1. On a scale of 1 to 5, how important do you feel burnout is to the well-being of medical professionals?
1	2	3	4	5
Not at all important	Slightly important	Moderately important	Very important	Extremely important
2. On a scale of 1 to 5, how significant of a potential barrier do you feel Burnout Syndrome is to the provision of patient care?
1	2	3	4	5
Not a barrier	Slightly significant	Moderately significant	Very significant	Extremely significant
3. Are you aware of programs designed to prevent the development of burnout in healthcare practitioners?
Yes	No
4. Are you aware of programs or processes that focus on supporting healthcare practitioners who may be experiencing burnout?
Yes	No
5. Are programs or processes designed to identify Burnout Syndrome readily available to you?
Yes	No
6. On a scale of 1 to 5, how likely would you be to participate in a program(s) designed to prevent, or support healthcare practitioners who develop Burnout Syndrome?
1	2	3	4	5
Definitely not	Probably not	Possibly	Probably	Definitely