NORA Council Member Survey

NORA Council Member Survey

Form Approved
OMB No. 0920-xxxx
Exp. Date xx/xx/20xx
The survey is part of a larger project we’re doing to gather information on how well councils are achieving their stated purposes of
information sharing, networking, and disseminating/implementing evidence-based solutions. We're also gathering information about
whether council members are satisfied with their experience. The findings will be used to help councils function as effectively as
possible to maximize their contributions towards Agendas and to improved occupational safety and health.
The survey is voluntary and will take about 12 minutes. The information you provide will be used for program improvement purposes
only, will not be shared in any way that would identify you or your organization. NIOSH will keep information you provide private and
secure to the extent permitted by law.

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-xxxx)

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NORA Council Member Survey
About you

1. Which council are you a member of?

2. Over the past 12 months, approximately how many hours have you spent working on council activities
outside of meetings?
0

50

100+

3. For the past 12 months, which of the following best describes your role in the council?
Member who attends council meetings only
Member who attends meetings and participates in a workgroup
Leader (co-chair of the council, leader of a workgroup, or leader of a project/activity)

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NORA Council Member Survey
Information Sharing

4. How often did you engage in information sharing with your NORA council in the past 12 months?
At least once per
month (≥12)

Several times (5-11)

A few times (1-4)

Never (0)

Not applicable

Sharing updates about
my or my organization’s
work towards NORA
objectives.
Sharing information
about such things as
meetings or
conferences, training
opportunities, funding
sources, community
survey data, or
programs

5. How helpful has your council been in keeping up to date on information about occupational safety and
health in your area?
Very helpful

Not at all helpful

Somewhat helpful

My council doesn't share information

Not so helpful

6. How would you rate the usefulness of the presentations during council meetings?
Always useful

Never useful

Often useful

My council doesn't have presentations

Sometimes useful

7. What is one thing that could be done to improve information sharing in your NORA council?

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NORA Council Member Survey
Networking

8. How much do you agree with the following statements about networking in your NORA council?
Strongly disagree

Disagree

Agree

Strongly agree

Not applicable

I have been able to build
or maintain relationships
with others in my
occupational safety and
health area through my
council.
My council has formed
productive
collaborations with other
organizations.
I have done work I
wouldn’t have been able
to do without the
connections I made or
maintained through my
council.

9. What is one change that could improve networking and/or partnerships on your NORA council?

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NORA Council Member Survey
Dissemination and implementation

10. How much to do you agree with the following statements about promoting dissemination and
implementation of solutions in your council?
Strongly Disagree

Disagree

Agree

Strongly agree

Not applicable

The products we create
as a council are useful to
others.
We do enough
outreach/dissemination
about evidence-based
solutions.

11. How have you or your organization used information or implemented policies/programs/solutions you
learned through your NORA council over the past two years? Please provide specific examples.

12. What is one change that could improve dissemination and implementation work on your NORA council?

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NORA Council Member Survey
Council functioning

13. How much do you agree or disagree with the following statements about your council’s co-chairs?
Co-chairs...
Strongly disagree

Disagree

Agree

Strongly Agree

Agree

Strongly agree

Are knowledgeable
about content area
Are competent at
resolving conflicts
Are effective in
managing meetings
Value members’ input
Recognize members for
their contributions

14. How much do you agree or disagree with the following statements?

Strongly disagree

Disagree

I understand the mission
of my council.
The council structure
allows me to make
contributions to the
council’s work.

15. Is your council representative of the varied stakeholders of your sector or cross-sector?
Yes
No (please explain)

16. What is your opinion about the frequency of meetings?
We should meet less often
Meeting frequency is about right
We should meet more often

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17. What is your opinion about the length of meetings?
Too short
About the right length
Too long

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NORA Council Member Survey
Overall

18. Thinking about your overall experience with your NORA council, how much do you agree or disagree
with the following statements?
Strongly disagree

Disagree

Agree

Strongly agree

My council contributes
to improved
occupational safety and
health.
Participating on the
council is a good use of
my time.
I care about the future of
the council.

19. Do you have specific examples of improvements in worker safety and health resulting from the activities
of your NORA council? If so, please describe them in the text box below.

20. Is there any other feedback you’d like to share to improve the NORA council process? Please use the
box below.

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