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WCWI's Employee Burnout Survey

Assessing Employee Experiences with Symptoms of Burnout & Wellbeing Support
Included in the WCWI Membership at no additional cost.
Hello, WCWI Member!
At this point, you've gained more insight to our newest member benefit and are looking to view the survey questions. Upon submission of the form below, you'll recieve access to a PDF version of the full survey, instructions on how you can customize the survey, and a link to test a live standard version. As a friendly reminder, participation will contribute to WCWI’s statewide effort to collect the experiences of employees across Wisconsin’s employers. Therefore, not all questions can be customized.
This survey is a part of your WCWI Membership, and is available at no additional cost. By submitting the form below, you agree to help us keep this survey as a members-only service, but doesn't require you to formally utlize the survey with your organization. 
What's next?
(1) Review the survey with your wellness team and leadership. 
(2) If you are interested in utilizing the survey, send your customization requests to by Monday, November 8. Erin Wentworth with directly work with you and your team in building your custom survey. 
(3) Surveys go live on Wednesday, December 1.
We applaud your dedication to remaining students of the human experience by continuously listening and responding to the voices and needs of our people.

Sign-in to view the survey questions and how they can be customized! 

First Name 

Last Name 



I acknowledge that WCWI's Employee Burnout Survey is a intended for WCWI Member employers and their employees only. I agree to not copy, reproduce, distribute, publish, display, perform, modify, create derivative works, transmit, or in any way exploit any such content, nor may I distribute any part of this content over any network, including a local area network, sell or offer it for sale, or use such content to construct any kind of database. 

Type "I agree" 


In every meeting, every interaction, and every coaching session, I have been hearing how burnout is a severe problem affecting the majority of groups within our organization. With knowing the consequences of burnout, I wanted to take action in order to increase the personal wellbeing of our employees and improve the quality of their work/life.  This survey is an initial step in the right direction and has allowed me to assess burnout for severity and causes. I plan on using and translating the research of burnout into action within our organization to better the wellbeing of all employees. I thank WCWI for not only helping develop the survey, but also providing this as a WCWI Member benefit hosted within their website. This has built some trust within our organization and has allowed those to be open and candid about their struggles with burnout. I am looking forward to hearing from other companies who decide to utilize this survey and hope we get to see the results as a whole. This will be great for discussing common trends and also a guide when producing burnout solutions in the near future.

Meredith Baciak

Wellness Coordinator, Miron Construction Co., Inc.


By Mail: P.O. Box 524 Brookfield, WI 53008-0524

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By Phone: 262.254.7888