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* 1. What is your current professional role?

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* 2. How many years have you worked in your field?

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* 3. What sector do you primarily work in?

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* 4. What state or region do you currently work in?

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* 5. What is your highest level of education completed?

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* 6. What is your age range?

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* 7. How often do you experience work-related stress or burnout?

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* 8. What are the top contributors to your stress or burnout?

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* 9. Which coping or wellness strategies have you personally found most helpful?

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* 10. How supported do you feel by your organization when it comes to mental health resources?

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* 11. If you could improve one thing in your workplace to reduce burnout, what would it be?

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* 12. What topics would you find most valuable at the conference? (Select up to 3)

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* 13. What session formats would you prefer?

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* 14. What is one thing you hope to gain or take away from this conference?

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* 15. What would make this event feel truly worth your time?

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* 16. Which of the following types of organizations would you view as valuable sponsors or partners for this conference?

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* 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)?

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* 18. Which wellness-related products or services do you currently use or subscribe to? (check all that apply)

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* 19. Are you interested in being considered as a keynote speaker, panelist, or breakout session facilitator?

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* 20. If yes, which of the following areas best describe your expertise or story focus?

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* 21. Please provide a brief 2–3 sentence description of your background or the topic you’d like to speak about.

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* 22. Have you spoken at other conferences or workshops before?

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* 23. If you would like to be contacted about speaking opportunities, please leave your name, organization, and best contact email.

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* 24. Share something that describes how you want to feel after attending the Mental Health, Anxiety & Burnout Conference?

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