Nervous System Regulation & Burnout Recovery Program Questionnaire

Thank you for taking the time to complete this questionnaire. I’m exploring the creation of a small online group programme focused on nervous system regulation, stress, overwhelm, burnout recovery, and helping people move towards greater calm, resilience, rest and balance in everyday life.Your feedback will help shape this programme so it feels supportive, practical and aligned with what people most need.
Nervous System Regulation & Burnout Recovery Programme Questionnaire
1. Which of these do you currently experience regularly? (Tick all that apply)
2. How long have you been feeling this way?
5. What would make a programme like this genuinely valuable for you?
4. If you could feel differently after 6 weeks, what would you most want to experience? (Tick up to 5)
6. What support would you most want included? (Tick all that apply)
7. Which format would suit you best?
8. What time of day would you most likely attend live sessions? (Tick all that apply)
9. What would feel like a reasonable investment for a supportive 6-week online programme focused on nervous system regulation, emotional wellbeing, stress reduction and burnout recovery?
10. If this programme felt aligned and supportive, would you be interested in joining the pilot group?
11. What would stop you from joining? (Tick all that apply)
12. Is there anything else you’d love support with around stress, burnout, emotional wellbeing, or nervous system regulation?
Any additional notes or comments (optional)
13. If you’d like to hear about the pilot group when spaces open, leave your email below:
example@example.com
Thank you so much for your support and time. Your responses will genuinely help shape this programme into something deeply supportive and practical.
Stay Connected If you'd like to hear more about the upcoming nervous system regulation pilot programme, you're warmly welcome to join the WhatsApp updates group below. This is simply a quiet space where I'll occasionally share programme details, early access to spaces, dates and updates, and occasional supportive reflections or resources. There's no pressure or expectation to engage it's simply there for anyone who'd like to stay informed and connected. https://chat.whatsapp.com/K9vgA618TZTBgs8BoCZY7J?mode=gi_t
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Nervous System Regulation & Burnout Recovery Programme Questionnaire