OMB No. 0925-0648
Expiration date: 03/2018
National Institute of Mental Health
Professional Coalition for Research Progress Meeting
Assessment Form
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Thank you for attending the NIMH Professional Coalition for Research Progress Meeting! Please take a moment to answer the following questions by rating how useful the presentations and discussions were in enhancing your understanding of the topics presented and information shared. Kindly return the completed forms to the registration table.
Name: ______________________________________ Organization: ____________________________________
Please circle the number that corresponds with your response by rating the usefulness of the following presentations and sessions.
|
Very Useful |
Useful |
Somewhat Useful |
Not Useful |
Not Applicable |
|
Presentations |
|
|||||
(TOPIC) (Presenter) |
4 |
3 |
2 |
1 |
N/A |
|
(TOPIC) (Presenter) |
4 |
3 |
2 |
1 |
N/A |
|
(TOPIC) (Presenter) |
4 |
3 |
2 |
1 |
N/A |
|
Overall |
|
|
|
|
|
|
Coalition Engagement: Group Discussion |
4 |
3 |
2 |
1 |
N/A |
|
Opportunity to network with NIMH staff and learn about NIMH research |
4 |
3 |
2 |
1 |
N/A |
|
Q1. Which aspects of the meeting were helpful, and why?
Q2. What topics would you like to hear about at future meetings?
Q3. What could be improved upon at future meetings?
Q4. Please indicate your purpose for attending today’s meeting. Please check all that apply.
To learn about NIMH directions/priorities
To network with fellow Coalition members
To interact with NIMH staff
To express your organization’s needs and/or be heard
Other (describe)
Please circle the number that corresponds with your response for question 5 through question 10.
If you have selected “Disagree or Strongly Disagree” for Q5 – Q10, please elaborate on your response (s).
Q5.
Q6.
Q7.
Q8.
Q9.
Q10.
Please provide additional comments, recommendations or questions below.
| File Type | application/msword |
| File Title | Appendix A |
| Author | Teresa Doniger |
| Last Modified By | SYSTEM |
| File Modified | 2018-03-13 |
| File Created | 2018-03-13 |