Burnout Recovery & Prevention
1.
How long have you had burnout, or feel that it's just around the corner?
1-2 months
3-6 months
6-12 months
1-2 yrs
More
2.
Which symptoms do you have now?
Extreme fatigue
Disturbed sleep and biorhythms
Skin colour changes, especially around eyes, acne
Low immunity and confidence
Digestive issues and lack of appetite
Shortness of breath
Emotional exhaustion
Irritability
Social withdrawal
Mental distancing
Lack of focus and decision making
Chronic fatigue and depression
Other (please specify)
3.
What is your biggest struggle right now?
4.
Have you been to a specialist or training, if so which one?
Dietian
Nutritionist
Therapist
Burnout coach
Acupuncturist
Yoga therapist
Burnout trainer
Energy healing facilitator
Meditation for burnout
5.
Was it helpful, and what did you gain from it?
Yes
No
Please specify what was most helpful
6.
What was missing, or what do you still struggle with right now, that you hoped this investment would change?
7.
Do you practice self-care? If so, how much time do you have for self-care each day?
Yes
No
How much time each day (please specify)
8.
What does self-care practice mean to you?
9.
Which fears exist around prolonged burnout?
I'll most likely never get back to my old self
I'll probably never regain mental clarity
Will I always remain tired, moody, irritable?
Will I struggle with energy and emotions for the rest of my life?
Will I continue to find relationships difficult and draining?
Will I always feel this disconnected?
I'll most likely never rediscover my enthusiasm and passion again
Will my creativity/confidence/clarity ever return?
Other (please specify)
10.
Which aspect do you feel needs healing most right now to reclaim wellbeing; physical, emotional, mental or a combination?
Physical
Emotional
Mental
Combination (please specify)
Current Progress,
0 of 10 answered