The High-Achiever Burnout Assessment

For each statement below, rate yourself based on the past 30 days.

Be honest. This is about awareness — not judgment.

Full Name *

Email *

SECTION 1: Emotional Exhaustion

I wake up tired even after a full night’s sleep. *

Rarely True

Sometimes True

Often True

Almost Always True

I feel emotionally drained by responsibilities. *

Rarely True

Sometimes True

Often True

Almost Always True

I struggle to feel excitement about things that once energized me. *

Rarely True

Sometimes True

Often True

Almost Always True

I feel detached or numb at times. *

Rarely True

Sometimes True

Often True

Almost Always True

I fantasize about “escaping” my responsibilities. *

Rarely True

Sometimes True

Often True

Almost Always True

SECTION 2: Boundary Health

I say yes when I want to say no. *

Rarely True

Sometimes True

Often True

Almost Always True

I feel guilty setting limits. *

Rarely True

Sometimes True

Often True

Almost Always True

I often feel resentful after agreeing to help someone. *

Rarely True

Sometimes True

Often True

Almost Always True

My calendar feels overwhelming. *

Rarely True

Sometimes True

Often True

Almost Always True

I struggle to delegate because I feel it won’t get done “right.” *

Rarely True

Sometimes True

Often True

Almost Always True

SECTION 3: Nervous System Stress Signs

I experience frequent headaches, muscle tension, or stomach issues. *

Rarely True

Sometimes True

Often True

Almost Always True

My mind races even when I try to rest. *

Rarely True

Sometimes True

Often True

Almost Always True

I have difficulty falling or staying asleep. *

Rarely True

Sometimes True

Often True

Almost Always True

I feel easily irritated or overstimulated. *

Rarely True

Sometimes True

Often True

Almost Always True

I rely on caffeine, sugar, or scrolling to push through the day. *

Rarely True

Sometimes True

Often True

Almost Always True

SECTION 4: Identity & Overfunctioning Patterns

I tie my worth to productivity. *

Rarely True

Sometimes True

Often True

Almost Always True

I feel uncomfortable resting. *

Rarely True

Sometimes True

Often True

Almost Always True

I believe I must be strong for everyone else. *

Rarely True

Sometimes True

Often True

Almost Always True

I rarely ask for help. *

Rarely True

Sometimes True

Often True

Almost Always True

If I stop achieving, I fear I will lose value or relevance. *

Rarely True

Sometimes True

Often True

Almost Always True

SECTION 5: Accountability & Alignment Gaps

I set goals but struggle to follow through consistently. *

Rarely True

Sometimes True

Often True

Almost Always True

I feel stuck but unsure what needs to change. *

Rarely True

Sometimes True

Often True

Almost Always True

I avoid addressing areas of dissatisfaction. *

Rarely True

Sometimes True

Often True

Almost Always True

I feel misaligned with my purpose but continue functioning anyway. *

Rarely True

Sometimes True

Often True

Almost Always True

I feel like I am surviving — not thriving. *

Rarely True

Sometimes True

Often True

Almost Always True