Wellness Warrior Burnout Assessment
Welcome to your first step in your burnout transformation journey! Please answer the questions below. We'll calculate your Dynamic Metabolic Type and send you a personalized burnout resolution report to get started on your transformation journey! PLEASE NOTE: If you have not yet seen your physician for an evaluation for your fatigue/exhaustion/burnout state, it is important that you do so prior to applying any of the recommendations in your report. This assessment is in no way a diagnostic tool or medical advice/treatment. Thank you!
1. Do you have any diagnosed chronic medical conditions such as heart disease, diabetes, high blood pressure, or kidney disease?
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Yes
No
2. Do you have digestive issues?
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Yes
No
3. If you answered yes to the last question, have your digestive issues been evaluated by a physician?
*
Yes
No
Section 1: Burnout Risk Assessment
Choose the option that best reflects how often you've experienced each in the past 4 weeks
1. I feel physically and emotionally drained, even after resting
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Never
Occasionally
Often
Almost every day
2. I struggle to focus or make decisions, even about small things.
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Never
Occasionally
Often
Almost every day
3. I wake up tired and feel like I never fully recharge.
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Never
Occasionally
Often
Almost every day
4. I feel irritable, anxious, or emotionally numb.
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Never
Occasionally
Often
Almost every day
5. I’ve experienced frequent headaches, difficulty sleeping, or body aches lately.
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Never
Occasionally
Often
Almost every day
6. Everything feels like it takes more effort than it should.
*
Never
Occasionally
Often
Almost every day
7. I feel guilty for resting or taking a break.
*
Never
Occasionally
Often
Almost every day
Burnout Risk Score
Section 2: Lifestyle & Stress Resiliency Habits
8. How many hours of sleep do you get on an average night?
*
less then 5
5-6 hours
6-7 hours
7-8 hours
more than 8 hours
9. All three of my daily meals contain nutrient dense foods containing proteins, vegetables and healthy fats
*
Never
Occasionally
Often
Almost every day
Section 3: Metabolic Assessment
10. What is your energy level on a scale of 1 – 10 when you first wake up in the morning on an average day?
*
11. Does this number go up or down as you move through your day?
*
Up
Down
Unchanged
12. Does your energy level go up or down after exercising?
*
Up
Down (this also includes if you're too tired to exercise)
Unchanged
13. Do you feel better or worse if you rest or nap for more than an hour during the day?
*
Worse
Better
Unchanged
17. Have you been evaluated by your physician for this severe fatigue?
*
Yes
No
14. If you indicated yes for the previous question, were there any abnormalities in your blood work or other diagnostic testing?
*
Yes
No
I'm not sure
15. Do you feel hotter or colder compared to most other people? (please note that you should rate yourself compared to more than just one person)
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Hotter
Colder
Neither
16. How ready are you to make changes to improve your health and energy?
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Not ready
Curious but hesitant
Somewhat ready
Let's go! Ready and motivated!
17. What’s the biggest barrier stopping you from feeling better?
*
Not enough time
Not knowing what works for me
Too tired or stressed to try to figure it out
Lack of support or accountability
Please provide your email address so we can send your personalized burnout resolution report directly to your inbox! Please add us to your safe senders list so your report doesn't end up in spam or junk.
*
Confirmation Email
example@example.com
We recommend that you see your primary care physician prior to completing this burnout assessment to be sure that the recommendations we make won't interact with your medications or medical conditions. Once you've done this and are cleared, please send us a quick email at info@awakenedwellnessnow.com and we'll send you a modified burnout assessment to complete. Thanks for your understanding.
We recommend that you consult with your primary care physician to evaluate your digestive issues prior to taking our burnout assessment. We want to be sure that you'll get the most benefit from our recommendations in a way that is safe and effective. Thank you for understanding. Once you've done this, please send us a quick email at info@awakenedwellnessnow.com and we'll send you a modified burnout assessment to get started! Thanks for your understanding.
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DYNAMIC METABOLIC TYPE
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