• Employee Balance Assessment (EBA)

  • Participant Information (Confidential)

    Please provide the following details.
  • Date
     - -
    2 digit month, 2 digit day, 4 digit year

  • Timeframe: Past 2–4 weeks

  • Manager Mirror - Employee Balance Assessment (EBA)

  • Instructions and Rating Scale

    Rate each statement based on how you believe you would answer about your experience. Use the following scale:

    1 = Strongly Disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Strongly Agree.

  • A) Workload vs Capacity*
    Rows

  • Employee Balance Assessment (EBA)

  • B) Focus vs Availability*
    Rows

  • Employee Balance Assessment (EBA)

  • Redundant C) Autonomy vs Accountability
    Rows

  • Employee Balance Assessment (EBA)

  • C) Clarity vs Flexibility*
    Rows

  • Employee Balance Assessment (EBA)

  • D) Effort vs Recovery*
    Rows

  • Employee Balance Assessment (EBA)

  • E) Performance vs Learning*
    Rows

  • Employee Balance Assessment (EBA)

  • F) Individual vs Team Needs*
    Rows

  • Employee Balance Assessment (EBA)

  • G) Recognition vs Correction*
    Rows

  • Employee Balance Assessment (EBA)

  • H) Values/Integrity vs Pressure*
    Rows

  • Employee Balance Assessment (EBA)

  • 📊 Work Experience Balance Signals

    🚩 A — Workload vs Capacity Risk

    Score: {aWorkload94}

    {aWorkload113}

    🚩 B — Focus vs Availability Risk

    Score: {bFocus95}

    {bFocus114}

    🚩 C — Clarity vs Flexibility Risk

    Score: {dClarity97}

    {dClarity116}

    🚩 D — Effort vs Recovery Risk

    Score: {eEffort98}

    {eEffort117}

    🚩 E — Performance vs Learning Risk

    Score: {fPerformance99}

    {fPerformance118}

    🚩 F — Individual vs Team Needs Risk

    Score: {gIndividual100}

    {gIndividual119}

    🚩 G — Recognition vs Correction Risk

    Score: {hRecognition101}

    {hRecognition120}

    🚩 H — Values / Integrity vs Pressure Risk

    Score: {iValuesintegrity102}

    {iValuesintegrity121}

  • Action Plan (Totally optional)

  • Employee Balance Assessment (EBA)

  • J) Life Load & Recovery Quality*
    Rows

  • Employee Balance Assessment (EBA)

  • K) Support System & Stability*
    Rows

  • Employee Balance Assessment (EBA)

  • L) Emotional Bandwidth & Mental Load*
    Rows

  • Employee Balance Assessment (EBA)

  • M) Boundaries & Spillover*
    Rows

  • Employee Balance Assessment (EBA)

  • N) Accommodation & Flexibility Needs (non-specific)*
    Rows

  • Employee Balance Assessment (EBA)

  • Should be Empty: