Portraits of Burnout

Participant Survey

The Portraits of Burnout project is a series of portraits inspired by real-life stories of helping professionals who have experienced and navigated the chaos of burnout. The purpose of this survey is to collect stories from helping professionals from which the artwork will be created. For more information on the mission and goals of the Portraits of Burnout project, please feel free to contact the artist here. Thank you for your participation!

Question Title

* 1. How did you hear about the Portraits of Burnout project?

Social Media

Word of Mouth

Other (please specify)

Question Title

* 2. What would you like the artist to know about your experiences with burnout? Share your burnout story in as little or as much detail as you wish.

Question Title

* 3. Fill in the blank: "Burnout looks like _____________________."

Question Title

* 4. I give consent for the artist to anonymously incorporate my "Burnout Looks Like" statement (question 3) in her artwork and to show any artwork containing that text to the public, in person and online.

Yes, I give permission for the artist to freely use my "Burnout Looks Like" statement in her artwork.

No, I do not consent to this.

Question Title

* 5. I want to receive updates about the Portraits of Burnout project, as new information and ways to contribute become available.

Yes (please include valid email address)