Form 2 STEP-UP Student Feedback Form

STEP-UP Follow-up

OMB # 0925-0748
Expiration Date: 12/2019
STEP-UP Feedback Form
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completed form to this address.

Congratulations on your participation in the STEP-UP Program!
Now that the Undergraduate 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
stepupniddk@mail.nih.gov.

STEP-UP Follow-up

* 1. Please rate the quality of the components of the Scientific Research Symposium.
Poor
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
- PREP Scholars
and Post-Bac
Programs

Fair

Good

Very Good

Excellent

Not
Applicable

Poor
Career Round Table
- Careers in the
Biotechnology
Industry
Career Round Table
- Prep for MCAT
- American
Association of
Medical Colleges
Career Round Table
- Research Career
in Public Health
Career Round Table
- PhysicianScientist Careers
Career Round Table
- Preparing for the
MCAT
Career Round Table
- Epidemiology and
Health Disparities
Research
Career Round Table
- Science Careers
Combining
Teaching and
Research
Career Round Table
- Science Education
PhD Student
Graduate School
MD/PhD Physician Scientist Careers,
Eboni Lance M.D.,
Ph.D.

Fair

Good

Very Good

Excellent

Not
Applicable

Not
Poor

Fair

Good

Very Good

Excellent

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?

Applicable

* 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?
Children’s Hospital Los Angeles
Pennsylvania State University, Hershey
University of Alabama, Birmingham

* 6. Overall how satisfied are you with aspects of the STEP-UP Program?
Very
Dissatisfied
Overall
The application
process
STEP-UP
Application
Website
Communication
with NIDDK
Program Office

Dissatisfied

Satisfied

Very Satisfied

Not Applicable

Very
Dissatisfied

Dissatisfied

Satisfied

Very Satisfied

Not Applicable

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

* 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

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

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

* 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
Other (please specify)

* 16. Are you Hispanic or Latino?
Yes
No

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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