How Burned Out Are You—Really?
Uncover where you stand so you can take your next step toward balance.
Name
First Name
Last Name
Back
Next
Email
*
example@example.com
Back
Next
Answer each question based on how you’ve been feeling in the past 2 weeks
Scoring system (1 = Never, 5 = Always)
1. Emotional Exhaustion
I feel emotionally drained by the end of my workday.
Please Select
1
2
3
4
5
I have trouble getting excited about work.
Please Select
1
2
3
4
5
I feel like I’m running on empty most days.
Please Select
1
2
3
4
5
2. Work-Life Balance
I struggle to disconnect from work during personal time.
Please Select
1
2
3
4
5
I feel guilty when I take breaks or rest.
Please Select
1
2
3
4
5
My personal relationships are affected by my work stress.
Please Select
1
2
3
4
5
3. Physical & Mental Symptoms
I experience frequent headaches, muscle tension, or stomach issues.
Please Select
1
2
3
4
5
I find it hard to focus, even on simple tasks.
Please Select
1
2
3
4
5
I’m sleeping poorly, even when I try to rest.
Please Select
1
2
3
4
5
4. Motivation & Productivity
I procrastinate more than I used to.
Please Select
1
2
3
4
5
I’m less productive but working more hours.
Please Select
1
2
3
4
5
I feel like no matter what I do, it’s not enough.
Please Select
1
2
3
4
5
5. Identity & Values
I don’t feel like myself anymore.
Please Select
1
2
3
4
5
I’ve lost touch with the things that matter to me.
Please Select
1
2
3
4
5
I question whether I’m on the right career/life path.
Please Select
1
2
3
4
5
Type a question
Submit
Should be Empty: