Stress and Burnout Questionnaire

This brief inventory has been designed to help you discover the warning signals of excessive stress. Relate the questions to your life over the last 3 -6 months. Look particularly for changes in your ways of coping, not so much your normal behavior.

Score 0 – for experiencing this only occasionally

Score 1 – This is true quite frequently (weekly)

Score 2 – This true often ( usually daily)

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Feeling constantly exhausted, tired or fatigued

Becoming increasingly irritable with a shortening fuse

Having less and less time for people, even family and friends

Experiencing increasing difficulty making decisions

Aware of increasing difficulty in concentration

Feeling a sense of hopelessness, like

Chronic forgetfulness

Regular sleep disturbance, wakefulness, never enough sleep

Start the day feeling unrefreshed

Frequent feelings of worthlessness

Loss of enthusiasm or enjoyment of work

Change in appetite; over-eating or loss of appetite

Overlooking of normal duties or responsibilities

Feeling unappreciated most of the time

Feeling burdened by responsibilities and pressures

Aware of accomplishing less and less in the time available

Becoming excessively preoccupied with details

Increasingly unable to say

Becoming overly dogmatic, inflexible or

Aware that you are driving yourself too hard at work or home

Becoming cynical or hyper-critical with friends and family

Increasing boredom with work, homelife or life

Losing a clear perspective on work or life

A growing sense of being

Frequent somatic symptoms such as:Headache, chronic back ache, chest pain, abdominal cramps or wind, mouth ulcers, diarrhea, indigestion, skin rash, persistent colds, allergies, sinusitis, accidents, etc ( 1 point for each symptom)

Stress and Burnout Questionnaire

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