# Burnout Assessment Quiz

Each question is ranked 1-10 (10 being the highest). Please be sure to answer honestly to get the best results.

# Burnout Assessment Quiz

Question 1 of 22.

### Have you been feeling physically exhausted?

1. Option 1

2. Option 2

3. Option 3

4. Option 4

5. Option 5

6. Option 6

7. Option 7

8. Option 8

9. Option 9

10. Option 10

11. Option 11

Question 2 of 22.

### Do you often feel emotionally drained?

1. Option 1

2. Option 2

3. Option 3

4. Option 4

5. Option 5

6. Option 6

7. Option 7

8. Option 8

9. Option 9

10. Option 10

11. Option 11

Question 3 of 22.

### Have you experienced trouble sleeping?

1. Option 1

2. Option 2

3. Option 3

4. Option 4

5. Option 5

6. Option 6

7. Option 7

8. Option 8

9. Option 9

10. Option 10

11. Option 11

Question 4 of 22.

### Are you losing interest in activities you used to enjoy?

1. Option 1

2. Option 2

3. Option 3

4. Option 4

5. Option 5

6. Option 6

7. Option 7

8. Option 8

9. Option 9

10. Option 10

11. Option 11

Question 5 of 22.

### Do you frequently feel overwhelmed by your responsibilities?

1. Option 1

2. Option 2

3. Option 3

4. Option 4

5. Option 5

6. Option 6

7. Option 7

8. Option 8

9. Option 9

10. Option 10

11. Option 11

Question 6 of 22.

### Have you noticed a decline in your performance at work or in daily tasks?

1. Option 1

2. Option 2

3. Option 3

4. Option 4

5. Option 5

6. Option 6

7. Option 7

8. Option 8

9. Option 9

10. Option 10

11. Option 11

Question 7 of 22.

### Are you having difficulty concentrating or making decisions?

1. Option 1

2. Option 2

3. Option 3

4. Option 4

5. Option 5

6. Option 6

7. Option 7

8. Option 8

9. Option 9

10. Option 10

11. Option 11

Question 8 of 22.

### Do you feel irritable or easily frustrated?

1. Option 1

2. Option 2

3. Option 3

4. Option 4

5. Option 5

6. Option 6

7. Option 7

8. Option 8

9. Option 9

10. Option 10

11. Option 11

Question 9 of 22.

### Have you been neglecting your self-care and personal needs?

1. Option 1

2. Option 2

3. Option 3

4. Option 4

5. Option 5

6. Option 6

7. Option 7

8. Option 8

9. Option 9

10. Option 10

11. Option 11

Question 10 of 22.

### Are you experiencing increased levels of stress and anxiety?

1. Option 1

2. Option 2

3. Option 3

4. Option 4

5. Option 5

6. Option 6

7. Option 7

8. Option 8

9. Option 9

10. Option 10

11. Option 11

Question 11 of 22.

### Do you frequently experience headaches or other physical symptoms of stress?

1. Option 1

2. Option 2

3. Option 3

4. Option 4

5. Option 5

6. Option 6

7. Option 7

8. Option 8

9. Option 9

10. Option 10

11. Option 11

Question 12 of 22.

### Have you withdrawn from social interactions or relationships?

1. Option 1

2. Option 2

3. Option 3

4. Option 4

5. Option 5

6. Option 6

7. Option 7

8. Option 8

9. Option 9

10. Option 10

11. Option 11

Question 13 of 22.

### Are you finding it challenging to set boundaries with work or personal commitments?

1. Option 1

2. Option 2

3. Option 3

4. Option 4

5. Option 5

6. Option 6

7. Option 7

8. Option 8

9. Option 9

10. Option 10

11. Option 11

Question 14 of 22.

### Do you have persistent feelings of hopelessness or cynicism?

1. Option 1

2. Option 2

3. Option 3

4. Option 4

5. Option 5

6. Option 6

7. Option 7

8. Option 8

9. Option 9

10. Option 10

11. Option 11

Question 15 of 22.

### Are you neglecting your nutrition and exercise routines?

1. Option 1

2. Option 2

3. Option 3

4. Option 4

5. Option 5

6. Option 6

7. Option 7

8. Option 8

9. Option 9

10. Option 10

11. Option 11

Question 16 of 22.

### Have you been taking on more tasks than you can handle?

1. Option 1

2. Option 2

3. Option 3

4. Option 4

5. Option 5

6. Option 6

7. Option 7

8. Option 8

9. Option 9

10. Option 10

11. Option 11

Question 17 of 22.

### Do you have trouble disconnecting from work or technology?

1. Option 1

2. Option 2

3. Option 3

4. Option 4

5. Option 5

6. Option 6

7. Option 7

8. Option 8

9. Option 9

10. Option 10

11. Option 11

Question 18 of 22.

### Have you been experiencing a loss of faith or spirituality?

1. Option 1

2. Option 2

3. Option 3

4. Option 4

5. Option 5

6. Option 6

7. Option 7

8. Option 8

9. Option 9

10. Option 10

11. Option 11

Question 19 of 22.

### Do you feel disconnected from your body and its needs?

1. Option 1

2. Option 2

3. Option 3

4. Option 4

5. Option 5

6. Option 6

7. Option 7

8. Option 8

9. Option 9

10. Option 10

11. Option 11

Question 20 of 22.

### Are you interested in learning practical strategies to boost your energy and reduce stress?

1. Yes, I'd love to!

2. No thanks, I'll figure this out on my own.

Question 21 of 22.

### Have you ever sought professional help for issues related to anxiety or overwhelm?

1. Yes

2. No

Question 22 of 22.

### Are you ready to take the first step towards a more balanced and fulfilling life?

1. Yes, please send help!

2. No thanks.

#### Please attempt all questions

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