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Organization Stress & Burnout Management Assessment

Thank you for your interest in our Enterprise Stress & Burnout Management Solutions.

Please complete this 5-minute assessment to help us understand your organization's specific needs and challenges. Your responses will allow us to prepare a customized solution proposal and make our discovery call more productive.

**PLEASE NOTE: Complete all fields to unlock any FREE previews and special offers.**

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Organization Information

Please share a little about your organization.

Question 2 of 23

Organization (Please type the name of your organization below):

Question 3 of 23

Industry Type:

A

Accounting & Financial Services

B

Advertising & Marketing

C

Agriculture & Farming

D

Automotive

E

Banking

F

Biotechnology

G

Construction & Manufacturing

H

Consulting

I

Cybersecurity

J

Education

K

Energy & Utilities

L

Engineering

M

Entertainment & Media

N

Food & Beverage

O

Government

P

Healthcare

Q

Hospitality & Tourism

R

Information Technology

S

Insurance

T

Legal

U

Nonprofit & NGO

V

Real Estate

W

Retail

X

Telecommunications

Y

Transportation

Z

Wholesale & Distribution

Question 4 of 23

Number of Employees:

A

1-10

B

10-50

C

51-100

D

101-200

E

201-500

F

501-1,000

G

1,001-5,000

H

5,000+

Current State Assessment

Please answer a few questions to let us know how your employees are feeling right now.

Question 6 of 23

How would you rate the current level of workplace stress in your organization?

A

Very Low (Most employees report minimal stress)

B

Low (Some stress, but generally manageable)

C

Moderate (Noticeable stress that occasionally impacts performance)

D

High (Significant stress that regularly impacts performance)

E

Very High (Severe stress that consistently undermines productivity)

Question 7 of 23

What percentage of employees would you estimate experience work-related stress that impacts their performance?

A

Less than 10%

B

10-25%

C

26-50%

D

51-75%

E

More than 75%

Question 8 of 23

What are the primary sources of stress in your workplace? 

(Select all that apply)
A

Workload and time pressure

B

Poor communication/lack of clarity

C

Management/leadership style

D

Job insecurity

E

Lack of control/autonomy

F

Work-life balance challenges

G

Interpersonal conflicts

H

Organizational change/uncertainty

I

Physical work environment

J

Other (You can give details on this later)

Question 9 of 23

What metrics are currently being negatively impacted by workplace stress? 

(Select all that apply)
A

Absenteeism/sick leave usage

B

Employee turnover/retention

C

Productivity/performance

D

Healthcare costs

E

Employee engagement scores

F

Team communication/collaboration

G

Innovation/creativity

H

Customer satisfaction/client relations

I

Other (You can give details on this later)

Question 10 of 23

Do you currently have any wellness or stress management initiatives in place?

(Select all that apply)
A

No formal programs

B

Basic wellness program (physical health focus)

C

EAP (Employee Assistance Program)

D

Mental health resources/counseling

E

Stress management workshops/seminars

F

Comprehensive wellness program (physical, mental, emotional)

G

Other (You can provide details on this later)

Goals and Priorities

Please tell us what result you're looking for.

Question 12 of 23

Which departments or employee groups would you prioritize for stress & burnout management solutions?

(Select all that apply)
A

Executive leadership

B

Customer-facing employees

C

Operations/production staff

D

Administrative/support staff

E

Remote/hybrid workers

F

New employees

G

Specific departments (You can give details on this later)

H

All employees equally

Question 13 of 23

What is your desired timeline for implementation?

A

Immediate (within 30 days)

B

Short-term (1-3 months)

C

Medium-term (3-6 months)

D

Long-term (6-12 months)

E

Phased approach (You can give details on this later)

Question 14 of 23

What is your approximate budget range for this initiative?

A

Under $10,000

B

$10,000-$25,000

C

$25,001-$50,000

D

$50,001-$100,000

E

$100,001-$250,000

F

Over $250,000

G

Undetermined/need guidance

Solution Preferences

Please tell us how we can help.

Question 16 of 23

Which of our Enterprise Stress & Burnout Management Solutions interest you most? 

(Select all that apply)
A

Employee licenses to the Self-Paced Online program

B

Organization-wide stress assessment report with targeted recommendations

C

Custom implementation guide for HR and wellness coordinators

D

Quarterly progress reviews and strategy adjustments

E

Group coaching sessions

F

Individual coaching packages

G

Seminars, Lunch Series, Workshops, Retreats, etc. (Virtual)

H

Seminars, Lunch Series, Workshops, Retreats, etc. (Live and In-Person)

I

Comprehensive solution (all of the above)

J

Not sure/would like guidance

Question 17 of 23

How do you prefer to measure the success of your stress management program? 

(Select all that apply)
A

Reduced absenteeism/sick leave

B

Improved retention rates

C

Decreased costs

D

Higher productivity metrics

E

Improved employee satisfaction/engagement scores

F

Other (You can give more details on this later)

Question 18 of 23

What potential obstacles do you anticipate in implementing a stress & burnout management program?

(Select all that apply)
A

Budget constraints

B

Leadership buy-in

C

Employee participation

D

Time limitations

E

Integration with existing programs

F

Measuring effectiveness/ROI

G

Cultural resistance

H

Other (You can give details on this later)

Additional Information

Please provide details that we still need to know.

Question 20 of 23

What questions do you have about our Enterprise Stress & Burnout Management Solutions?

Question 21 of 23

What do we still need to know about your organization's unique situation? 


This might include things like:
-Unique sources of stress & burnout, as well as unique metrics being impacted
-Unique wellness or stress/burnout initiatives that you've already tried or are trying now
-Unique goals for implementing a stress & burnout management program
-Specific departments or individuals that need support
-What phased timeline would work for your organization
-How you would like to measure the success of this program
-Unique obstacles to overcome for success

Question 22 of 23

Please provide (on separate lines):


Your Name
Your Title/Role
Email
Phone
Time zone & best time to reach you (morning, afternoon, evening)

Question 23 of 23

How did you hear about Neuro Coaching Group and our solutions?

A

Referral from colleague

B

Web search

C

Social media

D

Industry conference/event

E

Professional association

F

Email newsletter

G

Other

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