Educator Well-being Fatigue Survey 📋
Please share your experience regarding fatigue and well-being as an educator.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Age Group
*
Please Select
Under 25
25-34
35-44
45-54
55 and above
Teaching Experience (years)
*
Please Select
0-2
3-5
6-10
11-20
21 and above
Subject Area
*
Please Select
Mathematics
Science
Languages
Social Studies
Other
Level of Fatigue Over the Past Week
*
1
1
2
3
4
2
5
1 is , 5 is
Frequency of Feeling Overwhelmed
*
1
2
3
4
5
Main Causes of Fatigue
Signs of Fatigue Experienced (select all that apply)
Physical exhaustion
Emotional exhaustion
Sleep disturbances
Lack of motivation
Other
Support Systems Available to Help Manage Fatigue
*
3
1
2
3
4
4
5
1 is , 5 is
Additional Comments or Suggestions
Submit
Should be Empty: