Trailhead Burnout Prevention Information Gathering

Thank you for your interest in working with Trailhead to investigate strategies to intervene in and prevent burnout among public health professionals.

Burnout can be summarized as sustained stress that impairs one's ability to meet the daily demands of one's work and life. This stress can come from being overworked and hyperstimulated, being underworked and under-utilized or a combination of professional and personal factors. Over time, there is evidence that burnout can have long term health implications and can impact the development of a professional field.

Please provide the information below and Trailhead staff will be in contact with you to conduct an interview of your experience.

Question Title

* 1. Are you currently or have you recently experienced burnout?

For these interviews, because we are taking a human centered design approach, we would like to interview people who are or recently have experienced burnout.

Yes, currently

Yes, in the past

Maybe

I don't know

Question Title

* 2. Please provide the following information so we can contact you to participate in this interview.

Your information will be kept completely confidential and will be used only to explore how public health professionals are currently experiencing burnout.

Name

Email Address

Phone Number

Question Title

* 3. Please select the option that best describes your primary affiliation:

Community Based Public Health

Local Government

State Government

Foundation/Funder

Advocacy and/or Policy Organization

Academic

Non-profit

Other (please specify)

Question Title

* 4. Gender Identification:

Female

Gender Non-conforming

Genderqueer

Male

Transgender

Choose not to disclose

Other (please specify)

Question Title

* 5. Sexual Orientation:

Gay

Lesbian

Bisexual

Heterosexual

Choose not to disclose

Other (please specify)

Question Title

* 6. Ethnicity/Race:

African

Asian

Asian American

Black or African American

Hispanic or Latina/Latino/Latinx

Native American or Native Indian

Native Hawaiian or other Pacific Islander

White or Caucasian

Choose not to disclose

Other (please specify)

Trailhead Burnout Prevention Information Gathering

Question Title

* 1. Are you currently or have you recently experienced burnout? For these interviews, because we are taking a human centered design approach, we would like to interview people who are or recently have experienced burnout.

Question Title

* 2. Please provide the following information so we can contact you to participate in this interview.Your information will be kept completely confidential and will be used only to explore how public health professionals are currently experiencing burnout.

Question Title

* 3. Please select the option that best describes your primary affiliation:

Question Title

* 4. Gender Identification:

Question Title

* 5. Sexual Orientation:

Question Title

* 6. Ethnicity/Race:

* 1. Are you currently or have you recently experienced burnout?

For these interviews, because we are taking a human centered design approach, we would like to interview people who are or recently have experienced burnout.

* 2. Please provide the following information so we can contact you to participate in this interview.

Your information will be kept completely confidential and will be used only to explore how public health professionals are currently experiencing burnout.