The Burnout Ladder - Assessment Questionnaire

Please consider the following questions or statements and answer them as honestly as you can. It should only take you around 5 minutes to complete this form.

Don't think too much - just answer. Any slight errors will be smoothed out as we go. The questions are in random order. Use the drop-down menu to select your answer.

Once you've completed and submitted the form, we will get in touch to provide you with your results, together with some guidance on how to reduce / avoid burnout.

Note: Please don't click the 'Submit Questionnaire' button until you've answered ALL the questions!

This survey will take approximately 5-10 minutes to complete. So, let's get started...

First Name:

Last Name:

Email:

CLICK HERE for questions >>

1. Are you considering or preparing to take on extra work?

2. After initial optimism, do you feel some negativity in your thinking?

3. Are you feeling less optimistic about your job outcomes?

4. Are you avoiding social contact / events?

5. Are you lacking care for yourself?

6. Is your energy high and you are up for a challenge?

7. Do you feel that work offers you nothing in terms of enjoyment / learning / satisfaction?

8. Are you logging on more at weekends / evenings?

Click here for the next set of questions...

9. Is your memory consistently letting you down?

10. Are you spending time alone more than normal?

11. Are you enjoying work more than leisure?

12. Has your drinking / smoking / drug taking increased noticeably?

13. Does your body feel achy or sluggish?

14. Do you think that you can handle extra work?

15. Are you finding it difficult to stay present with others?

16. Do you have very high standards and expectations of yourself?

Next set of questions...

17. Are you NOT making time for things you like to do?

18. Are you experiencing more negative emotions (e.g.- anger / jealousy / resentment) than normal?

19. Are you finding comfort and escape in activities such as drinking / smoking / scrolling?

20. Is your passion for your job decreasing?

21. Are you finding no enjoyment in activities which you normally like?

22. Do you feel an adrenaline surge as you take on new duties?

23. Are you making more mistakes than normal?

24. Are you lacking confidence and self worth?

Next questions...

25. Are you more irritable than normal?

26. Despite being stressed, do you find that you are more apathetic to it and that it's become the norm?

27. Have you forgotten your purpose at work and why you do what you do?

28. Are you going to bed later after working late?

29. Are you tired and irritable most of the time?

30. Are you overwhelmed by all the tasks you have to do?

31. Are you looking to impress others by working more?

32. Is your sleep more erratic than normal?

Next questions...

33. Are you stressed and lacking 'get up and go'?

34. Are you more irritated than normal by colleagues / work factors?

35. Do you feel you are lacking care for others?

36. Is your physical fitness declining?

37. Has it been weeks / months since you socialised?

38. Are you enjoying the extra effort you're putting in?

39. Do you feel that talking to others about your situation is pointless?

40. Is your general concentration and focus starting to waver?

Next questions...

41. Are you taking time off work due to stress / inability to face work?

42. Are you keen to work more to earn extra cash?

43. Are you worried you will be perceived negatively if you don’t step up?

44. Are you avoiding talking to friends?

45. Are you looking to see if your efforts are noticed?

46. Are you nervous about extra work but you will do it anyway?

47. Do you feel OK about working the extra hours?

48. Despite feeling unwell, you are not taking action to improve physical health.

Next questions...

49. Is your energy yoyo-ing as stress increases?

50. Have you found that your job scope is expanding?

51. Are you lacking any passion for your work?

52. Are you starting to feel fatigued more frequently?

53. Are you feeling excited at doing new or extra work?

54. Are friends or family telling you you look pale / tired?

55. Are you worried about making mistakes?

56. Are you resenting your role as it's encroaching on life?

Last ones...!

57. Are you stressed more than normal?

58. Do you spend more time complaining than normal?

59. Are you putting fun / social activities aside to get work done?

60. Are you having suicidal thoughts? Or at least, feel 'nobody would care if I wasn't here'.

Thank you for completing all 60 questions. You may now submit your answers using the button below.

Please complete all questions before submitting this form.