NJ-NEW Nurse Spotlight Survey

Tell us about you! We are looking to feature nurses on our website.

Step 1 of 2

Name*
First Last
Credentials*
Title*
Work County
Years of Service*
- 1-5 Years
- 6-10 Years
- 11-15 Years
- 16-20 Years
- 20+ Years

Well-being and Nursing
Please answer at least 3 out of the 5 questions. Please limit your responses to no more than 5 sentences.
In light of Nurses' Month in May, what about being a nurse brings you joy?
Who is your top role model in nursing, and how have they made such an impact on your life?
How do you define emotional well-being?
What is the best advice that you ever received for maintaining your well-being?
Please upload a photo of yourself. It could be of doing something that helps you destress or just a general picture of you!
Max. file size: 50 MB.
Please provide your email address and mobile phone # (Note: This will not be shared. This will only be used for clarifying purposes).*
If you use social media, and would like to be tagged in our post about you, please provide your handle below:*
Phone
If you would like to create a video to be posted as part of the Nursing Spotlight Series, please record your answer to one of the above questions and upload the file below.
Please upload your video here.
Max. file size: 50 MB.
By signing my name, I am giving NJ-NEW permission to use my name, image, or other information about me in whole or in part in publications, presentations, websites, social media services, or any other types of communications to advance NJ-NEW's organizational goals and objectives, which include, but are not limited to, education, training, research, public relations, marketing, and use by or for the news media. By typing my first and last name, I allow permission for the above statement.*
Phone
This field is for validation purposes and should be left unchanged.

NJ-NEW Nurse Spotlight Survey

Step 1 of 2

Well-being and Nursing

New Jersey Nursing Emotional Well-being Institute