The Burnout Rewire™ Scorecard Survey

The Burnout Rewire™ Scorecard is a quick, insightful self-assessment designed to help you understand where you are on the burnout spectrum. In just a few minutes, you’ll identify how stress is affecting your energy, emotions, motivation, and boundaries. Each answer contributes to your personal Burnout Score, revealing your current stage, from early stress to full burnout, along with tailored insights to guide your next steps toward recovery and balance.

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. At what email address would you like to be contacted?

Energy & Fatigue

This section measures how depleted your body and mind feel day to day. It explores your energy levels, sleep quality, and signs of physical exhaustion to reveal how close your system is to burnout.

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* 4. I often feel physically or mentally exhausted, even after rest.

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* 5. I rely on caffeine, sugar, or other stimulants just to function.

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* 6. My sleep feels unrefreshing or disrupted.

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* 7. I’ve noticed frequent headaches, muscle tension, or body aches.

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* 8. I feel tired but wired — exhausted yet unable to slow down.

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Emotional Regulation & Resilience

This section explores how well you manage stress and emotions under pressure. It highlights shifts in mood, motivation, and emotional balance that reveal how your inner resilience may be wearing down.

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* 9. I feel more irritable or impatient than usual.

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* 10. I find it hard to feel joy, excitement, or motivation lately.

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* 11. I often feel anxious, on edge, or emotionally numb.

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* 12. Small problems can feel overwhelming or triggering.

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* 13. I sometimes feel detached from others or emotionally flat.

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Work Patterns & Motivation

This section uncovers how your habits, mindset, and drive at work may be fueling burnout. It looks at productivity pressures, perfectionism, and loss of purpose to show where your motivation has started to slip.

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* 14. I push myself to keep performing, even when I’m running on empty.

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* 15. I feel guilty when I’m not being productive.

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* 16. I struggle to switch off or stop thinking about work.

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* 17. I’m achieving less despite working just as hard (or harder).

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* 18. I often question whether my work still has meaning or purpose.

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Boundaries & Self-Prioritisation

This section examines how well you protect your time, energy, and wellbeing. It reveals where people-pleasing, guilt, or overcommitment might be eroding your personal boundaries and leading to burnout.

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* 19. I find it hard to say no without feeling guilty.

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* 20. I often prioritise others’ needs before my own.

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* 21. I take on too much because I fear letting people down.

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* 22. I rarely give myself permission to rest or slow down.

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* 23. I struggle to ask for help or delegate tasks.

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Coping & Escape Mechanisms

This section looks at how you manage stress when life feels overwhelming. It uncovers patterns of avoidance, numbing, or disconnection that may be keeping you stuck in the burnout cycle instead of helping you recover.

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* 24. I zone out through scrolling, TV, alcohol, or other numbing habits.

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* 25. I’ve lost interest in things I used to enjoy.

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* 26. I avoid situations, conversations, or decisions that feel stressful.

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* 27. I sometimes fantasise about quitting everything or disappearing for a while.

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* 28. I feel trapped in a loop, like every week repeats the same cycle of exhaustion and recovery.

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Mental Health & Inner State

This section explores how your thoughts, emotions, and sense of self have been affected by prolonged stress. It highlights mental and emotional warning signs that signal when burnout may be impacting your wellbeing more deeply.

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* 29. I often feel mentally foggy, distracted, or unable to focus.

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* 30. I’ve noticed my self-talk has become more negative or self-critical.

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* 31. I struggle to feel hopeful or optimistic about the future.

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* 32. I sometimes question my self-worth or doubt my ability to recover.

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* 33. Even when I rest, my mind feels restless or unsettled.

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Your Burnout Rewire™ Score: What It Means

Your Burnout Rewire™ Score reflects how much stress and exhaustion your body and mind are carrying right now. The higher your percentage, the deeper your system is into the burnout cycle, but it’s also your roadmap to recovery.

Over the next few days, you’ll receive personalised insights from me that explain your score, the patterns driving it, and simple steps to start rewiring your energy. Keep an eye on your inbox, your results breakdown and next steps are on their way.