2 page Executive Summary

Response Key 

1. Gender 

· Male 

· Female 

· OptOut 

2. Age 

· 20-29 

· 30-39 

· 40-49 

· 50+ 

· OptOut

3. Tenure 

· Less than 1 year 

· 1 year–less than 2 years 

· 2–5 years

· 5+ years

· OptOut

4. Leadership Level 

· Individual contributor 

· Manager 

· Director 

· Executive 

· OptOut

5. What is your current level of burnout at work?  

1. I feel great! Energy to spare! 

2. A bit worn out at the end of the day, several days a week 

3. Pretty wiped out almost every day 

4. Most days I don’t know how I make it to 5:00.

5. I’m not sure I can make it another day. 

6. How stressed are you at home?  

1. I feel great! No stress at all! 

2. A little stress that would be expected with the ups and downs of life 

3. Pretty stressed out almost every day 

4. Most days I don’t know how I make it to the end of the day. 

5. It feels like I’m in a pressure cooker. 

7. I engage in regular practices to relax and unwind. 

1. Strongly disagree 

2. Disagree 

3. Neutral 

4. Agree 

5. Strongly agree 

8. I love what I do.  

1. Strongly disagree 

2. Disagree 

3. Neutral 

4. Agree 

5. Strongly agree