Form 1 CBIIT Event Survey

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

Fast Track CBIIT Event Survey

Customer Satisfaction Survey for CBIIT Events

OMB: 0925-0642

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Event Evaluation Survey


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OMB No.: 0925-0642

Expiration Date: 05/31/2020



Public reporting burden for this collection of information is estimated to average 3 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 (0925-0642)





Thank you for attending this event hosted by the Center for Biomedical Informatics and Information Technology (CBIIT). Your opinion is important to us and helps us to improve the planning and execution of future events. Please take a few minutes to complete the following evaluation.

How did you learn about this event? (Select all that apply.)

⃝ Digital signage

⃝ CBIIT Website (CBIIT Solutions)

⃝ Email

⃝ Colleague


⃝ Poster

If none of the above, please tell us how you learned about our event?







Overall, how satisfied were you with the event?

⃝ Dissatisfied

⃝ Somewhat dissatisfied

⃝ Neutral

⃝ Somewhat satisfied


⃝ Satisfied

Please rate the following from 1 to 5 (1 being worst and 5 being best):


1

2

3

4

5

Agenda






Quality of content






Quality of presenters






Program format






Event frequency






Audience engagement






Room setup






Room acoustics






How likely are you to tell colleagues about another session like this one?

⃝ Very unlikely

⃝ Somewhat unlikely

⃝ Neutral

⃝ Somewhat likely


⃝ Very likely

What did you like about the event?







What did you dislike about the event?







What would you recommend to improve this event?







What programs or topics would you like to learn more about?







Thank you for completing this survey!



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