Employee Burnout Survey

Are you satisfied with your work? *

Are you satisfied with your work?

You can give only one answer.

definitely not

rather not

neither satisfied nor unsatisfied

rather yes

definitely yes

What emotions do you experience every day before starting work? *

You can select several answers.

joy

satisfaction

excitement

nervousness

anger

indifference

fear

boredom

other, what:

Is the work performed by you the fulfillment of your professional ambitions? *

You can give only one answer.

definitely no

I don't think so

I can't say

somehow

yes, completely

Do you think about changing your current job? If so, for what reason? *

Do you think about changing your current job? If so, for what reason?

You can give only one answer.

yes

no

Is your job stressful? *

You can give only one answer.

never

rarely

sometimes

often

every day

What do you think is the main reason why your job is stressful? *

You can give only one answer.

the tasks to be performed exceed my abilities

the atmosphere in the team is stressful (competition, lack of trust, etc.)

I have too many tasks to do

I cannot communicate with my supervisor

the boss is too demanding

mobbing

high risk of making a mistake

the need for direct contact with customers

the need for public speaking

too short time to complete tasks

other, what:

Do you experience any of the following symptoms of burnout? If so, how often? *

You can give only one answer in a row.

never

rarely

sometimes

often

very often

feeling of apathy and dullness

never

rarely

sometimes

often

very often

headache

never

rarely

sometimes

often

very often

boredom

never

rarely

sometimes

often

very often

lack of concentration

never

rarely

sometimes

often

very often

insomnia

never

rarely

sometimes

often

very often

annoyance

never

rarely

sometimes

often

very often

nausea

never

rarely

sometimes

often

very often

isolating oneself from the environment

never

rarely

sometimes

often

very often

decreased immunity

never

rarely

sometimes

often

very often

bad mood / depression

never

rarely

sometimes

often

very often

feeling of helplessness

never

rarely

sometimes

often

very often

Do you work more hours a day than you should under your contract of employment *

Do you work more hours a day than you should under your contract of employment

You can give only one answer.

never

rarely

sometimes

often

very often: how many hours?