Form 1 Workshop Survey Questions

OMB#: 0925-0648 Expiration date: 06/2024

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Workshop Survey Questions – administered at end of workshop

*Required field.

1. Which CTR are you affiliated with?* [select one]

   • Delaware CTR ACCEL Program

   • Rhode Island Advance-CTR

   • The Hispanic Alliance for Clinical & Translational Research in Puerto Rico (Alliance)

   • Dakota Cancer Collaborative on Translational Activity (DACCOTA)

   • Great Plains CTR Network

   • Louisiana Clinical and Translational Science (LA CaTS) Center

   • Mississippi Center for Clinical and Translational Research (MCCTR)

   • Mountain West CTR-IN

   • Northern New England CTR

   • Oklahoma Shared Clinical and Translational Resource (OSCTR)

   • Center for Pacific Innovations, Knowledge, and Opportunities (PIKO)

   • West Virginia Clinical and Translational Science Institute (WVCTSI)

   • Other (please specify): [short free text]
     
     

2. What institution are you primarily affiliated with?* [short free text]
   
   

3. Where is this institution located?* [select one; list of US states/territories]
   
   

4. Which best describes your research role?* [select all that apply]

   • CTR PI or other CTR leader

   • Other institutional leader (e.g., Director of Research Informatics)

   • Independent research investigator (e.g., R01 or Clinical Trial PI)

   • Clinical subject matter expert supporting research (not a trainee)

   • Technical staff (e.g., software engineering, informatics, data science, biostatistics) supporting research

   • Research staff (non-trainee working under an independent research investigator)

   • Clinical trainee (e.g., medical student, resident, fellow)

   • Post-doctoral researcher

   • Graduate student

   • Other (please specify): [short free text]
     
     

5. Rate your knowledge of [insert workshop topic] before the workshop: [select one]

   • Not at all knowledgeable

   • Slightly knowledgeable

   • Moderately knowledgeable

   • Very knowledgeable

   • Extremely knowledgeable

6. Rate your knowledge of [insert workshop topic] after the workshop: [select one]

   • Not at all knowledgeable

   • Slightly knowledgeable

   • Moderately knowledgeable

   • Very knowledgeable

   • Extremely knowledgeable

7. How relevant is this workshop to your current work? [select one]

   • Not at all relevant

   • Slightly relevant

   • Moderately relevant

   • Very relevant

   • Extremely relevant

8. What is your opinion of the balance of lecture and interactivity in this workshop? [select one]

   • Too much lecture and not enough interactive learning

   • Right amount of both lecture and interactive learning

   • Too much interactive learning and not enough lecture

9. Will you use what you learned in this workshop in your work? [select one]

   • Definitely not

   • Probably not

   • Possibly

   • Probably yes

   • Definitely yes

   • Not applicable—I did not learn anything new from this workshop
     
     
     

10. What, if any, factors will keep you from using the content of this workshop in your work? [select all that apply]

• I need additional training in the subject matter

• I will not have the resources I need

• I will not be provided opportunities to use what I learned

• I will not have the time to use what I learned

• My work environment currently does not support using the skills I learned

• The workshop content is not relevant to my current work

• Other (please specify): [short free text]
  
  
  

1. What, if anything, do you plan to use from this workshop? [long free response]
   
   
   

2. How could this workshop be improved to make it a more effective learning experience? [long free response]
   
   
   

3. What part of this workshop was most helpful to your learning? [long free response]

14. Are there any specific FHIR use cases or areas of research that you are interested in exploring further? [long free response]