I feel emotionally and physically drained at the end of most workdays. (1 = Not at all, 2= Occasionally, 3=Sometimes, 4=Most of the time, 5 = All the time)
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I’ve noticed a drop in my motivation or productivity recently.
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I’m finding it harder than usual to focus or stay engaged.
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Family responsibilities make it harder for me to recharge outside of work.
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I struggle to balance work with caring for children or aging parents
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I often feel overwhelmed by my responsibilities at work.
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I feel comfortable talking to my manager or HR about stress or burnout. (1 = Not at all, 2= Occasionally, 3=Sometimes, 4=Most of the time, 5 = All the time)
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I feel that my employer genuinely cares about employee well-being.
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I believe my current workload is manageable.
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I have the flexibility I need at work to handle personal or family responsibilities.
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I have the employee benefits I need to help me manage my family responsibilities.
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I know what support resources and benefits are available to me.
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Are there any benefits or resources you wish we offered?
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What’s one thing that would help reduce your work-related stress?
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Anything else you’d like to share?
Full Name
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Email (To Receive Your Results)
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