Form 1 Feedback survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIAID)

OGR Chikungunya Survey 5 28 2015

The National Institute of Allergy and Infectious Diseases, Pan-American Health Organization, and World Health Organization, Gaps and Opportunities in Chikungunya Research: Expert Consultation on Chiku

OMB: 0925-0668

Document [docx]
Download: docx | pdf

Shape1

World Health Organization; National Institute of Allergy and Infectious Diseases

National Institutes of Health, U.S. Department of Health and Human Services

Shape2

Gaps and Opportunities in Chikungunya Research: Expert Consultation on Chickngunya Diseases in the Americas



Shape3 Shape4

Rockville, MD, June 30 – July 2, 2015

OMB Control #0925-0668

Expiration Date: 01/31/2016




Burden Disclosure: Public reporting burden for this collection of information is estimated to average 5 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# 0925-0668. Do not return the completed form to this address.

Thank you for attending the workshop on Gaps and Opportunities in Chikungunya Research: Expert Consultation on Chikungunya Disease in the Americas. Please take a few minutes to let us know what you thought about the conference. Your opinion is valued and will be used to shape future workshops.

Overall Feedback Form

  1. Are you a U.S. federal government employee (non-contractor)?: Yes No

Workshop Content:

  1. The content of the workshop sessions was appropriate and informative.

Agree

Somewhat agree

Neutral

Somewhat disagree

Disagree

  1. The amount of time allotted to specific research topics was appropriate.

Agree

Somewhat agree

Neutral

Somewhat disagree

Disagree



  1. The workshop was successful in identifying opportunities in Chikungunya research.

Agree

Somewhat agree

Neutral

Somewhat disagree

Disagree

  1. The workshop was successful in identifying gaps in knowledge in Chikungunya disease.

Agree

Somewhat agree

Neutral

Somewhat disagree

Disagree



  1. The workshop included appropriate scientific expertise and top experts from research disciplines.

Satisfied

Somewhat Satisfied

Neutral

Somewhat Dissatisfied

Dissatisfied

  1. The workshop allowed for sufficient discussion of issues in research on Chikungunya disease.

Agree

Somewhat agree

Neutral

Somewhat disagree

Disagree

  1. How satisfied are you that the workshop addressed key research issues in Chikungunya disease?

Satisfied

Somewhat Satisfied

Neutral

Somewhat Dissatisfied

Dissatisfied





  1. What is the most important gap in knowledge identified and the most important opportunity or concept for research on Chikungunya proposed during the workshop?

_____________________________________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________________________________



  1. What topics or issues related to Chikungunya were not identified or adequately addressed or discussed during the workshop?

_____________________________________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________________________________



Thank you for completing the survey, please return it to Tatyana Yeremina.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorTomlin, Krystal (NIH/NIAID) [C]
File Modified0000-00-00
File Created2021-01-30

© 2024 OMB.report | Privacy Policy