Burnout Self-Assessment Survey*

This survey helps us understand how you’re feeling at work and spot signs of stress or burnout.

How often do you feel physically or emotionally drained at the end of your workday?*

Think about how you feel when your day is over.

Never-Rarely-Sometimes-Often Always

Do you feel you have enough time to complete your daily tasks?*

Rate how realistic your workload feels.

Never-Sometimes-About half the time-Most of the time Always

What causes you the most stress during your workday?

Choose all that apply.

How often do you feel motivated and excited about your work?*

Tell us how engaged you feel.

Never-Seldom-Sometimes-Often Always

Do you find it hard to concentrate or stay focused while working?

Please share how frequently this happens.

Never-Occasionally-About half the time-Most of the time Always

How supported do you feel by your manager or team?*

Consider how comfortable you are seeking help at work.

Not supported at all-Somewhat supported-Neutral-Supported Very supported

In the last month, have you experienced any physical symptoms you think might be related to stress (such as headaches, sleep issues, or stomach trouble)?

Check all that apply.

What strategies do you use to manage stress and avoid burnout?

Share brief highlights of what works for you.

Is there anything else you’d like to share about your work-related stress or suggestions to improve your well-being?

Thank you for your feedback! Your input will help us create a healthier, happier work environment. 😊

Thank you for taking a part in this survey.

This is a HeySurvey survey template.