Burnout Test Welcome to your Burnout Test Name Email 1. I am sick more often than before (colds, infections, flu, etc.) Totally Agree Agree Somewhat Agree Don't Agree Completely Disagree 2. I drink more alcohol than before or use other sedatives to relax Totally Agree Agree Somewhat Agree Don't Agree Completely Disagree 3. I have one or more of the following physical symptoms: High blood pressure, headache, stomach problems, palpitations, high heart rate, shortness of breath, dizziness, chest pain More than 3 symptoms 3 symptoms 2 symptoms 1 symptoms None 4. I have lost weight/put on weight lately Totally Agree Agree Somewhat Agree Don't Agree Completely Disagree 5. I have so much to do that contact with friends is becoming less and less frequent Totally Agree Agree Somewhat Agree Don't Agree Completely Disagree 6. I often retire and would rather just be left alone Totally Agree Agree Somewhat Agree Don't Agree Completely Disagree 7. I take work stress and problems home and worry more than before Totally Agree Agree Somewhat Agree Don't Agree Completely Disagree 8. I can no longer enjoy things anymore, and I generally feel dissatisfied with anything Totally Agree Agree Somewhat Agree Don't Agree Completely Disagree 9. Lately, I have stopped doing things that have been important to me before (hobbies, activities, etc.) Totally Agree Agree Somewhat Agree Don't Agree Completely Disagree 10. I have become more forgetful than before Totally Agree Agree Somewhat Agree Don't Agree Completely Disagree 11. I have sleep problems and it is difficult to get out of bed in the morning Totally Agree Agree Somewhat Agree Don't Agree Completely Disagree 12. I am more inefficient at work than before and I have trouble concentrating and staying focused Totally Agree Agree Somewhat Agree Don't Agree Completely Disagree 13. I get into conflicts more often, at home and at work Totally Agree Agree Somewhat Agree Don't Agree Completely Disagree 14. I have too much workload (tasks, responsibilities, informal roles, etc.) Totally Agree Agree Somewhat Agree Don't Agree Completely Disagree 15. I have too much burden on the private (marital problems, personal conflicts, illness in close family etc.) Totally Agree Agree Somewhat Agree Don't Agree Completely Disagree 16. It feels like nothing makes sense anymore Totally Agree Agree Somewhat Agree Don't Agree Completely Disagree 17. My mood is very variable and can go from good to bad in an instant Totally Agree Agree Somewhat Agree Don't Agree Completely Disagree 18. It feels like there is no way out of my situation Totally Agree Agree Somewhat Agree Don't Agree Completely Disagree 19. I feel tired and exhausted most of the time, even when I have slept enough Totally Agree Agree Somewhat Agree Don't Agree Completely Disagree 20. I do not want to go to work at all and would like to quit tomorrow Totally Agree Agree Somewhat Agree Don't Agree Completely Disagree 21. I feel empty. As if I’m a shell Totally Agree Agree Somewhat Agree Don't Agree Completely Disagree 22. I do not want to talk to my colleagues anymore, and would rather have lunch alone Totally Agree Agree Somewhat Agree Don't Agree Completely Disagree 23. I make mistakes more often at work and feel less mastered. I’m afraid I’ll soon be “revealed” Totally Agree Agree Somewhat Agree Don't Agree Completely Disagree 24. I can not relax and feel constantly under pressure Totally Agree Agree Somewhat Agree Don't Agree Completely Disagree Time is Up! Time's up