Johnson Space Center Astronaut and Flight Surgeon Survey Report (January 2008)In early 2007, an incident involving former astronaut, Lisa Nowak, led NASA to conduct several reviews including internal and external evaluations of astronaut behavioral health and medical care. The internal NASA review, led by Johnson Space Center (JSC), focused on two elements: 1) current astronaut behavioral medicine practices and 2) a review of relevant records and information to determine whether any leading indicators that could have averted the incident were missed. The external review, conducted by the NASA Astronaut Health Care System Review Committee (comprised of external experts from the behavioral health and aerospace medical communities), focused on space medicine operations at JSC.