Form 0920-0544 CSI Survey Full Intermediary Version

Attachment 3a- Full Survey, Intermediary Version

Form Approved

OMB No. 0920-0544

Exp Date xx/xx/20xx

Welcome to the National Institute for Occupational Safety and Health (NIOSH)

Customer Satisfaction Survey.

NIOSH is the federal agency that conducts research and makes recommendations to assure safe and healthy work conditions for all U.S. workers. Because of your potential role in occupational safety and health (OSH), we’d like to invite you to complete the Customer Satisfaction Survey, which you can complete online (the link to the survey is below). And to thank you for your participation, be sure to bookmark the links below for downloads of the most popular NIOSH products!

The CSI Survey is your chance to tell NIOSH how well they’re doing in creating and distributing engaging, innovative, and useful occupational safety and health information. Specifically, we need your feedback on:

• How credible and trustworthy NIOSH communication products are

• How well NIOSH distributes its products

• What kind of effect NIOSH communication products have on workplace safety and health policies and practices

• How NIOSH products can be improved—in their development and delivery

Your feedback is critical in helping NIOSH meet audience needs. Your individual responses will not be tied to any information collected about you, and they will not be shared with anyone other than individuals directly involved with this research project. Because we are interested in group-level findings, your responses will not be linked back to you or your organization. Completing the CSI survey will take about 20 minutes.

Would you like to participate in this survey? (click “yes” or “no”)

YES NO

For downloads of NIOSH’s most popular products and programs, click on these links:

• NIOSH Pocket Guide to Chemical Hazards: http://www.cdc.gov/niosh/npg/mobilepocketguide.html?s_cid=3ni7d2mnpg07112016

• NIOSH Ladder Safety Mobile Application: http://www.cdc.gov/niosh/topics/falls/mobileapp.html

• NIOSH Manual of Analytical Methods: http://www.cdc.gov/niosh/docs/2003-154/

• NIOSH Applications Manual for the Revised NIOSH Lifting Equation: http://www.cdc.gov/niosh/docs/94-110/pdfs/94-110.pdf

For more information on the survey, you can contact Dr. Juliann Scholl at 513-533-8178 or at xhn3@cdc.gov. For a list of frequently asked questions. A list of frequently asked questions can be found here FAQs. If you have any questions or difficulties accessing the survey, call technical support toll free at: 000-000-000, or send an e-mail message to: xxxx@xxx

Public reporting burden of this collection of information is estimated to average 20 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 CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-0544).

Customer Satisfaction Survey

INTERMEDIARY VERSION

Your Professional and Organizational Demographics

1. What type of organization do you work for?

___Company or business

___ Professional organization*

___ University or college*

___ Labor organization*

___ Industry or trade association*

___ Federal, state, or local government agency*

___ Other _____________________________

___ None of the above

[* Response coded as “intermediary”. Respondent will be shown the intermediary version of the survey from here on.]

2. How would you classify the size of the organization or association in which you work? (Select only one answer.)

___ Very small (1 to 49 employees)

___ Small (50-99 employees)

___ Medium (100 to 499 employees)

___ Large (500 or more employees)

___ Don’t know

3. How many members or individuals does your organization serve?

___ 499 or fewer members

___ 500 – 999 members

___ 1000 – 4999 members

___ 5000 – 9,999 members

___ 10,000 or more members

___ Not applicable

4. In your current job, which of the following activities best represent your primary responsibilities? (Select all that apply.)

___ Establish or manage occupational safety and health (OSH) programs

___ Conduct OSH training

___ Perform hazard exposure assessments

___ Perform accident investigations/loss control analyses

___ Design or implement hazard control measures

___ Formulate new or revised OSH policy/practices

___ Interpret, apply, and/or enforce regulations (e.g., from Federal Motor Carrier Safety Regulations [FMCSRs] Occupational Safety and Health Administration [OSHA])

___ Deliver medical services

___ Record or report injury and illness cases

___ Assist employers with OSHA compliance

___ Develop or conduct research projects
___ Conduct workplace safety audits and inspections
___ Perform air sampling or monitoring
___ Design or lay out facilities to meet production and safety specifications

___ Assist employers with identifying relevant OSH resources
___ Other (Specify): _______________________________________________________

5. Are workplace (worker) safety and health issues part of your job responsibilities?

Yes _____ No _____ (If no, skip to question #6)

In an average week, what percentage of your time is spent on workplace (worker) safety and health issues?

(1) < 10% of the time _____

(2) 10% - 50% of the time _____

(3) 50% - 75% of the time _____

(4) More than 75% of the time _____

6. How would you define your professional training/background? (Check all that apply.)

___ Physician ___ Researcher

___ Safety professional/manager ___ Physical therapist

___ Toxicologist ___ Industrial hygienist

___ Risk/loss control manager ___ Industrial psychologist

___ Ergonomist/work physiologist ___ Human resource specialist

___ Nurse ___ Educator/trainer

___ Economist ___ Health communication specialist

___ Public Health Professional ___ Other __________________________________

7. Which of the following industries represents the majority of your work or profession? (Select only one answer.)

___ Agriculture, forestry, or fishing (e.g., farming, timber extraction, animal production)

___ Construction (e.g., industrial building, water or sewer line construction, land subdivision)

___ Healthcare and social assistance (e.g., nursing, outpatient care centers, medical laboratory)

___ Manufacturing (e.g., milling, refining, product manufacturing)

___ Mining (e.g., coal, stone, metal ore)

___ Oil and Gas Extraction (e.g., drilling, equipping wells, crude petroleum)

___ Public Safety (e.g., law enforcement, firefighter, emergency response, corrections)

___ Services (e.g., retail, financial services, food service, publishing, entertainment, clerical)

___ Transportation, Warehousing, Utilities (e.g., trucking, air transportation, railroad)

___ Other (please specify) _________________________________________________

8. How much professional experience do you have in occupational safety and health (OSH) matters? (Select only one answer.)

___ 0-5 years

___ 6-10 years

___ 11-15 years

___ 16-20 years

___ More than 20 years

Your Organization’s Channels for Disseminating OSH Information

9. How often does your organization provide to its members workplace safety and health information from the following channels? [Choose “Not Applicable” if your organization does not have that channel (e.g., website, magazine)].

My organization provides workplace safety and health information through...	Often	Sometimes	Never	Not Applicable

a. My organization’s website.

b. Email notices to my members.

c. Posting or reposting (e.g., “retweeting”) messages on social media (e.g., Facebook, LinkedIn, Twitter).

d. My organization’s newsletter.

e. My organization’s magazine.

f. My organization’s technical journal.

g. My organization’s sponsored conferences.

h. My organization’s training courses.

9. If your organization uses social media, which social media sites does it use? (Check all that apply.)

___ Facebook

___ Twitter

___ LinkedIn

___ WordPress

___ Instagram

___ Other (please specify) __________________________________________

9. How often does your organization provide to its members workplace safety and health information from NIOSH through the following channels? [Choose “Not Applicable” if your organization does not have that channel (e.g., website, magazine)].

My organization provides workplace safety and health information from NIOSH through...	Often	Sometimes	Never	Not Applicable

a. My organization’s website.

b. Email notices to my members.

c. Posting or reposting (e.g., “retweeting”) messages on social media (e.g., Facebook, LinkedIn, Twitter).

d. My organization’s newsletter.

e. My organization’s magazine.

f. My organization’s technical journal.

g. My organization’s sponsored conferences.

h. My organization’s training courses.

9. If your organization’s newsletter provides workplace safety and health information, is the newsletter in:

___ Print form?

___ Electronic form?

___ Both

___ Don’t Know

___ My organization doesn’t have a newsletter.

9. If your organization’s magazine provides workplace safety and health information, is the magazine in:

___ Print form?

___ Electronic form?

___ Both

___ Don’t Know

___ My organization doesn’t have a magazine.

9. If your organization’s technical journal includes workplace safety and health information, is the technical journal in:

___ Print form?

___ Electronic form?

___ Both

___ Don’t Know

___ My organization doesn’t have a technical journal.

9. If your organization’s training courses include workplace (worker) safety and health information, which topics are typically covered in these training courses?

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

16. Please identify specific NIOSH products or publications (e.g., Workplace Solutions, fact sheets, Engineering and Physical Hazards Reports) that your organization provides for workplace (worker) safety and health training?

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

17. Does your organization provide members with any workplace (worker) safety and health information in languages other than English?

No _____ [If No or Don’t know, skip to question 18.]

Yes _____ If yes, please specify language(s) ______________________________

Don’t know _____

In what formats does your organization provide information in languages other English?

Website ___ Emails ___ Social media ___ Newsletters ___

Other _________________________________________________________________

Does your organization provide members with materials from NIOSH in languages other than English?

No _____

Yes _____ If yes, please specify language(s) ________________________________________

Don’t know _____

Your Organization’s Use of OSH Sources

18. In the past 12 months, have you read or referred to OSH (or other relevant) information provided or published by any of the following organizations or sources? (Select all that apply.)

Government agencies

___ ATSDR Agency for Toxic Substances and Disease Registry

___ CDC Centers for Disease Control and Prevention

___ DOE Department of Energy

___ U.S. Department of Transportation

___ EPA Environmental Protection Agency

___ FDA Food and Drug Administration

___ NIEHS National Institute of Environmental Health Sciences

___ NIOSH National Institute for Occupational Safety and Health

___ NTSB National Transportation Safety Board

___ OSHA Occupational Safety and Health Administration

___ Other (specify) ____________________________________________________________

Professional or Non-government Organizations

___ ACGIH American Conference of Governmental Industrial Hygienists

___ AAOHN American Association of Occupational Health Nurses

___ ACOEM American College of Occupational and Environmental Medicine

___ AIHA American Industrial Hygiene Association

___ APHA American Public Health Association

___ ASSE American Society of Safety Engineers

___ NSC National Safety Council

___ Other (specify) ____________________________________________________________

Standard-setting organizations

___ ANSI American National Standards Institute

___ NFPA National Fire Protection Association

___ ISO International Organization for Standardization

___ Underwriters Laboratories

___ Other (specify) ___________________________________________________________

Other

___ Labor Organizations (specify)

________________________________________________________________________

___ Trade Associations (specify)

________________________________________________________________________

___ Universities/Colleges (specify)

________________________________________________________________________

___ Commercial publications (specify)

________________________________________________________________________

19. In your current job, how often do you use the following channels to search for OSH information? (Select one answer for each category.)

Web general search (e.g., Google search engine) Never ___ Sometimes ___ Often ___

Web database search (e.g., PubMed) Never ___ Sometimes ___ Often ___

NIOSH databases (e.g., NIOSHTIC-2, Pocket Guide) Never ___ Sometimes ___ Often ___

Social media (e.g., Twitter, Facebook) Never ___ Sometimes ___ Often ___

CD-ROMs, software Never ___ Sometimes ___ Often ___

Peer-review journals Never ___ Sometimes ___ Often ___

Books Never ___ Sometimes ___ Often ___

Technical reports Never ___ Sometimes ___ Often ___

Newsletters Never ___ Sometimes ___ Often ___

Research or conference presentations Never ___ Sometimes ___ Often ___

Other channels (specify) ___________________________ Never ___ Sometimes ___ Often ___

Effect of NIOSH Information on Your Organization

20. Listed below are various statements about searching for NIOSH information. Please indicate how often you have done each of the following during the past 12 months (Please select one response per item.):

To find OSH information, within the last 12 months I have . . .	Frequently >10 Times	Occasionally 3–10 Times	Rarely <3 Times	Never 0 Times	Not Applicable

a. Used NIOSH printed publications.

b. Used the NIOSH Website for general purposes.

c. Used CDC-INFO.

d. Clicked through a link on a NIOSH-sponsored social media site.

e. Attended a NIOSH exhibit booth at a conference or meeting.

f. Contacted a NIOSH staff member or subject matter expert.

g. Subscribed to a NIOSH Listserv.

h. Subscribed to NIOSH newsletters

i. Attended NIOSH-sponsored conferences, workshops, or webinars.

j. Attended a course (classroom or online) or attended an educational program in which NIOSH publications or products were used as information materials.

k. Used the NIOSH en Español Website

l. Accessed NIOSH databases (e.g., NIOSHTIC-2, Pocket Guide to Chemical Hazards, or Emergency Response Safety and Health Database).

m. Accessed presentation slides of research findings

21. Please indicate how often you referred to or consulted NIOSH publications (e.g., printed documents, electronic documents or PDFs, CD-ROMS, or information on the NIOSH Website) during the past 12 months to perform each of the following tasks. (Select one answer for each item.)

TASKS Within the last 12 months, I have referred to NIOSH publications when:	Frequently >10 Times	Occasionally 3–10 Times	Rarely <3 Times	Never 0 Times	Not Applicable
a. Establishing occupational safety and health programs.
b. Conducting occupational safety and health training.
c. Performing hazard exposure assessments.
d. Designing or implementing hazard control measures.
e. Formulating new or revised safety and health policy and practices.
f. Developing or conducting research projects.
g. Conducting workplace safety audits and inspections.
h. Performing air sampling or monitoring.
i. Preparing reports for management. Preparing educational materials for organizational members. k. Other _________________________

22. Please indicate how often you have done each of the following during the past 12 months based on information from one or more NIOSH publications and/or products (Please select one response per item.):

As a result of NIOSH publications and/or products, I have in the last 12 months:	Frequently >10 Times	Occasionally 3–10 Times	Rarely <3 Times	Never 0 Times	Not Applicable

a. Recommended a safety or health program for adoption by member organizations.

b. Recommended adoption of a technology or approach to improve health or safety practices

c. Used guidance and/or recommendations from NIOSH.

d. Seen greater knowledge of workplace (worker) health and safety issues in general.

e. Seen greater knowledge of workplace (worker) health and safety issues specific to my industry.

f. Seen improvement of safety practices within my organization.

g. Seen the improvement of the health and well-being of my organization’s members.

23. Listed below are various statements about sharing NIOSH information. Please indicate how often you have done each of the following during the past 12 months (Please select one response per item.):

During the last 12 months I or my organization have . . .	Frequently >10 Times	Occasionally 3–10 Times	Rarely <3 Times	Never 0 Times	Not Applicable

a. Shared NIOSH information and recommendations with members of my organization.

b. Shared NIOSH information and recommendations with my supervisor(s).

c. Shared NIOSH information and recommendations with people outside of work (e.g., friends, family).

d. Shared NIOSH information and recommendations through social media outlets (e.g., Facebook, Twitter).

e. Repackaged NIOSH content and distributed it to members of my organization.

f. Seen a NIOSH publication referred to or cited by name in my organization’s policy and/or procedures.

g. Seen a member of my organization refer to a NIOSH publication by name in policy and/or procedures.

Your Perceptions of NIOSH Products and Publications

24. Please indicate your level of agreement with each of the statements below about NIOSH publications and products in general.

STATEMENTS		Strongly Agree	Agree	Neither Agree nor Disagree	Disagree	Strongly Disagree
	NIOSH publications contain current, up-to-date information.
	NIOSH publications are unbiased.
	NIOSH publications are written at the appropriate technical level.
	NIOSH publications are written in language that is clear.
	NIOSH publications provide useful and practical recommendations and guidance that are readily usable.
	The length of NIOSH publications is appropriate for coverage of the topic. NIOSH publications are delivered in a timely manner. It is easy to repackage NIOSH information and disseminate it according to my organization’s needs. i. The use of NIOSH products is perceived positively by my organization’s members. j. My organization is better able to meet the needs of its members with the use of NIOSH materials. k. NIOSH publications and resources are based on evidence and sound science.

25. Please indicate your level of agreement with each of the statements below about NIOSH as a source of OSH information.

STATEMENTS

Strongly Agree

Agree

Neither Agree nor Disagree

Disagree

Strongly Disagree

a. NIOSH is a credible source for obtaining

OSH information.

b. NIOSH is an important resource for the

OSH community.

c. Information from NIOSH is valuable to

my organization.

d. Members of my organization view open

and active partnerships with NIOSH

positively.

f. NIOSH is known for its commitment to

scientific and professional integrity.

g. NIOSH is known for its commitment to

transparency in the release of

information, policy statements, and

recommendations.

26. Please indicate how strongly you agree or disagree with each of the following statements about how NIOSH disseminates its information (Select one answer for each item.)

STATEMENTS	Strongly Agree		Agree	Neither Agree nor Disagree	Disagree	Strong Disagree	No basis on which to judge
The NIOSH Website contains information that I can use.
The NIOSH Website provides easy access to NIOSH information and publications.
The NIOSH Website is easy to navigate. CDC-INFO provides high quality, usable information.
CDC-INFO provides easy access to NIOSH information and publications.
The NIOSH exhibits at conferences keep me informed about new NIOSH publications and services.
NIOSH-sponsored social media channels (e.g., Twitter, Facebook) make it easy to access OSH information. NIOSH databases (e.g., NIOSHTIC-2, HHE Program) are useful

27. Please indicate how important or relevant each type of NIOSH product or resource is to your organization and its members. (Select one answer for each item.)

NIOSH products and resources

Very important 1

2

3

4

Not important 5

Alert

Criteria Document

Current Intelligence Bulletin

Engineering and Physical Hazards

Reports

Health Hazard Evaluation Report

(HHE)

Fatality Assessment and Control

Evaluation Report (FACE)

Firefighter Fatality Investigation

Report

Hazard Control

Workplace Solutions or Workplace

Design Solutions

Dust Control Handbook for Industrial

Minerals Mining and Processing

Practical Demonstrations of

Ergonomic Principles

Reducing Low Back Pain and Disability

in Mining

Mine Safety and Health

Administration (MSHA) data files

Quality of Worklife Questionnaire

TWH in Action! e-newsletter

Fact sheets

Impact sheets

Worker Health Study Summaries

Pocket Guide to Chemical Hazards

Manual of Analytical Methods

National Health Interview Survey

(NHIS)

Other (specify)

__________________________

28. Which NIOSH publications have you found most useful? Please list up to three publications and provide a short explanation of why you found them useful. (For the following questions, please refer to the enclosed List of NIOSH Publications.)

a.

b.

c.

29. Listed below are suggested ways for improving NIOSH dissemination of information. Please indicate the importance to you on a scale of 1 to 5 of each suggested improvement where “1” indicates “very important” and “5” indicates “not important. (Select one response for each item.)

STATEMENTS	Very important 1	2	3	4	Not important 5	Not familiar with the product 0
a. Produce more NIOSH catalogues that describe publications and reports.
b. Announce more publications on NIOSH Listserv.
c. Announce more publications on NIOSH Website.
d. Do more to promote NIOSHTIC-2 database for search or access of its reports.
e. Establish reader interest profiles and send publications that match reader profiles.
f. Increase the publicizing and circulation of NIOSH Health Hazard Evaluation (HHE) Reports.
g. Produce more Technology Reports and other investigative reports.
h. Package and distribute NIOSH publications around common themes (e.g., noise and hearing loss, ergonomics, agriculture).
i. Increase use of direct mail notices.
Develop versions of technical documents that are more understandable to workers.
k. Support a chat room on the NIOSH Website to discuss current issues.
l. Create CD-ROM collections of publications.
m. Use more social media to circulate links to publications and products. n. Provide more information through downloadable apps for tablets and/or smartphones. o. Provide information that can be repurposed or repackaged (e.g., for syndication). p. Provide more checklists, tools, and guides or direct application. q. Make publications available in different languages. (Specify languages):
r. Make the NIOSH Website easier to navigate or use. s. Do more to promote the NIOSH en Español Website t. Partner more with stakeholder associations or organizations to promote NIOSH publications and products. u. Provide more recommended safety and health standards (e.g., criteria documents). v. Create more products for educating and informing workers. w. Create more products for educating and informing owners and managers. x. Create short web videos (e.g., YouTube, Vimeo) y. Other (Specify):

30. Listed below are various methods NIOSH uses to notify the public about new NIOSH publications. Please indicate YOUR preference on a scale of 1 to 5 for each notification method NIOSH uses, where “1” indicates a high preference for that method and “5” indicates a low preference.

STATEMENTS	Prefer1	2	3	4	Do Not Prefer5
a. NIOSH eNews
b. NIOSH Website
c. CDC-INFO (800-number)
d. NIOSH conferences or exhibits
e. NIOSH Direct mailing
f. NIOSH Publication catalog
g. NIOSH social media channels (e.g., Facebook, Twitter)
h. NIOSH Science Blog i. Research Rounds j. Press releases or NIOSH updates k. Federal Register Notices

31. Listed below are various methods you might use to obtain NIOSH publications. Please indicate your preference on a scale of 1 to 5 for each method of obtaining NIOSH publications where “1” indicates a high preference for that method and “5” indicates a low preference (Please select one response per item.).

STATEMENTS	High preference1	2	3	4	Low preference5
a. Request via NIOSH Website e-mail
b. Download from NIOSH Website
c. Use CDC-INFO (800-Number)
d. Contact NIOSH authors or subject matter experts
e. Request via NIOSH Fax-line
f. Request at NIOSH conferences or exhibits
g. Link to them through social media
h. Link to them through the NIOSH Science Blog
i. Other (specify) ______________________________

32. Please list THREE safety and health topics that NIOSH should address in future publications. These can be new topics or topics that NIOSH has already addressed.

.
.

33. WE CARE ABOUT WHAT YOU THINK. Please use this space to provide us any additional comments you have about this survey or about the services and products provided by NIOSH.

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

THANK YOU FOR COMPLETING THE QUESTIONNAIRE!

Your help is greatly appreciated. Further information about the NIOSH outreach initiatives can be found at the following links:

• National Institute for Occupational Safety & Health (NIOSH): http://www.cdc.gov/niosh

• NIOSH Newsroom: http://www.cdc.gov/niosh/newsroom/

• National Occupational Research Agenda (NORA): http://www.cdc.gov/niosh/nora

• Research to Practice (r2p): http://www.cdc.gov/niosh/r2p

• NIOSH Science Blog: http://blogs.cdc.gov/niosh-science-blog/

• Total Worker Health: http://www.cdc.gov/niosh/TWH/

• Prevention through Design (PtD): http://www.cdc.gov/niosh/topics/ptd