Do you have trouble concentrating or making decisions? *

Yes

No

Do you become easily irritated with others? *

Yes, all the time

Sometimes

Rarely

Never

Do you feel dissatisfied or disillusioned with your work or other responsibilities? *

Yes

No

Are you critical or cynical about your work or other responsibilities? *

Yes

No

Do you have trouble getting started on tasks? *

Yes

No

Do you have trouble sleeping or feeling rested? *

Yes

No

Do you use food, drugs, or alcohol to manage anxiety or tension? *

Yes

No

Do you dread going to work or coming back from vacation? *

Yes

No