Form Approved
OMB No. 0920-1050
Expiration Date: 06/30/2025
Attachment 1. 2023 CDC Science Ambassador Fellowship Summer Course Satisfaction Survey
[Page 1 – Introduction]
Thank you for participating in the 2023 CDC Science Ambassador Fellowship Summer Course. We would like to ask you a few questions regarding your experience. The information you provide will be used to guide the direction of future summer course sessions.
Your participation is voluntary, and your answers will not affect
earning continuing education units. This survey is anonymous and
information from it will be treated in a secure manner. All data will
be reported in aggregate.
This survey will take approximately 12
minutes to complete. By continuing to the next page,
you have consented to complete this survey. Please
contact ELWBeval@cdc.gov if
you have any questions or problems concerning this survey.
The public reporting burden of this collection of information is estimated to average 12 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 Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333 ATTN: PRA (0920-1050).
[Page 2 – SAF Summer Course Role]
During the 2023 CDC Science Ambassador Fellowship Summer Course, my role was a _________.*
Fellow [skip to page 3]
Peer leader [skip to page 4]
[Page 3 – SAF Summer Course Experience - Fellows]
Please provide any suggestions you have to help us improve our communication with participants before the CDC Science Ambassador Fellowship Summer Course. [open-ended]
Please indicate your level of agreement with each of the following statements.*
“The _________ was valuable to my learning or professional development.” |
Strongly Agree |
Agree |
Neutral |
Disagree |
Strongly Disagree |
[SESSION NAME/DATE/TIME] |
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Please provide any suggestions to help us improve the CDC Science Ambassador Fellowship Summer Course sessions listed above. [open-ended]
Rate your confidence in your ability to teach epidemiology and public health topics in your classroom…
Before Summer Course |
After Summer Course |
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Please indicate your level of agreement with each of the following statements.*
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Strongly Agree |
Agree |
Neutral |
Disagree |
Strongly Disagree |
Not applicable |
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In the upcoming 2023/2024 academic year, how do you plan to incorporate epidemiology and public health topics into your curriculum?*
I plan to offer a year-long course on Epidemiology or Public Health
I plan to offer a semester course on Epidemiology or Public Health
I plan to teach one or more units on epidemiology and public health science
I plan to incorporate topics from epidemiology and public health science into my existing curriculum
I will not, but I plan to in the future
I will not, and I don’t plan to in the future
I do not currently teach
Other (please specify): _________________
If you will not be teaching epidemiology and public health science in the upcoming school year, please tell us why. [open-ended]
In the upcoming 2023/2024 academic year, which resource(s) do you plan on using to teach epidemiology and public health topics? Select all that apply.*
CDC NERD Academy curriculum
CDC Science Ambassador Fellowship Educational Activities (Lesson Plans)
STEM at CDC website
CDC website
Non-CDC lesson plans (e.g., Young Epidemiology Scholars Lesson Plans) or websites (e.g., Medical Detectives). Please provide 1–2 examples:
None
If you attended any conferences, meetings, or professional development training sessions in the past year, please list them. [open-ended]
[Page 4 – SAF Summer Course Experience – Peer Leaders]
In what year did you first participate in the CDC Science Ambassador Fellowship? [Drop down 2002 – 2022]*
Please indicate your level of agreement with the following statements.*
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Strongly Agree |
Agree |
Neutral |
Disagree |
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[Page 5 – Participant Characteristics]
Which grade(s) do you currently teach? Select all that apply.*
Elementary (K–5)
Middle (6–8)
High (9–12)
Undergraduate
Graduate
Other: Curriculum Development Specialist
Other: Professional Development Provider
Other (please specify): __________________
Approximately how many students did you teach or are you teaching during the 2022/2023 school year?* [open-ended, whole # required]
Which subject area(s) do you currently teach? Select all that apply.*
Epidemiology or Public Health
Life Sciences
Health and Medical Sciences
Other STEM courses (e.g., Physical Sciences, Earth and Space Sciences, Engineering, Technology, and Applications of Science)
I do not currently teach
Other (please specify): __________________
Have you ever taught epidemiology or public health?*
Yes, as a course (e.g., Epidemiology, Public Health) [skip to Page 6]
Yes, I have taught epidemiology and public health topics as part of another course [skip to Page 6]
No [skip to Page 7]
Not Sure [skip to Page 7]
[Page 6 – Previous experience teaching public health]
Please provide your best estimations for the following questions. Please enter 0 for the following values that are not applicable to you.*
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Open Ended Response |
How many students did you teach public health content to as part of your curriculum or elective course(s) in the 2022/2023 academic year? |
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How many instructional hours did you teach public health content each week in the 2022/2023 academic school year? |
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How many teachers did you share your experiences teaching public health content (e.g., at a conference or meeting) with in the 2022/2023 school year? |
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How many students did you coach through extracurricular clubs or programs related to public health (e.g., Science Olympiad Disease Detectives coach; HOSA supervisor for Public Health or Epidemiology event) in the 2022/2023 academic year? |
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During the 2022/2023 school year, which resource(s) did you use to teach public health? Select all that apply.*
Not applicable, I did not teach public health in the past school year
CDC NERD Academy curriculum
CDC Science Ambassador Fellowship Educational Activities (Lesson Plans)
STEM at CDC website
CDC Website
Non-CDC lesson plans (e.g., Young Epidemiology Scholars Lesson Plans) or websites (e.g., Medical Detectives). Please provide 1–2 examples:
None
[Page 7 – School Characteristics]
The following questions are completely voluntary and you may choose to leave these questions blank. The CDC Science Ambassador program seeks to better understand the schools where our participants teach, including aggregated school demographic characteristics (e.g., socioeconomic status). We will use these data to improve outreach and programming. Responses will only be presented in aggregate, and no identifying information will be linked to individual responses.
What is the name of the school(s) where you currently teach or work? [open-ended]
Please select the state of the school(s) where you currently teach or work:
[U.S. State Drop Down Menu + Other (please specify)]: _________________
Please enter the city of the school(s) where you currently teach or work: ________________ [open-ended]
In which type of school(s) do you teach or work? Select all that apply
Public K-12 (non-charter)
Private K-12 (non-charter)
Charter K-12
Public College/university
Private College/university
Not Applicable
Other (please specify):
Do any of the schools where you teach or work receive Title I funds?
Yes
No
I am not sure
Not applicable
[Page 8 –
Demographic Information]
The following questions are
completely voluntary and you may choose to leave these questions
blank. Responses will only be presented in aggregate, and no
identifying information will be linked to individual responses.
What is your ethnicity?
Hispanic or Latino
Not Hispanic or Latino
What is your race? Select all that apply.
American Indian or Alaska Native
Asian or Asian American
Black or African American
Native Hawaiian or Other Pacific Islander
White
Other (please specify): _______________
What sex were you assigned at birth, on your original birth certificate?
Male
Female
Do you currently describe yourself as male, female, transgender, nonbinary, or another gender?
Male
Female
Transgender
Nonbinary
Another gender, please specify:______________________
[Page 9 – Additional Feedback]
Please provide any additional feedback you have regarding the CDC Science Ambassador Fellowship Summer Course. [open-ended]
[Custom Thank You]
Thank you for taking the time to complete this survey. We appreciate your input and honest feedback. If you have any questions or concerns, please contact us at ELWBeval@cdc.gov.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Sommer, Audrey (CDC/DDPHSS/CSELS/DSEPD) |
File Modified | 0000-00-00 |
File Created | 2025-05-19 |