Where are you in your nursing career right now?
Still working, under 5 years
Still working, 5-15 years
Still working, over 15 years
On leave or between roles
Left nursing, not retired
Retired from nursing
Not a nurse
Which symptoms have you experienced recently? (select all that apply - then click the arrow in the lower right corner):
Sleep challenges or insomnia
Chronic pain or fatigue
Dread/panic before work
Brain foggy or forgetting simple things
Feeling numb or disconnected
Which symptoms have you experienced recently? (select all that apply - then click the arrow in the lower right corner):
I get through it but feel shaken after
I hide my true feelings
I break down privately
I struggle to return to work
I'm numb - nothing touches me anymore
Which symptoms have you experienced recently? (select all that apply - then click the arrow in the lower right corner):
Burnout feels like a lie - there's something deeper
I'm sometimes haunted by things at work
Questioning work realities these days
Feeling angry or betrayed by leadership
Secretly wanting to leave my role or nursing altogether
Which symptoms have you experienced recently? (select all that apply - then click the arrow in the lower right corner):
Felt unsafe at work
Wanted to cry or escape while at work
Lashed out or shut down
Lost interest in activities or people I usually enjoy
Thought "I'm not sure how much longer I can do this"
Which symptoms have you experienced recently? (select all that apply - then click the arrow in the lower right corner):
I startle easily
Withdrawn from loved ones
Can't fully relax when away from work
Low key hypervigilant - scanning for danger cues
Feel like "the old me" is eroding or gone
What is hardest for you right now? Choose your top 3.
Sleep, pain, fatigue, and the physical symptoms
No energy for the people and things I love
The old me, before nursing, is eroding away
Every workday costs me more than I have to give
I've tried everything for burnout and haven't improved
I want to stay in nursing, but not like this
I want out of direct patient care, but not out of nursing
I want out of nursing but can't afford to leave
I'm going through this alone
Something else
How ready are you to do something about it?
Just curious for now
Thinking about it
Actively looking for help
Ready to start this month
May we include your de-identified responses in nurse trauma research? Your name and email are always private and never shared.
Yes
No
Your results are ready!
To where should we send your
Nurse-Specific Trauma Report?
First Name
Last Name
Email
*
Phone