Stress & Burnout – Questionnaire - Best Psychiatrists, Psychologists & Doctors Online

Stress & Burnout – Questionnaire

This questionnaire is developed to help you identify if you possess common symptoms of stress. Results will be shown at the end.

Answer these questions for symptoms over a period of last 3 months.
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Full Name (Optional)
Age Range*
Gender*
Email (For detailed report)*
Department (Optional)
Organization*
1. Feeling of exhaustion at waking-up*
- Occurring occasionally (i.e. monthly)
- Occurring Frequently (i.e. weekly)
- Occurring Usually (i.e. daily)
2. Loss of enthusiasm for work*
- Occurring occasionally (i.e. monthly)
- Occurring Frequently (i.e. weekly)
- Occurring Usually (i.e. daily)
3. Unable to find time for people, even family and friends*
- Occurring occasionally (i.e. monthly)
- Occurring Frequently (i.e. weekly)
- Occurring Usually (i.e. daily)
4. Difficulty in concentration, reduced attention span*
- Occurring occasionally (i.e. monthly)
- Occurring Frequently (i.e. weekly)
- Occurring Usually (i.e. daily)
5. Becoming too critical with friends and family*
- Occurring occasionally (i.e. monthly)
- Occurring Frequently (i.e. weekly)
- Occurring Usually (i.e. daily)
6. Experiencing a sense of hopelessness for any improvement*
- Occurring occasionally (i.e. monthly)
- Occurring Frequently (i.e. weekly)
- Occurring Usually (i.e. daily)
7. Becoming increasingly irritable*
- Occurring occasionally (i.e. monthly)
- Occurring Frequently (i.e. weekly)
- Occurring Usually (i.e. daily)
8. Finding difficulty in making decisions*
- Occurring occasionally (i.e. monthly)
- Occurring Frequently (i.e. weekly)
- Occurring Usually (i.e. daily)
9. Feeling unappreciated*
- Occurring occasionally (i.e. monthly)
- Occurring Frequently (i.e. weekly)
- Occurring Usually (i.e. daily)
10. Frequent forgetfulness*
- Occurring occasionally (i.e. monthly)
- Occurring Frequently (i.e. weekly)
- Occurring Usually (i.e. daily)
11. Feeling exhausted, tired or fatigued*
- Occurring occasionally (i.e. monthly)
- Occurring Frequently (i.e. weekly)
- Occurring Usually (i.e. daily)
12. Feelings of self-worthlessness*
- Occurring occasionally (i.e. monthly)
- Occurring Frequently (i.e. weekly)
- Occurring Usually (i.e. daily)
13. Over-eating or loss of appetite*
- Occurring occasionally (i.e. monthly)
- Occurring Frequently (i.e. weekly)
- Occurring Usually (i.e. daily)
14. Experiencing sleep disturbance and insufficient sleep*
- Occurring occasionally (i.e. monthly)
- Occurring Frequently (i.e. weekly)
- Occurring Usually (i.e. daily)
15. Ignoring the normal duties and responsibilities*
- Occurring occasionally (i.e. monthly)
- Occurring Frequently (i.e. weekly)
- Occurring Usually (i.e. daily)
16. Feeling "lack of control" in most areas of life*
- Occurring occasionally (i.e. monthly)
- Occurring Frequently (i.e. weekly)
- Occurring Usually (i.e. daily)
17. Feeling over-burdened by responsibilities and pressures*
- Occurring occasionally (i.e. monthly)
- Occurring Frequently (i.e. weekly)
- Occurring Usually (i.e. daily)
18. Accomplishing lesser day by day*
- Occurring occasionally (i.e. monthly)
- Occurring Frequently (i.e. weekly)
- Occurring Usually (i.e. daily)
19. Assessing yourself too hard at work or home*
- Occurring occasionally (i.e. monthly)
- Occurring Frequently (i.e. weekly)
- Occurring Usually (i.e. daily)
20. Boredom with work, home and life in general*
- Occurring occasionally (i.e. monthly)
- Occurring Frequently (i.e. weekly)
- Occurring Usually (i.e. daily)
21. Feeling physical symptoms such as: Headache, chronic back ache, chest pain, cramps or wind, indigestion*
- Occurring occasionally (i.e. monthly)
- Occurring Frequently (i.e. weekly)
- Occurring Usually (i.e. daily)
22. Becoming inflexible or uncooperative with others*
- Occurring occasionally (i.e. monthly)
- Occurring Frequently (i.e. weekly)
- Occurring Usually (i.e. daily)
23. Feeling unable to say "No!"*
- Occurring occasionally (i.e. monthly)
- Occurring Frequently (i.e. weekly)
- Occurring Usually (i.e. daily)
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