Follow Up Survey

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Entry Date

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StreamID

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Username

Email(Required)

Institution(Required)

Institution Other(Required)

1. I have a chance to use my strengths every day at work(Required)

2. I feel like I am thriving at my job(Required)

3. I feel like I am making a meaningful difference at my job(Required)

4. I am often pleasantly fascinated by things that happen at my job(Required)

5. I always bounce back quickly after difficulties(Required)

6. I always find a solution when something unforeseen happens(Required)

7. I can adapt to events in my life that I cannot influence(Required)

8. My mood reliably recovers after frustrations & setbacks(Required)

9. Events from this work setting affect my life in an emotionally unhealthy way(Required)

10. I feel burned out from my work(Required)

11. I feel fatigued when I get up in the morning & have to and to face another day on the job(Required)

12. I feel frustrated by my job(Required)

13. I feel I am working too hard(Required)

14. How likely are you to recommend this as a good place to work to a colleague?(Required)

15. If you didn’t rate a 10, why not?

16. Right now, I have so much at work to be thankful for(Required)

17. Currently, I believe that it’s important to pause and “count my blessings” at work.(Required)

18. Right now, I feel deeply appreciative for the things others have done for me at work.(Required)

19. Have you completed an individual or group wellness plan?(Required)

Yes

20. I obtain a sense of sense of joy/mutual delight through connection with my colleagues at work(Required)

21. I find that through my present work, I am able to connect to the meaning in medicine.(Required)

22. I am currently engaged in a project to improve my workplace (QI, process improvement, etc)(Required)

Yes

23. Do you currently make a conscientious habit of reflecting on your mental health as a vital sign?(Required)

Yes

24. (if yes to above) What are the elements of your plan?

25. I have become more callous toward people since I took this job(Required)

26. I believe that engaging in improving workplace systems/activities supports my well-being.(Required)

Over the last two week, how often have you been bothered by the following problems?

27. Feeling nervous, anxious or on the edge(Required)

Not at all	Several days	More than half the days	Nerly every Day

28. Not being able to stop or control worrying(Required)

Not at all	Several days	More than half the days	Nerly every Day

29. Feeling down, depressed or hopeless(Required)

Not at all	Several days	More than half the days	Nerly every Day

30. Little interest or pleasure in doing things(Required)

Not at all	Several days	More than half the days	Nerly every Day

31. In the last month, how often have you felt that you were unable to control the important things in your life?(Required)

32. In the last month, how often have you felt confident about your ability to handle your personal problems?(Required)

33. In the last month, how often have you felt that things were going your way?(Required)

34. In the last month, how often have you felt difficulties were piling up so high that you could not overcome them?(Required)

35. Since the STREAM session(s) I attended, my knowledge in Well-Being, Resilience, Engagement and/or Joy and Meaning has increased.(Required)

36. Since the STREAM session(s) I attended, my attitude and perspectives for Well-Being, Resilience, Engagement and/or Joy and Meaning were impacted.(Required)

37. Since the STREAM session(s) I have attended, my skills in Well-Being, Resilience, Engagement, and/or Joy and Meaning have improved.(Required)