Internship Outcome Assessments for NASA STEM Gateway

As a participant in NASA Internships, you have been selected to take part in a brief questionnaire to test a future survey for clarity and comprehensibility of the questions therein. Your responses to this survey are completely confidential and will not be stored with any identifying information. Thank you for your cooperation! If you wish to participate in this test survey, please continue to the next page.

Privacy Act Notification:

The information you provide via this form is protected from unauthorized disclosure in accordance with the Privacy Act of 1974. It will be used by NASA for the specific purpose of managing registrants, selecting applicants, implementing and evaluating STEM engagement investments. Collection of the information is authorized by the National Aeronautics and Space Act of 1958 § 403(a)(b), 42 U.S.C. § 2473 (c)(1). Provision of the requested information is strictly voluntary; however, failure to provide the information may result in NASA's inability to provide you with the information or STEM services you desire. NASA may disclose information to NASA administrators and managers, Office of Management and Budget officials, and members of Congress for the purposes of accountability and tracking of program and project efficiency and effectiveness. Elaboration and conditions of information disclosure may be found under “Routine Uses” of the full System of Records Notice at https://www.govinfo.gov/content/pkg/PAI-2013-NASA/xml/PAI-2013-NASA.xml#10euda and in Appendix B at https://www.govinfo.gov/content/pkg/PAI-2013-NASA/xml/PAI-2013-NASA.xml#appb.

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 XXXX-XXXX and expires XX/XX/XXXX.

1. Which site did you participate? (Select One) w 0

Ames Research Center

Armstrong Flight Research Center Glenn Research Center

Goddard Space Flight Center

Independent Verification and Validation (IV&V) Facility Jet Propulsion Laboratory

Johnson Space Center Kennedy Space Center Langley Research Center

Michoud Assembly Facility (MAF) Marshall Space Flight Center

NASA Headquarters

NASA Shared Services Center (NSSC) Stennis Space Center

Wallops Flight Facility (WFF) White Sands Complex (WSC)

White Sands Test Facility (WSTF)

2. Was your internship experience in-person or virtual? w 0

In-person Virtual

Hybrid (contained both in-person and virtual elements)

3. What is your gender? (Select One) w 0

Female Male

Do not wish to provide

4. What is your ethnicity? (Select One) w 0

Hispanic or Latino

Not Hispanic or Latino Do not wish to provide

5. What is your race? (Select as many as apply). w 0

American Indian or Alaskan Native Asian

Black or African American

Native Hawaiian or Other Pacific Islander White

Do not wish to provide

6. Do you have a disability? w 0

Yes No

Do not wish to provide

7. Is English your first/native language? (Select One) w 0

Yes No

Choose not to Report

8. Has at least one of your parents/guardians graduated from college? (Select One) w 0

Yes No

Do not wish to provide

9. What is your current grade level in school? (Select One) w 0

High School Freshman High School Sophomore High School Junior

High School Senior College Freshman College Sophomore College Junior

College Senior Graduate Program

Do not wish to provide Other (please specify)

10. Have you ever received or are you eligible for a Pell Grant (needs based) at your university? (Select One)

w 0

Yes No

Do not wish to provide

Not applicable (I am not a college student)

11. When in high school, are/were you able to receive free lunch?(Select One) w 0

Yes No

Do not wish to provide Other (please specify)

12. Where is/was your high school located? (Select One) w 0

Urban Rural

Suburban

Do not wish to provide

13. How often did you do each of the following in STEM classes at school over the past year? Select one per row. w 0

Not at all At least once Monthly Weekly Every day

Work with a STEM

researcher on a project of your own choosing

Present my STEM research to a panel of judges from a relevant industry

Use laboratory procedures and tools

Analyze data or

information and draw conclusions

Build or make a computer model

14. How often did you do each of the following in your NASA internship program this year? Select one per row.

w 0

Not at all At least once Weekly Monthly Every day

Work with a STEM

researcher on a project of your own choosing

Present my STEM research to a panel of judges from a relevant industry

Use laboratory procedures and tools

Analyze data or

information and draw conclusions

Build or make a computer model

15. How much did each of the following resources help you learn about NASA internship programs? Select one per row. w 0

Did not experience Not at all A little Somewhat Very much

NASA Internships on

Facebook, Twitter, or other social media

Internship mentor

Participation in the internship program

16. How much did each of the following resources help you learn about STEM careers at NASA? Select one per row. w 0

Did not experience Not at all A little Somewhat Very much

NASA Internships on

Facebook, Twitter, or other social media

Internship mentor

Participation in the internship program

17. How SATISFIED were you with the following internship program features? Select one per row. w 0

Did not experience Not at all A little Somewhat Very much

Other administrative tasks

Physical location of your internship activities

Teaching or mentoring provided during internship program activities

Lunch & Learn sessions

18. How much input did you have in selecting your internship research project? Select one. w 0

I was assigned a project by my mentor.

I worked with my mentor to design a project.

I had a choice among various projects suggested by my mentor.

I worked with my mentor and members of a research team to design a project.

19. How often was your mentor available to you during the internship program? Select one. w 0

Less than half the time.

About half the time of my project. More than half of the time.

Always available.

20. To what extent did you work as part of a group or team during the internship program? Select one. w 0

I worked alone (or along with my mentor).

I worked with others in a shared laboratory or other space, but we worked on different projects. I worked alone on my project and I met with others regularly for general reporting or discussion. I worked alone on a project that was closely connected with projects of others in my group.

I worked with a group who all worked on the same project.

21. How SATISFIED were you with each of the following? Select one per row. w 0

Did not experience Not at all A little Somewhat Very much

My working relationship with my group

The amount of time I spent with my mentor

22. The list bellow includes effective teaching and mentoring strategies. From the list, please indicate which strategies your mentor(s) used when working with you in the internship program: w 0

Yes – my mentor used this strategy with me No – my mentor did not use this strategy with me

Helped me understand

how I can use STEM to improve my community

Gave me extra support when I needed it

Allowed me to work on a team project or activity

Gave me feedback to

help me improve in STEM

Recommended other NASA or industry programs that match my interests

23. Which of the following statements apply to your research experience in the internship? Select all that apply. w 0

I presented a talk or poster to other students or faculty.

I presented a talk or poster at a professional symposium or conference. I attended a symposium or conference.

I wrote or co-wrote a paper that was/will be published in a research journal. I wrote or co-wrote a technical paper or patent.

I will present a talk or poster to other students or faculty.

I will present a talk or poster at a professional symposium or conference. I will attend a symposium or conference.

I will write or co-write a paper that was/will be published in a research journal. I will write or co-write a technical paper or patent.

24. Rate your level of agreement about your gains in the following STEM knowledge areas as a result of your participation in the internship. w 0

Strongly disagree Disagree

Neither agree or

disagree Agree Strongly agree

Knowledge of research processes, ethics, and rules for conduct in STEM

Knowledge of what

everyday research work is like in STEM

25. Which category best describes the focus of your internship activities? Select one. w 0

Science Technology Engineering

Mathematics Other (please specify)

26. Rate your level of agreement with if you experienced gains in these abilities areas as a result of your participation in the internship. w 0

Strongly disagree Disagree

Neither agree or

disagree Agree Strongly agree

Using my knowledge

and creativity to suggest a solution to a problem

Identifying the limitations

of the methods and tools used for collecting data

Supporting an

explanation with STEM knowledge

Presenting an argument that uses data and/or

findings from an

experiment or investigation

27. Rate your level of agreement with if you experienced gains in these skills/abilities as a result of your participation in the internship. w 0

Strongly disagree Disagree

Neither disagree or

agree Agree Strongly agree

Using my creative ideas to make a product

Evaluating others'

evidence, arguments, and beliefs

Communicating clearly

(written and oral) with others

Accessing and evaluating information

efficiently (time) and

critically (evaluates sources)

Creating media products

like videos, blogs, social media

Adapting to change

when things do not go as planned

28. Rate your level of agreement with if you experienced gains in these areas as a result of your participation in the internship. w 0

Strongly disagree Disagree

Neither agree or

disagree Agree Strongly agree

Deciding on a path to pursue a STEM career

Feeling prepared for

more challenging STEM activities

Desire to build relationships with mentors who work in STEM

29. As a result of your internship experience, are you MORE or LESS likely to engage in the following activities in STEM outside of school requirements or activities? w 0

About the same

Much less likely Less likely before and after More likely Much more likely

Tinker (play) with a

mechanical or electrical device

Mentor or teach other students about STEM

Participate in a STEM

camp, club, or competition

30. Prior to participating in your internship, how far do you want to go in school? Select one. w 0

Finish college (get a bachelor’s degree) Get a master’s degree

Get a Ph.D.

Get another professional degree (law, business, etc.) Other (please specify)

31. After you have participated in your internship, how far do you want to go in school? Select one. w 0

Finish college (get a bachelor’s degree) Get more education after college

Get a master’s degree Get a Ph.D.

Get a medical-related (M.D.), veterinary degree (D.V.M.), or dental degree (D.D.S.) Get a combined M.D./Ph.D.

Get another professional degree (law, business, etc.)

32. How interested are you in participating in future NASA programs? Select one. w 0

Not at all A little

Somewhat Very much

33. How many jobs/careers in STEM did you learn about in your internship program? Select one. w 0

None 1

2

3

4

5 or more

34. How many NASA STEM jobs/careers did you learn about in your internship program? Select one. w 0

None 1

2

3

4

5 or more

35. Rate your level of agreement with with the following statements as a result of your participation in the internship. w 0

Strongly disagree Disagree

Neither agree or

disagree Agree Strongly agree

I am more interested in participating in STEM activities outside of college requirements

I am more interested in

participating in other internships

I am more interested in

pursuing a career in STEM

I have a greater appreciation of NASA

36. What are the three most important ways that the internship program has helped you? w 0

1.

2.

3.

37. What are three ways that the internship program should be improved for future participants? w 0

1.

2.

3.

38. 
    Please tell us about your overall satisfaction with your internship experience. w 0

39. 
    How many minutes did it take you to read the instructions and answer the questions? w 0

40. Please indicate the level to which you agree or disagree with each statement. w 0

Neither agree or

Strongly disagree Disagree disagree Agree Strongly agree

The questions were easy to understand.