16. Do you want
someone to contact you to
discuss your experience at SSRL in more detail?
Yes
No
If Yes, please supply us with a contact phone number:
17. SSRL management and our funding agencies are
interested in getting early scientific information from your experiments at
SSRL. Briefly describe the results you obtained (or attempted) during this run.
Significant results should be placed in context so that their
importance can be readily understood.
18. The following information is requested annually by DOE. Which of the following
benefits may/will result from your use of this facility this year? Please
check all that may apply.
Create new fundamental knowledge (i.e.,
basic research)
Discover other new knowledge (i.e., applied
research)
Develop a new or improved product, process, or technology
(i.e., development)
Dissemination of new knowledge via publication in peer-reviewed open literature
Dissemination of new knowledge via presentations at professional society
meetings
Dissemination of new knowledge via
other presentations
Acquire a
patent
Further
Department of Energy mission(s)
Obtain access to unique capabilities not available
elsewhere (e.g., forefront
experiments, one-of-a-kind instruments, distinctive materials or
services)
Facilitate collaborative interactions
(e.g., stimulated new ideas for future
experiments, increased multidisciplinary work, enabled a new approach within
your discipline)
Train
students and/or postdoctoral associates
Other, please
specify:
19. The core
functions of the Integrated Safety & Environmental Management System (ISEMS)
include defining the scope of the work, analyzing hazards, implementing hazard
controls, performing work with controls, and feedback for improvement. We
encourage your feedback related to hazards, controls, or any other safety
issues at SSRL.
20. The SSRL Users' Organization Executive Committee
(SSRLUOEC) wants to hear from you. Please share your suggestions and feedback
here or contact any member of the SSRLUOEC.
Note: If you get the message "Error: Blank Fields" upon submittal of
this form, click the back button on your browser rather than the Fill Out Form
link to modify data entry instead of starting over.