Burnout Check-In Survey š§ *
A short survey to understand stress, energy, and workload using practical burnout-focused questions.
How often have you felt emotionally drained by your work or daily responsibilities in the past 2 weeks?*
Think about how often you ended the day feeling used up or exhausted.
Which of the following have you experienced recently?*
Select all that apply based on the past 2 weeks.
Overall, how manageable does your current workload feel?*
Choose the option that best matches your experience right now.
What part of your work or routine drains your energy the most?
A short answer is enough. Share the main source of stress or fatigue.
How strongly do you agree with this statement: āI have enough support to handle my responsibilitiesā?*
This can include support from managers, coworkers, family, or systems around you.
In the past 2 weeks, how often have you felt less effective or productive than usual?*
Answer based on your own expectations, not perfection.
What would help reduce your stress or burnout risk?
Share any change that would make your day easier, healthier, or more sustainable.
How likely are you to take a break, ask for help, or use support resources when you need them?*
This helps show whether support options feel practical and accessible.
How would you rate your current level of burnout overall?*
Use your best judgment based on your energy, stress, and motivation.
Thank you for taking a part in this survey.
