Burnout Self Assessment Tool

Take a moment to reflect on each of the following areas. Rate how much each one is currently affecting you using the 5-point scale below, where 1 represents “Not at all” and 5 represents “Extremely.” Use the notes section to identify any contributing factors or areas that may need attention.

This assessment is for educational and self-awareness purposes only and does not constitute medical or mental health advice, diagnosis, or treatment. If you're experiencing a mental health crisis, please contact emergency services or call 988 (Suicide & Crisis Lifeline).

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Emotional Exhaustion: How emotionally drained do you feel by your work or daily responsibilities? How difficult is it to maintain empathy or compassion? Rate how true this feels right now: Not at all → Extremely. *

Physical Well-Being: How much are you experiencing physical symptoms like headaches, muscle tension, or fatigue? How depleted do you feel physically at the end of the day? Rate how true this feels right now: Not at all → Extremely. *

Sleep Quality: How much difficulty are you having with falling asleep, staying asleep, or getting restorative rest? How unrefreshed do you feel when you wake up? Rate how true this feels right now: Not at all → Extremely. *

Cognitive Function: How much difficulty are you experiencing with concentrating, making decisions, or remembering important information? How mentally foggy or overwhelmed do you feel by simple tasks? Rate how true this feels right now: Not at all → Extremely. *

Personal Fulfillment: How much joy or satisfaction do you feel in your work or personal activities? How monotonous do tasks feel? How lacking in purpose? Rate how true this feels right now: Not at all → Extremely. *

Sense of Efficacy: How much do you doubt your abilities or feel like you're not making a difference? How ineffective do you feel in your work? Rate how true this feels right now: Not at all → Extremely. *

Cynicism/Detachment: How cynical, detached, or negatively judgmental do you feel toward your work, clients, or colleagues? How much are you just going through the motions without genuine engagement? Rate how true this feels right now: Not at all → Extremely. *

Work-Life Balance: How difficult is it to maintain boundaries between work and personal life? How lacking in time do you feel for self-care and relaxation? Rate how true this feels right now: Not at all → Extremely. *

Social Connection: How isolated or disconnected do you feel from colleagues, friends, or family? How lacking in support do you feel? Rate how true this feels right now: Not at all → Extremely. *

Coping Mechanisms: How much have you noticed an increase in unhealthy coping behaviors (alcohol, substances, overeating, excessive screen time, avoidance)? Rate how true this feels right now: Not at all → Extremely. *

Organizational Support: How lacking in adequate resources, support, and reasonable expectations is your workplace? How undervalued or unfairly treated do you feel? Rate how true this feels right now: Not at all → Extremely. *