Wellbeing Assessment
Scan the QR code if you would prefer to complete the assessment on your mobile device.
Overview
This assessment has 23 questions, usually taking less than ten minutes. This is not a diagnostic tool, it is intended to support those interested in learning more about their current experience of wellbeing and burnout. Your individual results are confidential, and are never shared.
Name and Email
Name
*
First Name
Last Name
Email
*
Confirmation Email
example@example.com
1. At work, I feel physically exhausted
*
Never
Rarely
Sometimes
Often
Always
2. At work, I feel unable to control my emotions
*
Never
Rarely
Sometimes
Often
Always
3. At work I struggle to think clearly
*
Never
Rarely
Sometimes
Often
Always
4. I want to be active at work, but somehow I am unable to manage
*
Never
Rarely
Sometimes
Often
Always
5. I feel a strong aversion towards my job
*
Never
Rarely
Sometimes
Often
Always
6. During my work I become irritable when things don’t go my way
*
Never
Rarely
Sometimes
Often
Always
7. At work, I have trouble staying focused
*
Never
Rarely
Sometimes
Often
Always
8. I make mistakes in my work because I have my mind on other things
*
Never
Rarely
Sometimes
Often
Always
9. At work I may overreact unintentionally
*
Never
Rarely
Sometimes
Often
Always
10. I feel indifferent about my job
*
Never
Rarely
Sometimes
Often
Always
11. At the end of my working day, I feel mentally exhausted and drained
*
Never
Rarely
Sometimes
Often
Always
12. Everything I do at work requires a great deal of effort
*
Never
Rarely
Sometimes
Often
Always
13. I’m forgetful and distracted at work
*
Never
Rarely
Sometimes
Often
Always
14. At work, I do not think much about what I am doing and I function on autopilot
*
Never
Rarely
Sometimes
Often
Always
15. At work, I feel mentally exhausted
*
Never
Rarely
Sometimes
Often
Always
16. I’m cynical about what my work means to others
*
Never
Rarely
Sometimes
Often
Always
17. When I’m working, I have trouble concentrating
*
Never
Rarely
Sometimes
Often
Always
18. When I get up in the morning, I lack the energy to start a new day at work
*
Never
Rarely
Sometimes
Often
Always
19. I struggle to find any enthusiasm for my work
*
Never
Rarely
Sometimes
Often
Always
20. I do not recognize myself in the way I react emotionally at work
*
Never
Rarely
Sometimes
Often
Always
21. When I exert myself at work, I quickly get tired
*
Never
Rarely
Sometimes
Often
Always
22. I get upset or sad at work without knowing why
*
Never
Rarely
Sometimes
Often
Always
23. After a day at work, I find it hard to recover my energy
*
Never
Rarely
Sometimes
Often
Always
Back
See My Results
Your Results
The scores are categorized into four areas of burnout: Exhaustion (how run down you are), Mental Distance (lack of enthusiasm), Cognitive Impairment (how much burnout is impacting thinking), Emotional Impairment (the influence of burnout on emotional wellbeing), and Overall Burnout (all four dimensions averaged together). Email the results to yourself to learn more about how to help move from burnout to wellbeing.
Your Exhaustion Score
Your Mental Distance Score
Your Cognitive Impairment Score
Your Emotional Impairment Score
Your Overall Burnout Score
Email My Results To Me
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