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1. What grade level and subject are you currently teaching?
 (Required.)

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2. What other grade levels and subjects have you previously taught?
How many years have you been teaching total? (Required.)

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3. How would you rate your current level of satisfaction with teaching as a career? (Required.)

  (0) not at all (1) a small amount (2) varies daily (3) considerably (4) absolutely
Please choose one of the following

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4. How do the following aspects of teaching affect your job satisfaction and your ability to do your job well? (Required.)

  (0) not at all (1) a small amount (2) medium amount (3) considerably (4) constantly
meetings - including but not limited to: staff, team, district, curriculum, campus improvement, PTA..
lunch
time pressure - to stay on track with curriculum and have everything taught by certain testing dates
additional work outside school hours - any job responsibilites after instructional day & weekends
lack of ability/control in decision making
lack of time to collaborate with collegues
anxiety - that is work related
training - for the expected roles you are assigned
classroom management - behavior and organization

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5. How many hours a week do you spend on the following tasks? (Required.)

  (0) none (1) 1-3 hours (2) 4-6 hours (3) 7-9 hours (4) 10 or more hours
academic documentation - grading papers, entering grades,etc.
professional development - meetings, online training, etc.
parent communication - email, phone, informal and formal conferences
lesson planning and preparation
classroom management - behavior, organization, etc.

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6. Why do you think teachers have the highest burnout rate of any public service profession? (in 3 sentences or less) (Required.)

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7. Why are some teachers able to make it more than 5 years in the profession, while others quit earlier? (Required.)

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8. What are your best skills that could be shared with your collegues if time or resources would allow for it? (Required.)

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9. Do you feel like you are making a difference in your profession? (in 3 sentences or less) (Required.)

  (0) not at all (1) a small amount (2) varies daily (3) considerably (4) absolutely
Please choose from one of the following choices:

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10. Do you feel you are the on verge of teacher burnout? (Required.)

  (0) not at all (1) a small amount (2) varies daily (3) considerably (4) constantly
Please choose from one of the following choices:

T