Well-Being Index for First Responders
Invented by Mayo ClinicBuilt for Public Safety

First responder wellness is operational readiness. Now you can manage it.

Protect the people who answer the call with the Well-Being Index—the only Mayo Clinic-invented assessment that measures distress and well-being among first responders in under 60 seconds. Validated and trusted by 1,000+ organizations.

On-shift ready60-second assessment avoids survey fatigue. Any device, anywhere.
AnonymousArchitectural anonymity earns honest answers in stigma-heavy cultures.
PredictiveMeasure risk of distress across 6 validated dimensions.
ProvableView trends quarter over quarter, before and after every intervention.
1,000+licensed organizations
~1Massessments completed
Peer-reviewed& validated
9-questionassessment by Mayo Clinic

Serving every role that answers the call.

Climate surveys and morale polls weren't built to detect distress. The Well-Being Index is a clinically validated, Mayo Clinic-invented instrument with the rigor required to find the dimensions that drive turnover, injury, and crisis in public safety—and the credibility your chief, council, and carrier will trust.

Fire Service

Firefighters & Fire Officers

With cumulative trauma and disrupted sleep elevating cardiac, cancer, and behavioral health risk, the Well-Being Index surfaces distress by station and shift before it becomes a line-of-duty injury or early retirement.

Law Enforcement

Police Officers & Sheriff's Deputies

Where critical-incident exposure and a culture that penalizes asking for help keep distress invisible, the Well-Being Index earns honest answers anonymously and gives leadership the data to act.

Emergency Medical Services

EMTs & Paramedics

In the highest-turnover workforce in healthcare—facing low pay, mandated overtime, and constant exposure to suffering—the Well-Being Index pinpoints which providers and shifts are at greatest burnout risk before they walk.

9-1-1 Communications

Telecommunicators & Dispatchers

For dispatchers carrying vicarious trauma through long console shifts—and routinely excluded from field-focused peer support—the Well-Being Index brings the same evidence-based footing as every role in the field.

The Crisis Behind the Badge

Independent national research has confirmed what every chief, sheriff, and EMS director already suspects: the first responder profession sits among the most distressed populations in the modern workforce—and the operational, human, and community consequences are now too large to leave unmeasured.

30%
First responders with behavioral health conditions

Including PTSD, depression, and substance use disorders—compared with roughly 20% in the general workforce.

85%
Report mental health symptoms from on-duty exposure

From repeated trauma, mass-casualty incidents, and human suffering encountered in the line of duty.

$100K–$250K
Cost to replace a single sworn officer or firefighter

Recruiting, academy, FTO, equipment, and lost productivity per separation—before counting overtime to cover the gap.

5×
Higher PTSD rate than the general public

An estimated 1 in 5 first responders shows clinical PTSD symptoms—compared with ~7% of the general adult population.

Ruderman White Paper · 2018

More first responders die by suicide than in the line of duty.

"In a typical year, more police officers and firefighters die by suicide than from all line-of-duty deaths combined." The paper frames first responder mental health as a public safety crisis hidden in plain sight.

243 Firefighter & police suicides in 2017
222 Line-of-duty deaths the same year
Read the full Ruderman White Paper
Gallup Workplace Research

Operational exposure is direct.

Impaired well-being correlates with the failures that matter most in emergency services: slowed reaction time, errors in patient and citizen contact, citizen complaints, use-of-force incidents, on-duty injuries, and early retirement.

63% More likely to take a sick day when burned out
2.6× More likely to actively seek to leave when burned out
Source: Gallup workplace burnout research

See exactly where your department stands. Talk through your team's well-being data with a Well-Being Index expert.

Talk to a Well-Being Index Expert

Built for how public safety actually operates.

A four-step process designed for fire, police, EMS, and dispatch leaders who need clean data, anonymity that earns honest answers, and a fast path from baseline to intervention to documented result.

01
Setup — under one week

Configure for your agency or department

License the validated Well-Being Index. Name your assessment, set a collection window, and define anonymous segments—division, station, shift, rank, or unit.

  • Self-administered—no consultant required
  • SSO and roster imports for any agency size
  • Anonymity enforced at population thresholds
  • Up to 3 additional custom questions per assessment
app.mywellbeingindex.org / new-campaign
Q2 2026 — Agency-Wide Well-Being Assessment
All sworn + civilian
Apr 15 → May 6
Division  Station / Beat  Rank  Shift
Launch Campaign →
02
Invite — under 60 seconds per response

Deploy to any group you choose

You decide who receives the link—sworn personnel, firefighters, EMS providers, dispatchers, civilian staff, or any combination. Each participant gets a private link and completes 9 questions in under a minute on any device.

  • Choose any group(s) to include: sworn, fire, EMS, dispatch, civilian
  • Automated invitations with configurable reminders
  • 100% anonymous—architecturally enforced
  • Real-time response tracking by segment, not by person
From: no-reply@wellbeingindex.org
03
Insight — instant, once thresholds clear

See exactly where distress is concentrated

Your dashboard surfaces results by segment and dimension, benchmarked against national norms. See who's thriving, who's struggling, and which dimensions are driving the picture across your agency.

  • Snapshot across the Distressed → Thriving continuum
  • Side-by-side segments: division, station, shift, rank, tenure
  • National benchmarks for context
  • Drill down by dimension to pinpoint what's driving distress
Well-Being Snapshot — Q2 2026
Distressed Struggling Okay Thriving
Patrol
34%
Fire Suppression
29%
EMS
33%
Dispatch
22%
Agency-wide
29%
04
Measure — quarter after quarter

Prove what worked. Repeat what did.

Run the assessment quarterly, semi-annually, or alongside any initiative. The Well-Being Journey view tracks every dimension and segment over time—so command briefings, city council reports, union updates, and grant renewals are anchored in data, not anecdote.

  • Trend every dimension and segment over time
  • Compare cohorts before and after interventions
  • Export command-ready reports and benchmark summaries
  • Document outcomes for LEMHWA / HERO Act grant reporting
Well-Being Journey — Distress %, trailing 4 quarters
40% 30% 20% 10% Q3 '25 Q4 '25 Q1 '26 Q2 '26 38% 33% 29% 24%
After launching a peer-support pilot and shift-rotation reform in Q4: distress fell 14 points across the agency.

Six dimensions of distress and well-being.

Each dimension was identified and validated through years of Mayo Clinic research as an independent predictor of professional and personal consequence. Together they describe the full clinical picture that a one-dimensional burnout score will always miss.

01

Meaning in Work

Whether your responders experience the job as purposeful service, or as a shift they're enduring. The leading indicator of engagement and retention.

02

Likelihood of Burnout

Emotional exhaustion and depersonalization—the dimensions most correlated with turnover intent, citizen complaints, and deteriorating scene performance.

03

Severe Fatigue

Beyond tired: the depleted state that compromises split-second judgment, reaction time, and scene-safety decisions.

04

Work-Life Integration

The dimension your veteran responders are quietly evaluating their careers against. Directly linked to retention and early-retirement intent.

05

Quality of Life

Mental and physical quality of life—measured against normative national data so you can interpret what your agency's number actually means.

06

Suicidal Ideation Risk

The dimension every other survey leaves out, in a profession where suicide deaths now exceed line-of-duty deaths. Measured anonymously, against clinical thresholds.

See it in Action

Validated on more than a decade of Mayo Clinic research.

Protecting first responders demands a measurement instrument with the rigor to match the stakes. The Well-Being Index brings more than a decade of peer-reviewed Mayo Clinic research, with predictive validity established across high-stress professional populations including healthcare and public safety personnel.

Invented & validated by Mayo Clinic researchers Developed by Drs. Tait Shanafelt, Liselotte Dyrbye, and colleagues across more than a decade of multi-institutional research on professional distress.
Predictive across high-stress professional populations Peer-reviewed studies establish the index's reliability and predictive validity for distress, severe fatigue, errors, intent to leave, and suicidal ideation—outcomes that map directly onto the public safety experience.
Trusted benchmarks for first responders Your agency's scores are interpreted against the same clinical thresholds and normative national data behind every Mayo Clinic-licensed deployment—a measurement record built for the populations who need it most.
1M+ assessments and 1,000+ organizations One of the largest validated well-being datasets in existence. Your data joins a benchmark trusted across hospitals, emergency medical departments, 9-1-1 call centers, EMS services, and a growing number of public safety agencies.
Featured Validation Study

Ability of a 9-Item Well-Being Index to Identify Distress and Stratify Quality of Life in US Workers

Published in the Journal of Occupational and Environmental Medicine (August 2016) by Dyrbye, Satele, and Shanafelt, this study confirms the Well-Being Index as a validated assessment tool for predicting distress risk among U.S. workers, including firefighters, police officers, EMS providers, dispatchers, and the civilian staff who support them.

n=5,392 U.S. workers in the population sample
<1 min To complete the assessment (per study)
6 Dimensions of distress / well-being
9 Validated questions in the assessment
Read the full study on PubMed

Designed for those responsible for first responder wellness.

Whether you run the agency, run the wellness program, sign off on the budget, or advocate for the profession nationally, you'll get the resources, data, and platform needed to protect the people who answer the call.

Agency Command

Fire Chiefs, Police Chiefs, Sheriffs & EMS Directors

Quantify the risk inside your hardest-to-quantify asset—your people. Anchor retention and succession conversations in clinical-grade evidence. Prove to your city council, your governing board, and the community that you measure and manage the wellness of those who answer the call.

Fire Chief Police Chief Sheriff EMS Director Deputy Chief Battalion Chief
Wellness & Peer Support

Wellness Coordinators, Peer Support Teams & Chaplains

Replace anecdotal check-ins and post-incident debriefs with a tool that has years of peer-reviewed validation. Target peer support, EAP, and clinical interventions where data shows they're needed most—and prove ROI quarter over quarter, in dimensions every chief and city manager will recognize.

Wellness Coordinator Peer Support Lead Chaplain CISM Coordinator Behavioral Health Officer
Government & Risk

City Managers, Risk Managers & Public Safety Directors

Anchor the public-safety wellness budget in clinical-grade evidence. Quantify ROI on every wellness initiative you fund—and give your council, board, and risk team the data they need to keep investing in those who answer the call.

City Manager County Administrator Risk Manager Public Safety Director HR Director Workers' Comp Admin
National & State Networks

Associations & Member Organizations

Offer your membership a validated, anonymous measurement standard—an instant member benefit, an aggregate national dataset, and the empirical foundation for behavioral-health policy and advocacy. Common licensors include the major fire, police, EMS, and 9-1-1 associations, plus state standards boards.

IAFC — Fire Chiefs IAFF — Firefighters IACP — Police Chiefs NSA — Sheriffs FOP — Police Union NAEMT — EMS NEMSMA — EMS Mgmt APCO — 9-1-1 NENA — 9-1-1 State POST & EMS Boards

Everything a climate survey can't tell you.

Climate surveys and morale polls weren't designed to detect distress. They miss the dimensions that drive turnover, injury, and crisis—because they were never validated to find them. Here's what your current instrument can't do that the Well-Being Index was built for.

Clinically validated, not just statistically reliable. The Well-Being Index predicts risk of adverse outcomes—severe fatigue, errors in the field, intent to leave, suicidal ideation—against published clinical thresholds. Climate and pulse surveys only correlate with sentiment.
Anonymous by design, with the math to prove it. Minimum response thresholds, no individual scores ever surfaced, and an architecture built for cultures where stigma is the single greatest barrier to disclosure—a hard requirement in fire, police, and EMS.
Built for repeated measurement. Run the same assessment before and after a peer-support program, a shift-rotation reform, or a critical-incident response—and prove what worked in dimensions your command staff and city council will recognize.
Segmented for how it's actually licensed. Whether you're a single department, a state EMS office, or a national association offering this to your members, results separate cleanly by department, station, shift, rank, role, or any custom dimension.
Well-Being Index Climate / Pulse Survey
Time to complete Under 60 seconds · 9 questions 15–40 minutes · 40–80+ questions
What it actually measures Clinical distress & well-being across 6 validated dimensions Sentiment, morale, engagement proxies
Predictive of turnover, errors, suicidal ideation Yes — published, peer-reviewed Not designed for clinical prediction
National benchmarks Yes — against normative U.S. workforce data Often vendor-specific or unavailable
Anonymity guarantee 100% — individual responses never surfaced; minimum thresholds enforced Varies — frequently identifiable at station or shift level
Grant & standards alignment LEMHWA · HERO Act · NFPA 1500/1583 · IACP Rarely structured for wellness grant reporting
Designed for repeated measurement Built for it — quarterly cadence supported Survey-fatigue limits frequency
Validated by independent research Peer-reviewed studies; Mayo Clinic invented Internal vendor reliability claims
Trusted by 1,000+ organizations · ~1M assessments completed Varies

Already funded. Already required.

The Well-Being Index fits inside the federal grant programs, national standards, and presumption-law evidence requirements your agency already operates under. You're not asking your council for a new budget line—you're using ones that already exist.

Law Enforcement Funding

LEMHWA & COPS Office Grants

The Law Enforcement Mental Health and Wellness Act of 2017 authorizes officer-wellness grants through DOJ's COPS Office. Validated mental-health measurement is an allowable—and increasingly expected—line item in those applications.

  • DOJ COPS Office LEMHWA Implementation Program
  • Bureau of Justice Assistance (BJA) officer-wellness grants
  • VALOR Officer Safety & Wellness Initiative
  • State pass-through & municipal wellness funding
Fire / EMS Funding

FEMA AFG, SAFER & SAMHSA

The FEMA Assistance to Firefighters Grant (AFG) program funds Wellness & Fitness initiatives, including behavioral-health measurement. SAMHSA and HHS programs add additional funding streams for fire and EMS behavioral health.

  • FEMA AFG — Wellness & Fitness program area
  • FEMA SAFER recruitment & retention grants
  • SAMHSA First Responder behavioral health programs
  • Public Safety Officer Suicide Reporting System (HERO Act, 2022)
Standards & Compliance

NFPA, IACP & Presumption Laws

National standards now name behavioral-health measurement directly. 30+ states have workers' comp PTSD presumption laws for first responders—making agency-wide baseline data the most important evidence record you can build.

  • NFPA 1500 (Occupational Safety, Health & Wellness Program)
  • NFPA 1582 & 1583 medical and fitness program standards
  • IACP Officer Safety & Wellness Section framework
  • State workers' comp PTSD presumption documentation
  • CFAI / CPSE accreditation behavioral-health criteria

Before you bring this to command.

The questions you'll want answered before you walk this in to your chief, your city manager, your union, or your council.

Can we try the platform before we commit?

Yes—and there is no credit card, no procurement form, and no commitment required. Every prospective agency gets full demo-account access populated with realistic live demo data, so you can navigate the dashboard, run an aggregate report, simulate launching a campaign, and see exactly what your agency's view would look like before you ever sign anything.

Is this eligible for LEMHWA, HERO Act, or other federal wellness grants?

Yes. The Well-Being Index is an allowable expense under DOJ COPS Office LEMHWA Implementation grants, FEMA Assistance to Firefighters Grants (AFG), SAMHSA First Responder programs, and most state pass-through wellness funding. Agencies regularly use it to satisfy the "validated measurement" component of officer-wellness and behavioral-health grant applications. Our team can provide language for grant narratives and reporting on request.

Does this align with NFPA 1500 / 1583 and IACP behavioral health standards?

Yes. NFPA 1500 requires fire departments to maintain a behavioral health program; the Well-Being Index provides the validated measurement component most programs lack. The IACP Officer Safety & Wellness Section framework explicitly recommends ongoing measurement of officer well-being—a function the Well-Being Index was designed for. The assessment can also serve as documentation for CFAI / CPSE accreditation behavioral-health criteria.

How is anonymity actually enforced?

Architecturally—not by promise. Individual responses are never visible to administrators, command staff, supervisors, peer supporters, or even the vendor. The platform enforces minimum response thresholds before any segment is displayed, so a small unit or shift can't be back-calculated to an individual. Participants control whether to receive resources via their private account; agency leadership only ever sees aggregated, de-identified results. This is the only architecture that earns trust in a profession where stigma is the single greatest barrier to disclosure.

Can this support our workers' comp / PTSD presumption case documentation?

It can. More than 30 states now have workers' compensation presumption laws for first responder PTSD. The single biggest evidence gap in those cases—on both sides—is the absence of agency-wide baseline data. Quarterly aggregate Well-Being Index data establishes that record. Note: the platform never surfaces individual responses, so it complements rather than replaces clinical evaluation for individual claims.

Who at the agency can take the assessment?

Whichever populations you choose. A license can cover sworn personnel only, sworn plus dispatch, fire suppression plus EMS, or the full agency including civilian and administrative staff—segmented by division, station, shift, rank, or any custom dimension you define. The Well-Being Index is validated for the general U.S. workforce, so the same instrument applies across every role at your agency.

Is there software to install?

No. The Well-Being Index is a fully browser-based application—nothing to download, install, or run on your agency's network. Responders and civilian staff take the assessment on any device (mobile, MDT, station computer, personal phone), and administrators access the dashboard from any modern browser. No IT deployment, no endpoint footprint, no security review of installed software.

How long does it take to launch?

Most agencies are up and running within weeks. Setup is guided by a dedicated onboarding specialist and an organizational wellness expert who help you configure the campaign, populations, segments, and reminder cadence in the administrator console. SSO and roster imports are supported for agencies of any size, from a single-station volunteer department to a metropolitan agency with thousands of sworn personnel.

What does a license cost?

Pricing scales by population size and license duration, with options for single-campaign engagements and ongoing annual licenses. Many agencies cover licensing through LEMHWA, AFG, SAMHSA, or state wellness grant funds. The most efficient way to get an accurate quote—including a tailored ROI model against your agency's attrition and overtime costs—is a 30-minute briefing with our team.

Will this work for a state or national association?

Yes. State fire and police standards boards, IAFF locals, IACP regions, NAEMT chapters, FOP lodges, APCO & NENA networks, and national associations use the validated assessment to offer members anonymous self-measurement, aggregate de-identified data across the network, and inform training, behavioral health policy, and advocacy at the state and federal levels. Talk to us about the membership-network licensing structure.

Your next early retirement, your next critical incident, your next near-miss: not abstract. They're names your agency already knows.

What gets measured, gets managed—and the agencies leading this decade are the ones turning first responder wellness into a data-driven conversation instead of a hopeful one. Join more than 1,000 organizations already using the Well-Being Index to quantify distress, target interventions, and prove what worked.

No credit card, no procurement commitment, no software install. Confidential by default. LEMHWA · HERO Act · AFG · SAMHSA grant-eligible.