Baldrige Perception Survey

Generic Clearance for Program Evaluation Data Collections

0693-0033-BaldrigePerceptionCollection_Instrument-2022

Baldrige Perception Survey

OMB: 0693-0033

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BALDRIGE	PERCEPTION	SURVEY

OMB	Control	No.	0693-0033
Expiration	Date:	07/31/2022
In	an	ongoing	attempt	to	improve	our	products	and	services	and	raise	awareness	of
the	value	of	Baldrige	resources	and	the	award	to	benefit	both	the	Baldrige	Program
and	Baldrige	Award	recipients,	we	are	asking	you	to	complete	a	very	simple	yes/no
survey.	The	survey	seeks	your	perceptions	of	how	Baldrige	resources	may	have
impacted	your	organization	in	the	following	key	areas	of	performance.	This	survey	is
intended	to	help	us	affirm	the	value	of	Baldrige	resources,	especially	to	our
stakeholders,	parent	organization,	and	Presidential	Administrations.
Please	note:	Not	all	survey	questions	below	may	be	appropriate	to	your	organization,
but	we	appreciate	your	answers	in	response	to	those	that	are	appropriate.	Please
skip	any	question	that	is	not	applicable.
	

SURVEY	QUESTIONS
1.	Do	you	believe	that	use	of	the	Baldrige	framework	and	related	products/services	has
improved	your	organization's	job	growth?	
YES
NO

2.	Do	you	believe	that	use	of	the	Baldrige	framework	and	related	products/services	has
improved	your	organization's	workforce	satisfaction	or	engagement?

YES
NO

3.	Do	you	believe	that	use	of	the	Baldrige	framework	and	related	products/services	has
improved	your	organization's	workforce	retention?	
YES
NO

4.	Do	you	believe	that	use	of	the	Baldrige	framework	and	related	products/services	has
improved	your	organization's	customer/patient/student	satisfaction	or	engagement?	
YES
NO

5.	Do	you	believe	that	use	of	the	Baldrige	framework	and	related	products/services	has
improved	your	organization’s	customer/patient/student	retention?	
YES
NO

6.	If	applicable,	do	you	believe	that	use	of	the	Baldrige	framework	and	related
products/services	has	improved	your	organization’s	patient	safety?	
YES
NO

7.	Do	you	believe	that	use	of	the	Baldrige	framework	and	related	products/services	has
improved	your	organization’s	business	results,	health	care	outcomes,	or	educational
outcomes?	
YES
NO

8.	Do	you	believe	that	use	of	the	Baldrige	framework	and	related	products/services	has
improved	your	organization’s	community	support/relationships?	
YES
NO

9.	Do	you	believe	that	use	of	the	Baldrige	framework	and	related	products/services	has
improved	your	organization’s	ethics/governance?	
YES
NO

10.	Do	you	believe	that	use	of	the	Baldrige	framework	and	related	products/services	has
improved	your	organization’s	strategic	planning?	
YES
NO

11.	Do	you	believe	that	use	of	the	Baldrige	framework	and	related	products/services	has
improved	your	organization’s	operational	efficiency/cost	savings?	
YES
NO

12.	Do	you	believe	that	use	of	the	Baldrige	framework	and	related	products/services	has
improved	your	organization’s	revenue/market	growth?	
YES
NO

13. Would	you	like	to	add	anything	else	about	your	perception	of	the	impact	of	the	Baldrige
framework	and	related	products/services	on	your	organization?

14. OPPORTUNITY:	Would	your	senior	leaders	be	interested	in	hosting	or	speaking	to	the
Baldrige	Executive	Fellows?
Yes
No
Please	provide	me		with	more	information	on	this.

PAPERWORK	REDUCTION	ACT	(PRA)
A	Federal	agency	may	not	conduct	or	sponsor,	and	a	person	is	not	required	to	respond	to,	nor	shall	a	person	be	
subject	to	a	penalty	for	failure	to	comply	with	an	information	collection	subject	to	the	requirements	of	the	
Paperwork	Reduction	Act	of	1995	unless	the	information	collection	has	a	currently	valid	OMB	Control	Number.	
	The	approved	OMB	Control	Number	for	this	information	collection	is	0693-0033.		Without	this	approval,	we	could	
not	conduct	this	survey/information	collection.		Public	reporting	for	this	information	collection	is	estimated	to	be	
approximately	15	minutes	per	response,	including	the	time	for	reviewing	instructions,	searching	existing	data	
sources,	gathering	and	maintaining	the	data	needed,	and	completing	and	reviewing	the	information	collection.		All	
responses	to	this	information	collection	are	voluntary.	Send	comments	regarding	this	burden	estimate	or	any	other	
aspect	of	this	information	collection,	including	suggestions	for	reducing	this	burden	to:	
National	Institute	of	Standards	and	Technology	
Attn:	Robert	Fangmeyer,	Director	Baldrige	Program
100	Bureau	Drive,	Stop	1020
Gaithersburg,	MD	20899
robert.fangmeyer@nist.gov		


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File Created2022-07-14

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