Download:
pdf |
pdf
All data collected from this survey will be used in a form that will make it impossible to determine the identity of the
individual responders. That is, the survey responses will not be integrated, analyzed, or reported in any way in which the
confidentiality of the survey responses is not absolutely guaranteed.
*1. Are you aware of the NASA Ombudsman Program?
j Yes
k
l
m
n
j No
k
l
m
n
*2. Would you consider consulting one of the NASA Ombudsmen, if needed?
j Yes
k
l
m
n
j No
k
l
m
n
Please explain why you would OR wouldn't.
5
6
*3. Have you ever used the services of a NASA Ombudsman?
j Yes
k
l
m
n
j No
k
l
m
n
If NO, is there a reason you have not utilized the services?
5
6
*4. Were you aware that you may contact an Ombudsman from another Center?
j Yes
k
l
m
n
j No
k
l
m
n
5. Below are questions based on your experience with the Ombudsman Program. If you
have not used the services of the Ombudsman Program please skip down to question 9.
Strongly
Strongly Agree
Agree
Neutral
Disagree
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
The Ombudsman responded in a timely manner.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
Knowing the Ombudsman is not part of management
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
The Ombudsman treated me with courtesy and respect.
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
The Ombudsman helped me consider multiple options
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
j
k
l
m
n
My discussion with the Ombudsman took place in a safe,
Disagree
private environment.
Having an informal ‘offtherecord’ conversation
influenced my decision to use the Ombudsman program.
The Ombudsman brought an objective perspective to my
situation.
influenced my decision to use the Ombudsman program.
Working with the Ombudsman improved my ability to be
an advocate for my own interests and respond effectively
to the situation.
The Ombudsman was knowledgeable about other
Agency processes and/or referrals which might apply.
to address my situation.
The Ombudsman maintained the confidentiality of my
situation.
6. Would you use the Ombudsman again?
j Yes
k
l
m
n
j No
k
l
m
n
Please explain why you would OR wouldn't utilize these services again.
5
6
7. Did the Ombudsman assist you in assessing NASA formal resources such as the Anti
Harassment Coordinator, Office of the Inspector General (IG), Office of Equal Opportunity
and Diversity (OEOD), Office of Human Capital Management (OHCM), Union, NASA Safety
Reporting System (NSRS), or the Office of Procurement?
j Yes
k
l
m
n
j No
k
l
m
n
8. If the Ombudsman Program didn’t exist, what would you have done regarding your
issue?
j Nothing
k
l
m
n
j Gone to NASA formal resources for help
k
l
m
n
j Used external resources
k
l
m
n
j Left the organization
k
l
m
n
j Taken legal action
k
l
m
n
j Gone to colleagues for advice
k
l
m
n
j Union
k
l
m
n
j Other
k
l
m
n
Please explain your answer.
5
6
9. Please provide any comments you feel would improve our services.
5
6
Please consider providing general demographic information below.
10. Gender
j Male
k
l
m
n
j Female
k
l
m
n
11. Status. Select all that apply.
c Civil Servant
d
e
f
g
c Supervisor
d
e
f
g
c Student/Intern
d
e
f
g
c OnSite Contractor
d
e
f
g
c Other
d
e
f
g
12. Tenure with NASA
j 03 years
k
l
m
n
j 410 years
k
l
m
n
j 1020 years
k
l
m
n
j 20+ years
k
l
m
n
Paperwork Reduction Act Statement: This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the
Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB)
control number. The OMB control number for this collection is 27000153 and expires on 06/30/2014. We estimate that it will take 7.5 minutes to
read the instructions, gather the facts and answer the questions. Send only comments relating to our time estimate to: Fatima.c.johnson@nasa.gov
| File Type | application/pdf |
| File Modified | 2013-11-12 |
| File Created | 2013-11-12 |