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survey.euro.confirmit.com Open in urlscan Pro
212.100.250.8  Public Scan

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Submitted URL: https://e.sermo.com/dc/tD5W-6N0YOksdgaI5oZFw1SN5b5Y0d4uV2JQtsy-833f24EdQjE4teZ1zFVdfUZ6iDY2pb4QFbzenzJjZICxdfVhTP7ZG...
Effective URL: https://survey.euro.confirmit.com/wix/8/p214518734678.aspx?__extsid__=BewKhVtUbiWvYQtWejOtzcDl5Q7OjKUcUO6lg3%2BrmZjhwkFrMEcdISEB5h...
Submission: On April 16 via manual from CA — Scanned from CA

Form analysis 1 forms found in the DOM

POST /wix/8/p214518734678.aspx

<form action="/wix/8/p214518734678.aspx" method="post" novalidate="novalidate" class="cf-page__form" id="page_form" autocomplete="off" aria-hidden="true">
  <div class="cf-page__hidden-fields">
    <input type="hidden" name="__prevPageProgress" value="0.8;0.2">
    <input type="hidden" name="__pagemasterid" value="6">
    <input type="hidden" name="__theme" value="Main+theme">
    <input type="hidden" name="l" value="9">
    <input type="hidden" name="__sid__" value="M6DwuYIjD8j2ArmQrMkZVDxCHMG0r5bTPqUWcXlLgvaO71kd2oqDnKOFj8AL2_Aj66sUbRcLNUV82UH_9IgGAhxr2VeOm6eyf80k8SVjpOvtTRrlgGJyA8cFIK6dJXekXZrkr2D6B89Vc4gS5XJtZIjuO8hRRCFSBnY7OZjYnubM5zFJv4l2bimI8btI7I-Z0">
    <input type="hidden" name="loopdata" value="[][]"><input type="hidden" name="xs1logs" value=""><input type="hidden" name="xActiveLOILogs" value=""><input type="hidden" name="ActiveLOI" value="0"><input type="hidden" name="progress"
      value="80"><input type="hidden" name="UserTimeStamp" value="1713283757350"><input type="hidden" name="qidToAdd" value="none">
  </div>
  <div class="cf-page__question-hidden-fields" id="Q1_hidden"></div>
</form>

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Survey progress: 80%



Q1

Complete two quick questions on HCP burnout to earn your reward.

How do you primarily experience symptoms of burnout in your role?
(Choose as many as necessary)

Emotional exhaustion (feeling drained, or overwhelmed)
Work-life imbalance struggles (letting personal obligations slip)
Compassion fatigue or depersonalization (feeling disconnected from patients or
work)
Increased cynicism or negativity
Feeling a lack autonomy in your work environment
Reduced sense of accomplishment (like you're failing)
Physical symptoms (e.g., sleep disturbances, headaches, etc.)
Next


Study number: 11746

PIN: 701081877

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