Burnout Questionnaire

This questionnaire designed by Dr. Freudenberger will help you determine if you have symptoms of a syndrome popularly known as "burnout". Burnout refers specifically to a type of Adrenal Fatigue brought about by lifestyle factors such as working too hard or juggling too many activities. After you have taken this test, it might be interesting to compare your score with your scores on the Adrenal Fatigue Questionnaire in the book Adrenal Fatigue: The 21st Century Stress Syndrome by Dr. James L. Wilson.

Give each question a value ranging from 0-5 with "0" representing not being true for you and "5" describing you very well.

	Do you tire more easily?	0 1 2 3 4 5
	Do you feel fatigued rather than energetic?	0 1 2 3 4 5
	Are people annoying you by telling you "you don't look so good lately"?	0 1 2 3 4 5
	Are you working harder & harder but accomplishing less?	0 1 2 3 4 5
	Are you increasingly cynical and disenchanted?	0 1 2 3 4 5
	Do you often experience unexplained sadness?	0 1 2 3 4 5
	Are you forgetting appointments, deadlines or personal possessions more frequently?	0 1 2 3 4 5
	Have you become more irritable?	0 1 2 3 4 5
	Are you more short-tempered?	0 1 2 3 4 5
	Are you more disappointed with people around you?	0 1 2 3 4 5
	Are you seeing family members and close friends less frequently?	0 1 2 3 4 5
	Are you too busy to do even routine things like make phone calls or read reports or send cards to friends?	0 1 2 3 4 5
	Are you experiencing increased physical complaints (aches, pains, headaches, lingering colds)?	0 1 2 3 4 5
	Do you feel disoriented when the activity of the day comes to a halt?	0 1 2 3 4 5
	Is joy elusive?	0 1 2 3 4 5
	Are you unable to laugh at a joke about yourself?	0 1 2 3 4 5
	Does sex seem like more trouble than it's worth?	0 1 2 3 4 5
	Do you have very little to say to people?	0 1 2 3 4 5

Adapted from "Symptoms of Burnout" (Freudenberger, H. Burnout. P18; Bantum, NY, NY; 1981). Copywright- 1999 Dr. James L. Wilson

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