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* 1. I feel rundown and drained of physical and/or emotional energy

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* 2. I am easily irritated by small problems, or by my co-workers and team.

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* 3. I feel that I am achieving less than I should.

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* 4. I feel that I am not getting what I want out of my job.

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* 5. I feel that I do not have time to do many of the things that are important to doing a good quality job.

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* 6. I am frustrated with parts of my job.

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* 7. On a scale of 1-10, the level of burnout I feel is:

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* 8. Using the number you just chose from question #7, why did you choose that number as opposed to something less?
(Example: I scored the burnout I feel as a 5, so why did I choose 5 rather than a 3 or a 4.)

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* 9. Using the number you just chose from question #7 again, why did you choose that number as opposed to something higher?
(Example: I scored the burnout I feel as a 5, so why did I choose 5 rather than a 6 or a 7.)

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* 10. What could your employer do to help reduce your burnout?

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* 11. What are you doing personally to avoid or help reduce your own burnout?

0 of 11 answered
 

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