Burnout Insights Questionnaire (MBI-Inspired)

Your Burnout & Wellbeing Self-Check

(Inspired by the Maslach Framework)
This brief reflection draws inspiration from the Maslach Burnout Inventory (MBI), the most widely used framework for burnout in the world. It’s designed to help you notice patterns and gain clarity about your current situation.

Your answers are confidential, and there are no right or wrong responses—just honest insights.

If you’d like personal feedback and a tailored action plan, you’ll have the option to book a private review when you’re done.
Emotional Exhaustion
How often you feel drained or depleted.

NeverRarelySometimesOftenAlmost Always
Optional:
If there’s anything you’d like to add about how you’re feeling, you can share it here.
When you wake up in the morning, how often do you feel you can’t face another day of work or responsibilities?

NeverRarelySometimesOftenAlmost Always
Optional:
If there’s anything you’d like to add about how you’re feeling, you can share it here.
Depersonalisation & Disconnection

How connected you feel to purpose and others.
How often do you feel more distant or less compassionate toward people you work with or care for?

NeverRarelySometimesOftenAlmost Always
Optional:
If you’d like to share anything about feeling disconnected or distant, you can write it here.
Which statement best describes how connected you feel to your sense of purpose? Multiple Choice (Pick One)

I feel strongly connected and clear.I’m somewhat connected but unsure at times.I feel disconnected and unsure why I’m doing this.I feel completely detached.
Personal Accomplishment

How satisfied you feel with what you’re achieving.
How often do you feel you’re not achieving as much as you’d like, even when you’re working hard?

NeverRarelySometimesOftenAlmost Always
Coping & Support

How you respond to stress and where you find support.
When you feel stressed or overwhelmed, what do you usually do first? Multiple Choice (Pick One)

Keep going and push through.Talk to someone I trust.Withdraw and deal with it alone.Take positive steps to reset and recharge.
How supported do you feel by the people around you (colleagues, friends, family)? Scale: 1–5 (1 = Not supported at all, 5 = Fully supported)

1

2

3

4

5

1 is , 5 is
Stigma & Self-Compassion

How you feel about asking for help.
What stops you most often from seeking help when you need it? Multiple Choice (Pick One)

Fear of judgment or stigmaWorry about burdening othersNot knowing where to startBelief I should be able to cope aloneOther (please specify)
If you could change one thing about how you handle stress or burnout, what would it be?
Handling Stress Differently
Imagine you could wave a magic wand—what one change would help you feel more balanced or supported?
Closing Reflection

Final optional: Is there anything else you’d like to share about your wellbeing right now?
Type a question
Well done—click below to submit your answers and continue.
Should be Empty:

Your Burnout & Wellbeing Self-Check

Emotional Exhaustion

Depersonalisation & Disconnection

Personal Accomplishment

Coping & Support

Stigma & Self-Compassion

If you could change one thing about how you handle stress or burnout, what would it be?

Closing Reflection