'A Summer Read' Participant Survey Did you read Brigid Schulte's book Overwhelmed: Work, Love, and Play When No One Has the Time?Complete this survey and enter to win a copy of the book, private book signing with Brigid Schulte and the opportunity to hear her speak on Monday, September 29, 2014. Question Title * 1. Which library do you use the most? Question Title * 2. Gender: Male Female Question Title * 3. Age Range: 18-29 30-39 40-49 50+ Question Title * 4. How did you learn about the program, 'A Summer Read'? Word of mouth WITF Transforming Health website Aligning Forces for Quality— South Central PA website Aligning Forces for Quality— South Central PA social media channels Library staff 'A Summer Read' bookmark 'A Summer Read' poster WellSpan health Other (please specify) Question Title * 5. What was the most surprising fact you learned from reading the book? Question Title * 6. Have you ever felt overwhelmed, anxious or depressed? What factors do you think contributed to these feelings? What changes would you like to see in health care to address these needs? Question Title * 7. Do you think there is a stigma associated with admitting that you are overwhelmed? If yes, how could we work to end the stigma? Question Title * 8. Do you agree with the author’s statements about society’s addiction to the perception of busyness? Why or why not? Question Title * 9. Having finished the book, in what ways will you seek to adjust your habits and behaviors, in concordance with Schulte’s advice, in order to live a more fulfilled, less overwhelmed life? Question Title * 10. If you would like to be entered in the drawing, please complete the contact information below: Name: Address: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Email Address: Phone Number: Done