A Self-Awareness Tool for Understanding Your Energy and Well-Being Instructions: Burnout happens gradually, and many people don’t recognize the warning signs until they feel completely depleted. This self-assessment will help you reflect on your current state and determine where you are on the burnout spectrum. For each statement, rate how often you have experienced the described feeling or behaviour over the past month by checking the appropriate box. After completing the assessment, total your score to see where you stand and what steps you may need to take. By completing this Burnout Assessment, you agree to receive occasional emails with insights, strategies, and updates related to leadership, burnout, energy management, and our Survive to Thrive program. You can unsubscribe anytime. Name Email I feel emotionally drained from my work. Never Rarely Sometimes Often Always None I feel physically exhausted at the end of the workday. Never Rarely Sometimes Often Always None I feel overwhelmed by my workload. Never Rarely Sometimes Often Always None 1 out of 6 I have become more cynical about the value of my work. Never Rarely Sometimes Often Always None I feel detached from my colleagues or clients. Never Rarely Sometimes Often Always None I have noticed a decrease in my empathy toward others. Never Rarely Sometimes Often Always None 2 out of 6 I doubt the significance of my contributions at work. Never Rarely Sometimes Often Always None I feel ineffective in my work role. Never Rarely Sometimes Often Always None I feel a lack of achievement in my professional life. Never Rarely Sometimes Often Always None 3 out of 6 I struggle to balance work responsibilities with personal life. Never Rarely Sometimes Often Always None I find it difficult to disconnect from work during off-hours. Never Rarely Sometimes Often Always None I feel that my work is negatively impacting my personal relationships. Never Rarely Sometimes Often Always None 4 out of 6 I have trouble concentrating on tasks. Never Rarely Sometimes Often Always None I experience forgetfulness or memory lapses related to work. Never Rarely Sometimes Often Always None I find it challenging to make decisions at work. Never Rarely Sometimes Often Always None 5 out of 6 I experience frequent headaches or muscle tension. Never Rarely Sometimes Often Always None I have trouble sleeping due to work-related stress. Never Rarely Sometimes Often Always None I notice changes in my appetite or digestive issues. Never Rarely Sometimes Often Always None 6 out of 6 Time's up
