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Medical management: Dr. med. Eduard Czamler and Dipl.-Ing. Dr. med. Hans Finder
  
 

BURNOUT Questionnaire

I carry too much responsibility.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
I suffer from chronic insomnia.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
I need to deal with disappointments in my work.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
I dislike what I am doing.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
I have lost interest in my job.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
I need to cut back on the individual costumer liaison; otherwise I could not do my job.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
I have distanced myself from my personal whishes.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
I can prove what I am able to achieve through the quality of my work.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
I have too much stress in my life in general.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
I make cynical statements about my clients and colleagues.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
To delegate my job means to hand over control.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
My job continues to be a challenge.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
My job gives me fulfillment.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
Even to think about my work makes me tired.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
At the end of each workday I feel emotionally exhausted.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
The quality of my work depends entirely on me.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
  
I feel overwhelmed when I think about my tasks.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
I feel that I cannot be there for others all the time.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
I feel respected and appreciated at my workplace.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
The pressure in my job is incredibly high.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
I feel physically fit.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
I do not sleep well.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
I feel cranky and restless.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
I am nervous and anxious.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
I find it difficult to make decisions.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
It is difficult for others to bear me because of my negative attitude.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
Some situations scare me for no apparent reason.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
My work does not satisfy me.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
Failure in my job calls my whole existence into questions.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
I am punctual and responsible.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
Work is more important than private contacts.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 
After consuming alcohol I usually feel relaxed.
Not at all / 0 points
0
 
Rarely / 1 point
1
 
Sometimes / 2 points
2
 
Often / 3 points
3
 
Very often / 4 points
4
 

Thank you!

If you have achieved more than 45 points and/or have answered six or more questions with 3 or 4, you are more likely to suffer a burnout.

You have achieved points.
 
Send my results by e-mail.


 
 


 
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Burnout.Net 2008