Form 1 2022 Return to Work survey

Return to Work Poll
Survey Disclosure Statement
OMB Control Number: 0925-0648
Expiration Date: June 30, 2024
Public reporting burden for this collection of information is estimated to average 1 minute 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,
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.
Last Reviewed: July 1, 2021

Q1 Have you returned to the physical work space?

o Yes (1)
o No (2)
Q2 In your opinion, which of the following are "must haves" for returning to work? (Please
choose all that apply.)
Water bottle (1)
Snacks (2)
Coffee or tea (3)
Office decor (4)
Other (please specify) (5)

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Display This Question:
If Have you returned to the physical work space? = Yes

Q3 When did you join the NLM staff?

o Before the COVID-19 pandemic (in other words, prior to March 13, 2020) (1)
o During the COVID-19 pandemic (in other words, after March 13, 2020) (2)
Display This Question:
If Have you returned to the physical work space? = Yes

Q4 How long did it take before you found your building/office?
________________________________________________________________

Display This Question:
If Have you returned to the physical work space? = Yes

Q5 What is the first place that a new employee should visit?
________________________________________________________________

Display This Question:
If Have you returned to the physical work space? = Yes

Q6 What was the biggest surprise on your first day in the office?
________________________________________________________________

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