Burnout + Stress Survey

I want to create the best content to support you to to beating burnout, solving your stress cycle so that you can step into work that makes you feel alive, aligned and on purpose....

Your answers to these questions will help me greatly in creating more content, programs and offerings that will genuinely support and serve more high achiever's like you. Thank you for taking the time to do this!

Please note all survey answers are 100% anonymous. If you'd like to leave your email address to be the first in the know when future programs on this topic are released, this will be noted for this purpose only.


When it comes to rebalancing your life and work and reducing stress and burnout, what's the single biggest challenge that you've been struggling with? *
Are you a parent or thinking about kids? The reason I ask is that kids can present unique challenges. *
Which of the following best describes you? Please check a maximum of 3. *
Required
How stressed out on a scale of 1 - 10 do you feel on average in a given week? *
I'm a zen monk
Stressed to the max
How burned out on a scale of 1 - 10 do you feel on average in a given week? Burn out defined as feeling A) Emotional Exhaustion: The fatigue that comes from caring too much for too long B) Depersonalisation: The depletion of empathy, caring and compassion C) Decreased sense of accomplishment: Unconquering sense of futility: feeling that nothing you do makes a difference *
I'm not burned out at all
I'm burned out to the max
How is stress + burnout impacting your life + work right not? What impact does this have yourself, your relationships, your health, your performance? *
If you don't want to be stressed and burned out, what do you want instead? *
If you'd like to be notified of any upcoming programs or workshops on this topic please leave your name below.
If you'd like to be notified of any upcoming programs or workshops on this topic please leave your email address so that we can get in touch.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Siobhan Barnes. Report Abuse
Google Forms