Burnout Self-Assessment Survey
Instructions: Please read each statement carefully and select the response that best describes your experience over the past month. Choose the number that corresponds to how often each statement applies to you:
1. Never
2. Rarely (Once or twice)
3. Sometimes (A few times a month)
4. Often (Once or twice a week)
5. Always (Almost every day)
I find it difficult to concentrate or stay focused on tasks at work.
I have trouble sleeping or staying asleep due to work-related stress.
I have withdrawn socially or emotionally from colleagues or friends.
I have become less productive at work or feel less efficient.
I have thoughts of quitting my job or changing my career due to stress or burnout.
I feel cynical or negative about my job or tasks I need to complete.
I have physical symptoms such as headaches, muscle tension, or stomach issues related to work stress.
I feel that my work is not meaningful or that I have lost purpose in what I do.
I feel physically and emotionally drained from my work.
I feel irritable or impatient with colleagues, clients, or customers.
