First Name *

Last Name *

Phone *

City

State

Email *

What is your company's name *

Leadership & Culture *

Employees have access to mental health services (EAP, therapy, hotlines, etc.)

Mental health days or flexible sick leave are offered

Clear communication about how to access resources

Mental health benefits are inclusive (e.g., support for stress, anxiety, burnout)

Partnerships with wellness providers or apps (Calm, Headspace, etc.)

Workplace Policies *

Policies support flexibility (remote/hybrid options, flexible hours)

PTO is encouraged and respected

Regular breaks are normalized (especially in high-stress roles)

No-repercussion policy for taking mental health days

Clear anti-bullying and harassment policies in place

Education & Training *

Regular wellness workshops or webinars are offered

Employees receive training on stress management and resilience

DEI-focused mental health education is integrated

Managers trained to recognize signs of burnout or distress

Annual or quarterly mental health training for all staff

Workload & Job Design *

Workload expectations are realistic and regularly assessed

Employees have input in goal setting and project planning

Burnout risk is monitored in high-demand roles

Job roles and responsibilities are clearly defined

Regular 1:1s include wellbeing check-ins

Employee Feedback & Measurement *

Regular anonymous wellness surveys are conducted

Exit interviews include questions on mental health and support

Open channels for feedback on wellness programs

Mental health data (usage, satisfaction) is reviewed regularly

Program effectiveness is measured and shared with leadership

NEXT