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Listen Then Speak
Pre-Conference Survey

1.What is your current professional role?
2.How many years have you worked in your field?
3.What sector do you primarily work in?
4.What state or region do you currently work in?
5.What is your highest level of education completed?
6.What is your age range?
7.How often do you experience work-related stress or burnout?
8.What are the top contributors to your stress or burnout?
9.Which coping or wellness strategies have you personally found most helpful?
10.How supported do you feel by your organization when it comes to mental health resources?
11.If you could improve one thing in your workplace to reduce burnout, what would it be?
12.What topics would you find most valuable at the conference? (Select up to 3)
13.What session formats would you prefer?
14.What is one thing you hope to gain or take away from this conference?
15.What would make this event feel truly worth your time?
16.Which of the following types of organizations would you view as valuable sponsors or partners for this conference?
17.Would you be more likely to consider a product or service from a company that sponsors this conference (assuming price and quality are equal)?
18.Which wellness-related products or services do you currently use or subscribe to? (check all that apply)
19.Are you interested in being considered as a keynote speaker, panelist, or breakout session facilitator?
20.If yes, which of the following areas best describe your expertise or story focus?
21.Please provide a brief 2–3 sentence description of your background or the topic you’d like to speak about.
22.Have you spoken at other conferences or workshops before?
23.If you would like to be contacted about speaking opportunities, please leave your name, organization, and best contact email.
24.Share something that describes how you want to feel after attending the Mental Health, Anxiety & Burnout Conference?