HeySurvey survey

Burnout Check-In Survey 🧠✨

How often have you felt emotionally drained by your work or daily responsibilities in the past 2 weeks?*

Think about your recent day-to-day experience, not just one difficult day.

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Never to Very often

Which signs of burnout have you experienced recently?*

Select all that apply.

Feeling tired even after rest
Trouble focusing
Feeling less motivated
Irritability or frustration
Feeling detached from work or people
Headaches, tension, or other physical stress
I have not noticed any signs

Overall, how stressed have you felt lately?*

Choose the option that best matches your usual stress level.

Not at all stressed
A little stressed
Moderately stressed
Very stressed
Extremely stressed

What part of your work or routine contributes most to your burnout risk?

Share the main source of pressure in a few words.

How manageable is your current workload?*

Consider deadlines, expectations, and the amount of work you handle.

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Very unmanageable to Very manageable

When you feel overwhelmed, what support do you usually rely on?

Select all that apply.

Manager or supervisor support
Coworkers or teammates
Friends or family
Breaks or time off
Exercise, hobbies, or self-care
Professional help or counseling
I usually handle it alone

How much has burnout affected your performance, mood, or personal life recently?*

Think about both work impact and life outside of work.

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Not at all to A great deal

What is one change that would help reduce burnout for you?

This could be related to workload, communication, flexibility, or support.

How likely are you to recommend burnout prevention efforts or wellness support in your organization/community?*

Your answer helps show how valuable current support feels.

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Not likely to Very likely

Thank you for taking a part in this survey.

This is a HeySurvey survey template.