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Anonymous Survey TWHT 2023

Anonymous Pre-Session Survey

2. Age Range *This question is required.

3. What do you personally worry most about today? Please rate each of these areas. *This question is required.

Space Cell	Very anxious	Anxious	Somewhat Anxious	Not really anxious	Not at all anxious
My Friends / Relationships	My Friends / Relationships: Very anxious	My Friends / Relationships: Anxious	My Friends / Relationships: Somewhat Anxious	My Friends / Relationships: Not really anxious	My Friends / Relationships: Not at all anxious
My significant other	My significant other : Very anxious	My significant other : Anxious	My significant other : Somewhat Anxious	My significant other : Not really anxious	My significant other : Not at all anxious
My Children (if applicable)	My Children (if applicable): Very anxious	My Children (if applicable): Anxious	My Children (if applicable): Somewhat Anxious	My Children (if applicable): Not really anxious	My Children (if applicable): Not at all anxious
My Parents (if applicable)	My Parents (if applicable): Very anxious	My Parents (if applicable): Anxious	My Parents (if applicable): Somewhat Anxious	My Parents (if applicable): Not really anxious	My Parents (if applicable): Not at all anxious
Covid	Covid: Very anxious	Covid: Anxious	Covid: Somewhat Anxious	Covid: Not really anxious	Covid: Not at all anxious
My mental health	My mental health: Very anxious	My mental health: Anxious	My mental health: Somewhat Anxious	My mental health: Not really anxious	My mental health: Not at all anxious
My physical health	My physical health: Very anxious	My physical health: Anxious	My physical health: Somewhat Anxious	My physical health: Not really anxious	My physical health: Not at all anxious
World Events	World Events: Very anxious	World Events: Anxious	World Events: Somewhat Anxious	World Events: Not really anxious	World Events: Not at all anxious
Time management	Time management: Very anxious	Time management: Anxious	Time management: Somewhat Anxious	Time management: Not really anxious	Time management: Not at all anxious
Stress / Burnout	Stress / Burnout: Very anxious	Stress / Burnout: Anxious	Stress / Burnout: Somewhat Anxious	Stress / Burnout: Not really anxious	Stress / Burnout: Not at all anxious
Financial Issues	Financial Issues: Very anxious	Financial Issues: Anxious	Financial Issues: Somewhat Anxious	Financial Issues: Not really anxious	Financial Issues: Not at all anxious
My job / career	My job / career: Very anxious	My job / career: Anxious	My job / career: Somewhat Anxious	My job / career: Not really anxious	My job / career: Not at all anxious
Diversity, Equity & Inclusion	Diversity, Equity & Inclusion : Very anxious	Diversity, Equity & Inclusion : Anxious	Diversity, Equity & Inclusion : Somewhat Anxious	Diversity, Equity & Inclusion : Not really anxious	Diversity, Equity & Inclusion : Not at all anxious
National Politics	National Politics : Very anxious	National Politics : Anxious	National Politics : Somewhat Anxious	National Politics : Not really anxious	National Politics : Not at all anxious
Other	Other: Very anxious	Other: Anxious	Other: Somewhat Anxious	Other: Not really anxious	Other: Not at all anxious

4. In what areas have you been personally challenged in the past year? Please check all that apply: *This question is required.

5. How often do you feel isolated or disconnected from the rest of the team?

6. Please check whichever situation is closest to you: *This question is required.

7. How would you rate yourself in these areas: *This question is required.

Space Cell	Always	Usually	Sometimes	Rarely	Never
I can see when someone is struggling	I can see when someone is struggling: Always	I can see when someone is struggling: Usually	I can see when someone is struggling: Sometimes	I can see when someone is struggling: Rarely	I can see when someone is struggling: Never
I feel confident in knowing what to say to someone suffering	I feel confident in knowing what to say to someone suffering: Always	I feel confident in knowing what to say to someone suffering: Usually	I feel confident in knowing what to say to someone suffering: Sometimes	I feel confident in knowing what to say to someone suffering: Rarely	I feel confident in knowing what to say to someone suffering: Never
I feel confident in knowing what to do for someone suffering	I feel confident in knowing what to do for someone suffering: Always	I feel confident in knowing what to do for someone suffering: Usually	I feel confident in knowing what to do for someone suffering: Sometimes	I feel confident in knowing what to do for someone suffering: Rarely	I feel confident in knowing what to do for someone suffering: Never
I know what stops me from supporting others	I know what stops me from supporting others : Always	I know what stops me from supporting others : Usually	I know what stops me from supporting others : Sometimes	I know what stops me from supporting others : Rarely	I know what stops me from supporting others : Never

8. How would you rate yourself in these areas: *This question is required.

Space Cell	Always	Usually	Sometimes	Rarely	Never
I let people know when I struggle	I let people know when I struggle: Always	I let people know when I struggle: Usually	I let people know when I struggle: Sometimes	I let people know when I struggle: Rarely	I let people know when I struggle: Never
I am open with people about how I need support	I am open with people about how I need support: Always	I am open with people about how I need support: Usually	I am open with people about how I need support: Sometimes	I am open with people about how I need support: Rarely	I am open with people about how I need support: Never
I accept support when people offer it to me	I accept support when people offer it to me: Always	I accept support when people offer it to me: Usually	I accept support when people offer it to me: Sometimes	I accept support when people offer it to me: Rarely	I accept support when people offer it to me: Never
I feel able to ask for help when I need it	I feel able to ask for help when I need it: Always	I feel able to ask for help when I need it: Usually	I feel able to ask for help when I need it: Sometimes	I feel able to ask for help when I need it: Rarely	I feel able to ask for help when I need it: Never
I wish I could be more open with others	I wish I could be more open with others: Always	I wish I could be more open with others: Usually	I wish I could be more open with others: Sometimes	I wish I could be more open with others: Rarely	I wish I could be more open with others: Never

9. In general, to what extent do these statements apply to you? *This question is required.

Space Cell	Always	Usually	Sometimes	Rarely	Never
I feel confident in my social interactions	I feel confident in my social interactions: Always	I feel confident in my social interactions: Usually	I feel confident in my social interactions: Sometimes	I feel confident in my social interactions: Rarely	I feel confident in my social interactions: Never
I feel socially awkward interacting with others	I feel socially awkward interacting with others: Always	I feel socially awkward interacting with others: Usually	I feel socially awkward interacting with others: Sometimes	I feel socially awkward interacting with others: Rarely	I feel socially awkward interacting with others: Never
I get energized around other people	I get energized around other people: Always	I get energized around other people: Usually	I get energized around other people: Sometimes	I get energized around other people: Rarely	I get energized around other people: Never
I feel the need to recover after interacting with others	I feel the need to recover after interacting with others: Always	I feel the need to recover after interacting with others: Usually	I feel the need to recover after interacting with others: Sometimes	I feel the need to recover after interacting with others: Rarely	I feel the need to recover after interacting with others: Never
I feel at ease around other people	I feel at ease around other people: Always	I feel at ease around other people: Usually	I feel at ease around other people: Sometimes	I feel at ease around other people: Rarely	I feel at ease around other people: Never

10. How important is it for you to feel valued and cared for at The Woman's Hospital of Texas?
*This question is required.

11. How cared for do you currently feel in your job? *This question is required.

Very Cared For	Cared For	Somewhat Cared For	Not really Cared For	Not at all Cared For
Very Cared For	Cared For	Somewhat Cared For	Not really Cared For	Not at all Cared For

12. How cared for do you currently feel outside of work / at home? *This question is required.

Very Cared For	Cared For	Somewhat Cared For	Not really Cared For	Not at all Cared For
Very Cared For	Cared For	Somewhat Cared For	Not really Cared For	Not at all Cared For

13. In general, how cared for do you feel in these areas at work? *This question is required.

Space Cell	Always	Often	Sometimes	Rarely	Not at all
I feel seen when I'm struggling	I feel seen when I'm struggling: Always	I feel seen when I'm struggling: Often	I feel seen when I'm struggling: Sometimes	I feel seen when I'm struggling: Rarely	I feel seen when I'm struggling: Not at all
There are people to listen when I need to share	There are people to listen when I need to share: Always	There are people to listen when I need to share: Often	There are people to listen when I need to share: Sometimes	There are people to listen when I need to share: Rarely	There are people to listen when I need to share: Not at all
I feel valued	I feel valued : Always	I feel valued : Often	I feel valued : Sometimes	I feel valued : Rarely	I feel valued : Not at all
I feel a sense of trust	I feel a sense of trust : Always	I feel a sense of trust : Often	I feel a sense of trust : Sometimes	I feel a sense of trust : Rarely	I feel a sense of trust : Not at all
It's judgement free	It's judgement free: Always	It's judgement free: Often	It's judgement free: Sometimes	It's judgement free: Rarely	It's judgement free: Not at all
I feel understood	I feel understood: Always	I feel understood: Often	I feel understood: Sometimes	I feel understood: Rarely	I feel understood: Not at all
I feel secure and hopeful	I feel secure and hopeful : Always	I feel secure and hopeful : Often	I feel secure and hopeful : Sometimes	I feel secure and hopeful : Rarely	I feel secure and hopeful : Not at all

14. In general, how cared for do you feel outside of work? *This question is required.

Space Cell	Always	Often	Sometimes	Rarely	Not at all
I feel seen when I'm struggling	I feel seen when I'm struggling: Always	I feel seen when I'm struggling: Often	I feel seen when I'm struggling: Sometimes	I feel seen when I'm struggling: Rarely	I feel seen when I'm struggling: Not at all
Others listen when I need to share	Others listen when I need to share: Always	Others listen when I need to share: Often	Others listen when I need to share: Sometimes	Others listen when I need to share: Rarely	Others listen when I need to share: Not at all
I feel valued around others	I feel valued around others: Always	I feel valued around others: Often	I feel valued around others: Sometimes	I feel valued around others: Rarely	I feel valued around others: Not at all
I feel a sense of trust	I feel a sense of trust: Always	I feel a sense of trust: Often	I feel a sense of trust: Sometimes	I feel a sense of trust: Rarely	I feel a sense of trust: Not at all
It's judgement free	It's judgement free: Always	It's judgement free: Often	It's judgement free: Sometimes	It's judgement free: Rarely	It's judgement free: Not at all
Others understand me	Others understand me: Always	Others understand me: Often	Others understand me: Sometimes	Others understand me: Rarely	Others understand me: Not at all
I feel secure and hopeful around others	I feel secure and hopeful around others: Always	I feel secure and hopeful around others: Often	I feel secure and hopeful around others: Sometimes	I feel secure and hopeful around others: Rarely	I feel secure and hopeful around others: Not at all

15. In which of the following ways are stress and burnout contributing to your work and life right now?
Check all that apply: *This question is required.

16. How well do you think The Woman's Hospital of Texas is currently handling the well-being of its employees? *This question is required.

17. Please rank at least 5 choices on what is most important to you to feel valued & cared for at work: *This question is required.Rank with #1 being your most important. Order the items from the following list. First select an item with the spacebar to show a menu of possible ranking positions. Next, click a ranking position to order it in the ranked list. Note the menu will display more ordering options as you add items to the ranked list.

Frequent communications on hospital/department updates
Leaders who care and are easy to engage with when needed
One good friend who knows me and cares about me
More frequent meetings with the team
A group of friends who know me and care about me
A benefits package that includes mental health care / therapy / counseling
Activities, events, and food at work that I enjoy
Wellness events and awareness
Other (please explain in the next question on this survey)

18. What one thing would you like improved or changed to feel more cared for at work?
*This question is required.