JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Workplace Burnout Survey
Thank you for participating in this survey! This survey seeks to understand burnout experiences among professionals.
All information will be kept confidential and will only be used for academic research purposes. The survey will take approximately 3-5 minutes to complete.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What is your age range?
*
18-24
25-34
35-44
45+
What is your gender?
*
Male
Female
Non-binary
Prefer not to say
What is your ethnicity?
*
Asian
Black or African American
Hispanic or Latino
White
Other:
Do you require a work visa to work in the United States? (e.g., OPT, H1B, etc.)
*
Yes
No
Other:
What is your current industry?
*
Healthcare
Technology
Education
Finance
Other:
What is your current role?
*
Entry-level / Early-career
Mid-career professional
Senior professional / Executive
Freelance / Consultant
Other:
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report