HRSA Health Workforce Connector (HWC) Satisfaction Survey

Form Approved

OMB No. 0990-0379

Exp. Date 04/30/2021

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-0379. The time required to complete this information collection is estimated to average 5 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer

HRSA HWC Survey

Survey Preview Link

Question 1: Rate your experience with this website:

• Extremely good

• Somewhat good

• Neither good nor bad

• Somewhat bad

• Extremely bad

Question 2: Why are you visiting this website? Select all that apply.

(Multi-Select Field)

• Creating a personalized job profile to market yourself to recruiters

• Searching for job opportunities

• Searching for job opportunities eligible for loan repayment

• Searching for training opportunities (clinical rotation, externship, etc.)

• Searching for healthcare facilities in underserved communities

• Other - please specify (text box)

Question 3: Which best describes you?

• NHSC Participant (or Applicant)

• Nurse Corps Participant (or Applicant)

• Recruiter

• Student

• Healthcare Provider

• Other - please specify (text box)

Question 4: Which best describes your current or future health profession?

1. Clinical Nurse Specialist

2. Dentist

3. Health Service Psychologist

4. Licensed Clinical Social Worker

5. Licensed Professional Counselor

6. Marriage and Family Therapist

7. Nurse Anesthetist

8. Nurse Faculty

9. Nurse Practitioner

10. Nurse Midwife

11. Physician Assistant

12. Physician, MD/DO

13. Psychiatric Nurse Specialist

14. Registered Dental Hygienist

15. Registered Nurse

16. Substance Use Disorder Professional

17. Other - please specify (text box)

Question 5: How did you find out about this website? Select all that apply.

(Multi-Select Field)

• NHSC or Nurse Corps Website

• Social Media (e.g., Facebook, Twitter, LinkedIn)

• HRSA Virtual Job Fair

• College or University

• Email or Newsletter

• Friend or Family Member

• Other - please specify (text box)

Question 6: Do you have any other comments about how we can improve this website?

• Open ended response (text box)