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

1 comment:

Anonymous said...

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Dave in Liverpool