The Work & Life Sustainability Index
Please take 5 minutes to complete this index openly and honestly. Do your best to estimate how many times each "activity" happened this week (you'll have four options to choose from). The goal is to get a baseline reading of what a normal week looks like for you.

This survey is adapted from Boyatzis, Goleman, Dhar, & Osiri (2021).
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Please write your full name below *
Please provide an email address that you check regularly (a copy of this survey will be sent to you for your records, at the address you enter below) *
Part 1: Stressor Activity
Reflecting on last week (refer to your calendar or planner if it helps), indicate how many times you had the following stressful experiences listed below on the left-hand column. Do your best to estimate based on the options you have available. Please don't over think this.
*
Not at all
Only a few times (1-2)
More than a few times (3-5)
A lot (5+)
Waking up, did I think of what I had to do, a problem, something troubling or worrying me?
Difficulty getting myself or my family ready for the day
Traffic or delays in getting to or returning from work
Someone at work frustrated me or caused a problem
Someone at home frustrated me or caused a problem
Pressure about a report, task, project, performance goal, or deadline
My cell phone dropped an important call
Was angry at a specific person
Had an argument with my spouse or partner
Someone cut me off in traffic
My computer or the Internet was slow
Someone yelled at me
I was late for a meeting, appointment, or meal
Ate a meal with family that was tense
Had an auto accident
Felt ill
Worried about something important to me that would not turn out well
Others in power were observing or evaluating me
Part 2: Renewal Activity
Reflecting on last week (refer to your calendar or planner if it helps), indicate how many times you had the following renewal experiences listed below on the left-hand column. Do your best to estimate based on the options you have available. Please don't over think this.
*
Not at all
Only a few times (1-2)
More than a few times (3-5)
A lot (5+)
A loving moment with your spouse, partner, or significant other
Having fun with your spouse, partner, or significant other
Coaching or mentoring someone (formally or informally)
Helping a friend or colleague with compassionate approach (as opposed to trying to "fix" them)
Thinking about your values or purpose
Talking with others about your shared values or purpose
Meditated
Practice yoga, tai chi, or similar martial arts
Prayed
Physical exercise
Played with a pet (dog, cat, horse, monkey)
I played a game (board game, etc.)
Walked or exercised a pet
Volunteered or provided care for someone in need
Ate a meal with family that was pleasant or fun
Walked in nature
Laughed with others
Played with a small child
Finish the Survey
Please click the "Submit" button below, to finish the index.
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