship make you more or less likely to pursue a position with a public health department?

More Likely

Somewhat more likely

Neither more nor less likely

Somewhat less likely

Less likely


22. Is there anything else you would like to tell us about your internship experience?


Page 7


Demographic Information (optional)


23. What is your age?


24. What is your ethnicity?

Hispanic or Latino

Not Hispanic or Latino


25. What is your race? (select one or more)

American Indian or Alaskan Native

Asian

Black or African American

Native Hawaiian or other Pacific Islander

White

Prefer not to answer





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