Download:
pdf |
pdfBECOMING A RESILIENT SCIENTIST - FEEDBACK
OMB Number: 0925-0648
Expiration Date: 31 May 2021
Burden Time: 20 minutes
GENERIC INFORMATION
What is your a!liation?:*
What is your educational status?:*
How did you participate in this event?:*
SATISFACTION WITH WEBINAR
Overall, how would you rate this webinar?
excellent
very good
good
fair
poor
How likely are you to recommend this webinar to a friend or a colleague?:
very likely
unlikely
somewhat likely
neither likely or unlikely
somewhat unlikely
I can use the information I learned in the webinar.:
strongly agree
agree
neutral
disagree
strongly disagree
The tools from the webinar were practical and easy to apply.:
strongly agree
agree
neutral
disagree
strongly disagree
I intend to share information learnend in this webinnar with a colleague or a friend.:
strongly agree
agree
neutral
disagree
strongly disagree
The following questions pertain to your reactions after the webinar. After the webinar,:
I am motivated to apply what I learned in the webinar.:
strongly agree
agree
neutral
disagree
strongly disagree
very
After the webinar, I am trying to implement the tools/changes I learned.:
strongly agree
agree
neutral
disagree
strongly disagree
How can we make the webinar better?:
What was your single biggest takeaway from the webinar?:
FEEDBACK ON SMALL DISCUSSION GROUPS
Did you attend the small group discussions?:*
yes
no
Overall, how would you rate the small group session?:
excellent
very good
good
fair
poor
How helpful was the small group session?:
extremely helpful
very helpful
moderately helpful
slightly helpful
not at all helpful
The small group session helped solidify what I learned in the webinar.:
strongly agree
agree
neutral
disagree
strongly disagree
The small group session motivated me to implement what I learned in the webinar.:
strongly agree
agree
neutral
disagree
strongly disagree
I felt comfortable discussing various issues in the small group session.:
strongly agree
agree
neutral
disagree
strongly disagree
The number of participants in the small group session was:
too large
a bit large
just right
a bit small
too small
If you have specific feedback about small group discussions, please let us know.:
SESSION I - INTRODUCTION TO RESILIENCE AND WELLNESS
Did you attend the small group facilitation session on Introduction to Resilience and Wellness?:*
yes
no
How well did you understand Introduction to Resilience and Wellness BEFORE participating in the
webinar?:
extremely well
very well
moderately well
slightly well
not well at all
How well did you understand Introduction to Resilience and Wellness AFTER participating in the
webinar?:
extremely well
very well
moderately well
slightly well
not well at all
The following questions pertain to the tools presented in Resilience and Wellness in the
workplace.:
I - How helpful is Journaling?:
extremely helpful
very helpful
moderately helpful
slightly helpful
not at all helpful
moderately helpful
slightly helpful
not at all helpful
moderately helpful
slightly helpful
not at all helpful
moderately helpful
slightly helpful
not at all helpful
I - How helpful is Mindfulness?:
extremely helpful
very helpful
I - How helpful is Community?:
extremely helpful
very helpful
I - How helpful is Therapy?:
extremely helpful
very helpful
SESSION II - EXPLORING OUR SELF-TALK: COGNITIVE DISTORTIONS AND IMPOSTER FEARS
Did you attend the small group discussions on Cognitive Distortions and Imposter Fears?:*
yes
no
How well did you understand Cognitive Distortions and Imposter Fears BEFORE participating in
the webinar?:
extremely well
very well
moderately well
slightly well
not well at all
How well did you understand Cognitive Distortions and Imposter Fears AFTER participating in the
webinar?:
extremely well
very well
moderately well
slightly well
not well at all
The following questions pertain to the tools that could help with cognitive distortions and
imposter fears in the workplace.
II - How helpful is journaling?:
extremely helpful
very helpful
moderately helpful
slightly helpful
not at all helpful
II - How helpful is a Jackal/Gira"e/Ostrich log?:
extremely helpful
very helpful
moderately helpful
slightly helpful
not at all helpful
moderately helpful
slightly helpful
not at all helpful
moderately helpful
slightly helpful
not at all helpful
II - How helpful is Talking About It With Others?:
extremely helpful
very helpful
II - How helpful is HATS?:
extremely helpful
very helpful
SESSION III - EMOTIONS AND EMOTIONAL INTELLIGENCE IN THE WORKPLACE
Did you attend small group discussions on Emotions and Emotional Intelligence in the
Workplace?:*
yes
no
How well did you understand Emotions and Emotional Intelligence in the Workplace BEFORE
participating in the webinar?:
extremely well
very well
moderately well
slightly well
not well at all
How well did you understand Emotions and Emotional Intelligence in the Workplace AFTER
participating in the webinar?:
extremely well
very well
moderately well
slightly well
not well at all
The following questions pertain to the tools presented that could help Emotions and Emotional
Intelligence in the workplace?:
III - How helpful is Tool-A?
extremely helpful
very helpful
moderately helpful
slightly helpful
not at all helpful
moderately helpful
slightly helpful
not at all helpful
moderately helpful
slightly helpful
not at all helpful
moderately helpful
slightly helpful
not at all helpful
III - How helpful is Tool-B?
extremely helpful
very helpful
III - How helpful is Tool-C?
extremely helpful
very helpful
III - How helpful is Tool-D?
extremely helpful
very helpful
SESSION IV - SELF-ADVOCACY AND ASSERTIVENESS
Did you attend the small group facilitation session on Self-Advocacy and Assertiveness?:*
yes
no
How well did you understand Self-Advocacy and Assertiveness BEFORE participating in the
webinar?:
extremely well
very well
moderately well
slightly well
not well at all
How well did you understand Self-Advocacy and Assertiveness AFTER participating in the
webinar?:
extremely well
very well
moderately well
slightly well
not well at all
The following questions pertain to the tool presented that could help self-advocacy and
assertiveness in the workplace.
IV - How helpful are I-Statements?:
extremely helpful
very helpful
moderately helpful
slightly helpful
not at all helpful
slightly helpful
not at all helpful
slightly helpful
not at all helpful
slightly helpful
not at all helpful
IV - How helpful is Empathetic Listening?:
extremely helpful
very helpful
moderately helpful
IV - How helpful is Fogging/Stuck Record?:
extremely helpful
very helpful
moderately helpful
IV - How helpful is Negative/Positive Inquiry?:
extremely helpful
very helpful
moderately helpful
SESSION V - DEVELOPING FEEDBACK RESILIENCE
Did you attend small group discussions on Developing Feedback Resilience?:*
yes
no
How well did you understand Feedback Resilience BEFORE participating in the webinar?:
extremely well
very well
moderately well
slightly well
not well at all
How well did you understand Feedback Resilience AFTER participating in the webinar?:
extremely well
very well
moderately well
slightly well
not well at all
The following questions pertain tools presented during the Developing Feedback Resilience in
the workplace?:
V - How helpful is Tool-E?:
extremely helpful
very helpful
moderately helpful
slightly helpful
not at all helpful
moderately helpful
slightly helpful
not at all helpful
moderately helpful
slightly helpful
not at all helpful
V - How helpful is Tool-F?:
extremely helpful
very helpful
V - How helpful is Tool-G?:
extremely helpful
very helpful
V - How helpful is Tool-H?:
extremely helpful
very helpful
moderately helpful
slightly helpful
not at all helpful
SESSION VI - MANAGING UP TO MAXIMIZE MENTORING RELATIONSHIPS
Did you attend small group discussions on Managing Up to Maximize Mentoring Relationships?:*
yes
no
How well did you understand Managing Up to Maximize Mentoring Relationships BEFORE
participating in the webinar?:
extremely well
very well
moderately well
slightly well
not well at all
How well did you understand Managing Up to Maximize Mentoring Relationships AFTER
participating in the webinar?:
extremely well
very well
moderately well
slightly well
not well at all
The following questions pertain to the tools that could help with Managing Up to Maximize
Mentoring Relationships?:
VI - How helpful is Tool-I?:
extremely helpful
very helpful
moderately helpful
slightly helpful
not at all helpful
moderately helpful
slightly helpful
not at all helpful
moderately helpful
slightly helpful
not at all helpful
moderately helpful
slightly helpful
not at all helpful
VI - How helpful is Tool-J?:
extremely helpful
very helpful
VI - How helpful is Tool-K?:
extremely helpful
very helpful
VI - How helpful is Tool-L?:
extremely helpful
very helpful
Public reporting burden for this collection of information is estimated to average 20-minutes per
submission. 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.
Collection of this information is authorized by The Public Health Service Act, Section 410 (42 USC 285).
Rights of participants are protected by The Privacy Act of 1974. Participation is voluntary, and there are
no penalties for not participating or withdrawing from the study at any time. The information collected
in this study will be kept private to the extent provided by law. Names and other identifiers will not
appear in any report of the study. Information provided will be combined for all participants and
reported as summaries.
Submit Survey
Cancel
File Type | application/pdf |
File Title | feedback - Office of Intramural Training & Education at the National Institutes of Health |
Author | Wagner, Patricia (NIH/OD) [E] |
File Modified | 2020-10-26 |
File Created | 2020-10-26 |