The Burnout Risk Snapshot

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Name
First Name
Last Name
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Email
example@example.com
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When you open your calendar on a Monday morning, what happens in your body?* This field is required.Think about the physical sensation — not the thought, the feeling.
Nothing. I feel neutral or ready.
A mild heaviness — I notice it but move past it.
A consistent tension or low dread I've learned to ignore.
A noticeable pit in my stomach most weeks.
Immediate dread. Some Mondays I genuinely don't want to look.
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How often do you wake in the middle of the night already thinking about a case, a note you forgot, or something you should have handled differently?* This field is required.Not general restlessness — specifically work content pulling you out of sleep.
Rarely or never.
Occasionally — maybe once or twice a month.
A few times a month. It's becoming a pattern.
Most weeks. I've started expecting it.
Multiple times a week. My sleep doesn't feel like mine anymore.
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By the time you get home, how much of your clinical day is still running in the background of your mind?* This field is required.Like a tab you can't quite close — a client's words, their affect, what you're worried about, something that happened.
Very little. I transition out of the work mindset fairly well.
Some days it lingers, but I can usually redirect.
Most days something follows me home. I've normalized it.
I rarely fully transition. The work just kind of stays.
It's constant. My off-hours don't feel separate from my workday.
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On your days off, how often do you find yourself doing nothing — not resting, just numb — scrolling or staring without really choosing to?* This field is required.The difference between chosen rest and not being able to start anything meaningful.
Rarely. I can usually engage with things I enjoy.
Sometimes, but I can pull myself out of it.
More often than I'd like to admit.
Most of my off-time looks like this now.
Almost always. I've stopped expecting my days off to feel like anything.
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If your clinical records were audited or subpoenaed tomorrow, how would you feel about what they reflect?* This field is required.Think about the notes from this past few weeks specifically — not your best work, your typical work.
Confident. My documentation reflects my clinical reasoning clearly.
Mostly fine, with a few gaps I'm aware of.
Uncertain. I know my notes have been thinner than they should be.
Worried. I've been behind and I know it shows.
Genuinely anxious. My documentation is not where it needs to be.
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When did you last do something purely for yourself — not to decompress, not to be a better provider, just because you wanted to?* This field is required.A hobby, an interest, something with no clinical justification whatsoever.
Recently. I still make space for this regularly.
Within the last month or so.
It's been a few months. I keep meaning to.
I honestly can't remember. It's been a long time.
I'm not sure I know what that would even look like anymore.
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How honestly can you tell your supervisor or agency leadership what you actually need — in terms of caseload, schedule, or your own capacity?* This field is required.Not what you wish you could say or the unprofessional thoughts. What you actually say or can say out loud.
Very honestly. I feel safe advocating for my needs.
Mostly — I edit myself sometimes but I can speak up.
I share some of it. The harder parts I keep to myself.
I rarely say what I actually need. It doesn't feel safe.
I don't say anything. I absorb it and keep moving.
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In the last month, how often have you caught yourself imagining what it would feel like to just — stop? A different job, a different life, no more charts, no more on-call.* This field is required.Not a plan. Just the pull of the fantasy fueled by overstimulation and overwhelm.
Rarely or never. I feel connected to this work.
Occasionally — a passing thought, not a preoccupation.
More regularly. The fantasy has gotten more specific.
Often. I think about leaving more than I think about staying.
Almost constantly. Some days it's the only thing getting me through.
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Total Score
Should be Empty: