American Nurses Foundation Well-Being Initiative:

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* 1. As you reflect on your experiences during COVID-19, in which of the following would you like additional support? Please identify your greatest priority.

On a professional level (for example: team collaboration/relationship, personal/patient safety, communication, fatigue, fear of the unknown, leadership support, managing your staff, etc.)

On the home front(for example: parenting, home school, home finances, personal relationships, keeping family healthy/safe, leaving work pressures behind, etc.)

On a personal level (for example: quiet time, exercise, nutrition, reflection, meditation, decompressing, finding time for yourself, etc.)

Other (please specify)

American Nurses Foundation Well-Being Initiative:

Question Title

* 1. As you reflect on your experiences during COVID-19, in which of the following would you like additional support? Please identify your greatest priority.

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* 2. Given your previous answer (professional, home, personal, other), please tell us more about your specific needs.

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* 3. Please identify your clinical specialty (optional):