Employee Burnout Survey

1. Are you satisfied with your work? ^*

Are you satisfied with your work?

You can give only one answer.

2. 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:

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

You can give only one answer.

4. 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

5. Is your job stressful? ^*

You can give only one answer.

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

You can give only one answer.

7. 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	feeling of apathy and dullness - never	feeling of apathy and dullness - rarely	feeling of apathy and dullness - sometimes	feeling of apathy and dullness - often	feeling of apathy and dullness - very often
headache	headache - never	headache - rarely	headache - sometimes	headache - often	headache - very often
boredom	boredom - never	boredom - rarely	boredom - sometimes	boredom - often	boredom - very often
lack of concentration	lack of concentration - never	lack of concentration - rarely	lack of concentration - sometimes	lack of concentration - often	lack of concentration - very often
insomnia	insomnia - never	insomnia - rarely	insomnia - sometimes	insomnia - often	insomnia - very often
annoyance	annoyance - never	annoyance - rarely	annoyance - sometimes	annoyance - often	annoyance - very often
nausea	nausea - never	nausea - rarely	nausea - sometimes	nausea - often	nausea - very often
isolating oneself from the environment	isolating oneself from the environment - never	isolating oneself from the environment - rarely	isolating oneself from the environment - sometimes	isolating oneself from the environment - often	isolating oneself from the environment - very often
decreased immunity	decreased immunity - never	decreased immunity - rarely	decreased immunity - sometimes	decreased immunity - often	decreased immunity - very often
bad mood / depression	bad mood / depression - never	bad mood / depression - rarely	bad mood / depression - sometimes	bad mood / depression - often	bad mood / depression - very often
feeling of helplessness	feeling of helplessness - never	feeling of helplessness - rarely	feeling of helplessness - sometimes	feeling of helplessness - often	feeling of helplessness - very often

8. Do you think that your salary is adequate to the work you do? ^*

You can give only one answer.

	yes
	I can't say
	no

9. Do you think about your professional duties after work? ^*

You can give only one answer.

10. How much time a day do you spend working? ^*

You can give only one answer.

	less than 6 hours
	6-8 hours
	8-10 hours
	10-12 hours
	over 12 hours

11. 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?

12. Do you think that you are affected by work burnout? ^*

You can give only one answer.

	yes
	no

	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:

Employee Burnout Survey

1. Are you satisfied with your work? *

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

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

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

5. Is your job stressful? *

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

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

8. Do you think that your salary is adequate to the work you do? *

9. Do you think about your professional duties after work? *

10. How much time a day do you spend working? *

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

12. Do you think that you are affected by work burnout? *

1. Are you satisfied with your work? ^*

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

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

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

5. Is your job stressful? ^*

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

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

8. Do you think that your salary is adequate to the work you do? ^*

9. Do you think about your professional duties after work? ^*

10. How much time a day do you spend working? ^*

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

12. Do you think that you are affected by work burnout? ^*