Form 1 Session Feedback

OMB#: 0925-0648, Exp. date: 05/2021

B urden Disclosure Statement: Public reporting burden for this collection of information is estimated to average 5 minutes per response, including the time for reviewing instruction, 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 currently 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 20892-7974, ATTN: PRA (0925-0648). Do not return the completed form to this address. 

Tell Us What You Think! Session #: _____

Take the pre-populated version online: http://www.surveymonkey.com/r/NIHsessions

Please rate how strongly you agree or disagree with the following:

Name of speaker	Useful Content			Engaging			Clearly Communicated
	Agree	Neutral	Disagree	Agree	Neutral	Disagree	Agree	Neutral	Disagree

1. Tell us how this session can be improved: _________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________

2. What option best describes your professional role?

 Investigator  Research Trainee or Postdoc  Grant Writer
 Department Administrator  Office of Sponsored Programs  Other _____________

3. List your total years of experience with NIH: ___________________

OMB#: 0925-0648, Exp. date: 05/2021

B urden Disclosure Statement: Public reporting burden for this collection of information is estimated to average 5 minutes per response, including the time for reviewing instruction, 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 currently 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 20892-7974, ATTN: PRA. Do not return the completed form to this address. 

Tell Us What You Think! Session #: _____

Take the pre-populated version online: http://www.surveymonkey.com/r/NIHsessions

Please rate how strongly you agree or disagree with the following:

Name of speaker	Useful Content			Engaging			Clearly Communicated
	Agree	Neutral	Disagree	Agree	Neutral	Disagree	Agree	Neutral	Disagree

1. Tell us how this session can be improved: _________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________

2. What option best describes your professional role?

 Investigator  Research Trainee or Postdoc  Grant Writer
 Department Administrator  Office of Sponsored Programs  Other _____________

3. List your total years of experience with NIH: ___________________