Work/Burnout Questionnaires

Work Stressor Questionnaire

Work Stressors can be identified in almost all aspects of one's job. Before taking action to eliminate or reduce these stressors, pinpoint their sources. Isolate these factors so corrective action can begin.

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Think about how often you encounter the following situations.
Circle the appropriate frequency.

A. Disagreement & Indecision
Unsure of co-workers expectations
Unfriendly attitude in co-workers.
Job responsibilities go against your better judgement.
Can't satisfy conflicting demands from superiors.
Trouble refusing overtime

B. Pressure on the Job
Overloaded at work, unable to complete tasks during an average day.
Too much supervision.
Job requirements are taking their toll on your private life.
Rushed to complete work or short on time.
Too much red tape.

C. Job Description Conflict
Uncertainty about your exact job responsibilities.
Too much teamwork.
Poor flow of information to you in order to carry out your job.
Not enough authority for you to properly do your job.
Discomfort in handling unethical assignments.

D. Communications & Comfort with Supervisor
Ideas differ from those of your supervisor.
Trouble talking to boss.
Unable to predict supervisors reactions.
Boss gives little feedback about your work.
Boss is overly critical of your work.

E. Job Related Health Concerns Work conditions are unhealthy.
Physical danger exists at work place
Heavy physical tasks to complete.
Hostile threats from co-workers.
Sick days are discouraged.

F. Work Overload Stress Can't consult with others on projects.
Co-workers are inefficient.
Often take work home to complete.
Responsible for too many people/projects.
Shortage of help at work.

G. Work Underload Stress Too little responsibility at work.
Overqualified for your job.
Little chance for growth exists.
Trying to "look" busy on job.
Feeling unstimulated.

H. Boredom Induced Stress Repetitive or highly specialized routine.
Not learning anything new.
Can't see final outcome of your efforts.
Job is too easy.
Daydreaming frequently.

I. Problem of Job Security Fear of being laid-off or fired.
Worry about poor pension.
Concerned about low wages.
Need "pull" to get ahead.
Could be fired without cause.

J. Time Pressure Constant reminders that "time is money".
Starting and ending times are rigid.
Monotonous pace of work.
Not enough break or meal time.
Work pace is too fast.

K. Job Barrier Stress
Hope for advancement or raise is limited.
Sex/age discrimination exists at job.
Not suited to job.
Work has no personal meaning.
Work goes unrecognized.

Scoring Instructions
1. Never
2. Rarely
3. Occasionally
4. Usually
5. Constantly

For each section, add the numbers associated with your answers and record them in the list below. Put a star (*) next to the highest scoring category.

A. Disagreement & Indecision. Answer.

B. Pressure on the Job. Answer.

C. Job Description Conflict. Answer.

D. Communication & Comfort with Supervisor. Answer

E. Job-Related Health Concerns. Answer.

F. Work Overload Stress. Answer.

G. Work Underload Stress. Answer.

H. Boredom Induced Stress. Answer.

I. Problem of Job Security. Answer.

J. Time Pressure. Answer.

K. Job Barrier Stress. Answer.

TOTAL SCORE (add scores A to K)

Within each area scores will range from 5 to 25. Scores of 14 or above suggest problem areas.

Overall scores will fall within the 55 to 275 range. Scores of 135 or above would suggest an unusual amount of work related stress. Use the Ten Tips for Preventing Burnout below to combat the effects of work related stress.

Preventing Burnout

People`s work life can range from exhilarating to exhausting. There are periods when work can become overwhelming and prevent a normal life. When this happens we call it burnout. Burnout is described as a condition of feeling depleted, exhausted or just worn out while striving to reach some goal. It is the fatigue and frustration that is felt when stress management is neglected or work loads are excessive. Complete this self inventory to determine burnout factors in your work life.Instructions:

Think back over the past six months of your life. Have things changed? Do you feel different? Think about your job - your family - your social activities. Ask yourself the questions listed below, then indicate the appropriate response. Add up your score.

Do you tire more easily?

Have people been saying, "You don`t look so good lately" ?

Are you working harder and accomplishing less?

Are you becoming more cynical?

Do you often feel a sadness you can`t explain?

Are you forgetful? (Appointments, deadlines, dates.)

Are you more irritable, short-tempered and disappointed in other people?

Do you see close friends and family members less than you`d like?

Are you too busy to do even routine things?

Are you suffering from physical complaints? (Aches, pains, headaches, a lingering cold?)

Is it hard to find joy in life?

Are you unable to laugh at yourself?

Does sex seem like more trouble than it is worth?

Do you have little to say to people?

Scoring Instructions
1. No change
2. Some small changes
3. Varies from day to day
4.More changes than I like
5. A great deal of change

The Burnout Scale
0-25 . You`re doing fine
26-35 . You`re okay, but should be cautious
36-50 . You`re a candidate for burnout
51-65 . You`re burning out
over 65. You`re in a dangerous state that`s a threat to your physical and mental well-being.

© copyright 2001 American Institute for Preventive Medicine Systematic Stress Management




As life passes more quickly these days I have become aware how contacts in our lives that used to be a priority for each of us such as meaningful contact with our family, friends and neighbours are now not as highly prioritised as before. In the recent past we grew up knowing our neighbours, now it's more common not to even see or greet our neighbours let alone know their names. It's also become common place to no longer see or talk with family as frequently as we used too. We busy ourselves each day with the chores of living and possibly don't take time to consider how our lives are actually progressing and how will life look for us ten years from now if we continue down the same path.

Maybe now is the time to make even little changes to how we live if not for ourselves but for those around us. It's nice to be greeted by those who live around us, it's nice to be thought off by others and it's nice to catch up with those friends and family we keep meaning to ring but never do. I am reminded of the film 'Pay it Forward' where a good deed is done for another but rather than seek anything in return the good deed is paid forward (passed on) to someone else, maybe in away by taking more of an interest in others they will also make the effort to take more interest in us and hence life may have more to offer than the daily duties of living that cause so much stress.

Just a thought. Sent in by Orla in Galway


Moving House is considered one of the most stress inducing experiences people can go through. The stress of moving can have effects of a negative kind in all aspects of your life including your work which is combined to most decisions to move at several levels. It is important to be aware of this type of stress and the difficulties it can cause. It is also important to have a good agent to deal with, this includes knowing that they are qualified and experienced in their chosen profession.

If you live In Dublin, Ireland try the link below. The article link below the image will also provide a helpful check list for those in this position. Please also see related links on Stress Care

Paul Reddy, Property Team Swords
Take the Stress out of selling your home.

Use an honest and Qualified Professional for all of your property needs

Call 01-8132565. Click Below

Please See related article



Courage is not the absence of fear, it is the presence of fear yet the will to continue.

I’ve tried yoga, but I find stress less boring.


Live without Regret

Living life with regret will add to our overall unhappiness and dissatisfaction with life. How many times do you hear such sayings as "I wish I did that then" or "if I only knew then what I know now". These can be self defeating statements and should be taken out of your vocabulary.

There is one thing for certain in life and that is we can't go back in time, however, we can learn from our past experiences and mistakes, to do so will lead to more self awareness, understanding and acceptance that what has passed has in fact passed.

Life can be complicated enough so it's very important to Keep life Simple, keep problems in perspective and learn to let go and move on.

Sent in by Dr G. Ronan USA


A person who never made a mistake never tried anything new.

A 'No' uttered from the deepest conviction is better than a 'Yes' merely uttered to please, or worse, to avoid trouble.

Mohandas Gandhi

A pessimist sees the difficulty in every opportunity; an optimist sees the opportunity in every difficulty.

Appreciation is a wonderful thing: It makes what is excellent in others belong to us as well.


What lies behind us and what lies before us are tiny matters compared to what lies within us.

Oliver Wendell Holmes


Dealing with mental health issues can be very demanding and can put strain on your own mental health and well being.

We each have our own way of dealing with the stresses and strains in our daily lives but often we do not deal with problems effectively. The first step in dealing with stress is to acknowledge that it exists. Then try to identify the cause and assess what you can do to alleviate it. It is important to remember that we need to look after our own health in order to be able to help others, and to acknowledge that there is a limit to what we can do.

Employers have a responsibility to protect employee health at work, this includes your mental health. An employer must, so far as is practicable, provide a safe place to work, and the training and supervision necessary to minimise hazards at work.
Author: Mark Reddy

For some useful tips on looking after your own mental health see Positive steps for mental health.