Counselor Wellness Fatigue Survey Form
Please complete this survey to help us understand your current wellness and fatigue levels as a counselor. Your feedback supports a healthier work environment.
How would you rate your current level of fatigue?
*
1
2
3
4
5
How manageable is your current workload?
*
Not manageable
1
2
3
4
Very manageable
5
1 is Not manageable, 5 is Very manageable
How often do you feel stressed at work?
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
How supported do you feel by your organization or team?
*
Not supported
1
2
3
4
Very supported
5
1 is Not supported, 5 is Very supported
How would you describe your work-life balance?
*
Poor
Fair
Good
Excellent
How often do you feel able to recharge outside of work?
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
How would you rate your overall emotional wellbeing?
*
Very low
1
2
3
4
Very high
5
1 is Very low, 5 is Very high
How satisfied are you with your current job as a counselor?
*
Not satisfied
1
2
3
4
Very satisfied
5
1 is Not satisfied, 5 is Very satisfied
Which coping strategies do you use regularly?
Exercise
Talking with peers
Supervision or mentoring
Taking breaks
Hobbies
Other
Please share any additional comments or suggestions regarding your wellness and fatigue.
Submit Survey
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