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1. During the past month, have you felt burned out from your work?
2. During the past month, have you worried that your work is hardening you emotionally?
3. During the past month, have you often been bothered by feeling down, depressed, or hopeless?
4. During the past month, have you fallen asleep while sitting inactive in a public place?
5. During the past month, have you felt that all the things you had to do were piling up so high that you could not overcome them?
6. During the past month, have you been bothered by emotional problems (such as feeling anxious, depressed, or irritable)?
7. During the past month, has your physical health interfered with your ability to do your daily work at home and/or away from home?

Please rate your level of agreement with the two following statements:

8. The work I do is meaningful to me.
4
Very Strongly Disagree Very Strongly Agree
9. My work schedule leaves me enough time for my personal/family life.
3
Strongly Disagree Strongly Agree

The Well-Being Index is a validated screening tool to evaluate fatigue, depression, burnout, anxiety/stress, and mental/physical quality of life. The index was developed through a rigorous process with multi-step validation with more than 19,600 working US adults including both health care workers and the general US population. Over 264,000 individuals have now used the index.

For working US adults, scores are compared to normative data from a large national sample of US workers age 22 through 65. Evidence indicates that the index is useful not only for identifying working US adults in distress, but also for identifying those whose degree of distress places them at risk for adverse consequences (e.g. burnout, intent to leave their current job, and/or suicidal ideation). Index scores also correlate with quality of life and fatigue.