Emergency Staff Burnout Survey
Please answer the following questions to help us understand your current work-related experiences and support needs. Your responses are anonymous.
How would you rate your current overall level of work-related stress?
*
Very Low
1
2
3
4
Very High
5
1 is Very Low, 5 is Very High
How often do you feel emotionally exhausted after your shifts?
*
Never
Rarely
Sometimes
Often
Always
How manageable do you find your current workload?
*
Not Manageable
1
2
3
4
Very Manageable
5
1 is Not Manageable, 5 is Very Manageable
How supported do you feel by your immediate supervisor or manager?
*
Not at all supported
Slightly supported
Moderately supported
Very supported
Extremely supported
How often do you feel you have adequate staffing on your shifts?
*
Never
Rarely
Sometimes
Often
Always
Please indicate your agreement with the following statements about your work environment.
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I feel respected by my colleagues.
1
2
3
4
5
I have the resources I need to do my job well.
6
7
8
9
10
Communication in my team is effective.
11
12
13
14
15
How frequently are you able to take breaks or time off to recover?
*
Never
Rarely
Sometimes
Often
Always
How likely are you to seek support or help for work-related stress if needed?
*
Not at all likely
1
2
3
4
Extremely likely
5
1 is Not at all likely, 5 is Extremely likely
If you had the option, how interested would you be in adjusting your current work schedule or responsibilities?
*
Not interested
Slightly interested
Somewhat interested
Very interested
Extremely interested
Please share any suggestions or comments to improve support for emergency staff.
Submit Survey
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