Questionnaires	0	1	2	3	4
To what degree have you experienced the following?	Not at all	Very little	Moderately	A lot	Extremely
Q1: During the past two weeks I have felt a sense of dread when I think about work I have to do
Q2: During the past two weeks I have felt physically exhausted at work
Q3: During the past two weeks I have felt lacking in enthusiasm at work
Q4: During the past two weeks I have felt emotionally exhausted at work
Q5: During the past two weeks my job has contributed to me feeling: less empathetic with my patients
Q6: During the past two weeks my job has contributed to me feeling: less empathetic with my colleagues
Q7: During the past two weeks my job has contributed to me feeling: less sensitive to others’ feelings/emotions
Q8: During the past two weeks my job has contributed to me feeling: less interested in talking with my patients
Q9: During the past two weeks my job has contributed to me feeling: less connected with my patients
Q10: During the past two weeks my job has contributed to me feeling: less connected with my colleagues