Form 1 Survey

UGSP INTERVIEW EXPERIENCE
OMB Clearance Number: 0925-0299
Expiration Date: 31 May 2024
Burden Time: 10 minutes

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.
Public reporting burden for this collection of information is estimated to average 10 minutes 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 (0925-0299). Do not return the completed form to this address.

Thank you for taking the time to complete and submit this brief survey. The OITE will use your responses to assess your interview
experience. Responses have no bearing on the admission process.

Q1 I had a positive experience scheduling and attending my UGSP virtual interview.
o Strongly Agree
o Agree
o Neither agree nor disagree
o Disagree
o Strongly Disagree
o N/A
Q2 The communications sent by the UGSP prior to my interview were sufficient.
o Strongly Agree
o Agree
o Neither agree nor disagree
o Disagree
o Strongly Disagree
o N/A
Q3 During the interview, I was provided with sufficient information about the UGSP Program.
o Strongly Agree
o Agree
o Neither agree nor disagree
o Disagree
o Strongly Disagree
o N/A
Q4 During the interview, I felt comfortable answering questions about my scientific interests and myself.
o Strongly Agree
o Agree
o Neither agree nor disagree
o Disagree
o Strongly Disagree
o N/A

Page 1 of 2

Q5 During the interview, I felt comfortable asking questions about the UGSP.
o Strongly Agree
o Agree
o Neither agree nor disagree
o Disagree
o Strongly Disagree
o N/A
Q6 My interaction with the UGSP interview committee was positive.
o Strongly Agree
o Agree
o Neither agree nor disagree
o Disagree
o Strongly Disagree
o N/A
Q7 My interaction with the UGSP staff was positive.
o Strongly Agree
o Agree
o Neither agree nor disagree
o Disagree
o Strongly Disagree
o N/A
Q8 Provide feedback regarding your UGSP interview. Include recommendations and suggestions about how we can improve the
interview process.
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________

Page 2 of 2