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Burnout Self-Assessment (Free Printable)

by Rokiah & Dol

  • 2 pages
  • PDF
  • English

Free

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  • Print at home, as many times as you need

About this set

You keep calling yourself lazy, but lazy people don't lie awake worrying about unfinished tasks. Before you push through again, check how empty the tank really is. This sheet gives you a number to work from.

It comes from The No-Motivation Survival Guide, set out as a free 2-page printable.

What is inside

  • 20 rated statements in 4 areas: exhaustion, cynicism, inefficacy and physical symptoms
  • A simple 0 to 4 scale and a total out of 80, with the one reverse-scored statement marked
  • A key with 4 bands, from low burnout risk to severe burnout, and what each one means
  • When to seek professional help, plus crisis lines for the US, UK and Australia
  • A retest log so you can track your score every 2 weeks during recovery

Who this is for

  • Anyone who feels lazy but suspects they are actually running on empty
  • Burnt out workers who want a clear starting point for recovery
  • People in recovery who want to see the trend, not one bad day

Format

PDF, 2 pages, US Letter. Free, instant download.

Want the full method? The full guide turns your score into a plan: the bare minimum framework, the burnt out 2-minute rule, scripts for saying no, a rest menu, the 10% rule for rebuilding, an energy audit, a stay or quit decision tree and emergency scripts. The full book, The No-Motivation Survival Guide, is on this store.

Burnout Self-Assessment (Free Printable)

Free