Name
*
First Name
Last Name
Instructions:
Answer each question honestly.
Options:
Always
,
Often
,
Sometimes
,
Seldom
,
Never
Don’t worry — your results will only be delivered to your email.
1. How often do you feel tired?
*
Always
Often
Sometimes
Seldom
Never
2. Are you exhausted in the morning at the thought of another day at work?
*
Always
Often
Sometimes
Seldom
Never
3. Do you find it frustrating to work with clients?
*
Always
Often
Sometimes
Seldom
Never
4. How often do you think: "I can't take it anymore?"
*
Always
Often
Sometimes
Seldom
Never
5. Does your work frustrate you?
*
Always
Often
Sometimes
Seldom
Never
6. Do you feel weak and susceptible to illness?
*
Always
Often
Sometimes
Seldom
Never
7. Are you tired of working with clients?
*
To a very high degree
To a high degree
Somewhat
To a low degree
To a very low degree
8. Do you feel worn out at the end of the working day?
*
Always
Often
Sometimes
Seldom
Never
9. Do you feel that you give more than you get back when you work with clients?
*
Always
Often
Sometimes
Seldom
Never
10. How often are you physically exhausted?
*
Always
Often
Sometimes
Seldom
Never
11. Do you sometimes wonder how long you will be able to continue working with clients?
*
To a very high degree
To a high degree
Somewhat
To a low degree
To a very low degree
12. Do you feel burnt out because of your work?
*
Always
Often
Sometimes
Seldom
Never
13. Do you find it hard to work with clients?
*
Always
Often
Sometimes
Seldom
Never
14. How often do you feel worn out?
*
Always
Often
Sometimes
Seldom
Never
15. Do you have enough energy for family and friends during leisure time?
*
Always
Often
Sometimes
Seldom
Never
16. Does it drain your energy to work with clients?
*
Always
Often
Sometimes
Seldom
Never
17. Is your work emotionally exhausting?
*
Always
Often
Sometimes
Seldom
Never
18. How often are you emotionally exhausted?
*
Always
Often
Sometimes
Seldom
Never
19. Do you feel that every working hour is tiring for you?
*
Always
Often
Sometimes
Seldom
Never
Personal Burnout
Work-Related Burnout
Client-Related Burnout
Burnout Score
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Email
*
example@example.com
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