Employee burnout syndrome questionnaire template

Hello,

Please take a few minutes of your time to fill in the following survey

1. Are you satisfied with your job?

  • Yes
  • Don't know
  • No

2. Do you enjoy your work?

  • Yes
  • Yes, depending on the task
  • Very rarely
  • I have never enjoyed my work

3. Do you feel that you and your work are adequately appreciated?

  • Adequately
  • Sometimes
  • Inadequately

4. Are you beginning to feel complacent at work?

  • Yes
  • No

5. Do you suffer from a sleep disorder of any kind?

  • No
  • I don't know
  • Sometimes
  • Often

6. Do you suffer from any poor health, injury or illness?

  • No

7. Please specify the number of hours per week you spend:

Assign 168 Hours

  • Working

    0 0 168

  • Sleeping or at rest

    0 0 168

  • In leasure or sporting activities

    0 0 168

8. Do you feel you work more than you should?

  • Yes
  • Sometimes
  • No

9. Do you ever feel you have burned-out at work before?

  • Yes
  • No

10. Please specify your gender:

  • Male
  • Female

11. Please specify your age:

Powered by Survio
Use template

Survey Templates Human Resources

Employee overburden and burnout survey

Popularity 288 ×

You’ll use the employee burnout syndrome questionnaire template primarily to prevent these situations. Discover the causes before the consequences appear.

Use template

The survey sample is ideal for

  • employees in leadership positions,
  • team leaders,
  • HR specialists.

Stressful situations in the workplace are not uncommon and can be triggered by a number of factors. Long-term dissatisfaction at work, low motivation, but also health problems or imbalance of work and personal life. The burnout syndrome questionnaire is a suitable tool for examining the work ethic of staff and manifestations that may indicate a potential risk. Focus on prevention, create a healthy atmosphere in your company and pay attention to the satisfaction of your employees.

The questionnaire template can be fully edited. Survio will process your answers into well-arranged tables and graphs.

All templates

Template categories

Trustpilot rating

Rated excellent on

Survio is a survey software for everyone.

Survey templates make your start quick and smooth. Collect any feedback effortlessly.

Create a questionnaire in less than one minute

Create a questionnaire in less than one minute

Collect survey responses on multiple channels

Collect survey responses on multiple channels

Analyze survey results with a single click

Analyze survey results with a single click

What people say about us

Marketing manager, HR specialist and sales director sharing their experience with Survio.

Survey creation is straightforward and simple. Easy to navigate as a survey creator as well as a survey respondent. Quick to make unique surveys tailored to your and your company's purpose.

Linda W. Marketing manager

I've been able to design multiple surveys in just a few minutes. I'm particularly excited about the data collection, analysis, reporting & exporting capabilities, which are critical to my success as an HR.

Liam J. HR specialist

I highly recommend Survio as it is user-friendly and professional. It is definitely worth updating the free account to get more advanced features and make it an integral part of your workflow.

Edward G. Sales director

It’s not just a template. You’ll get the entire survey platform to collect desired data and understand them.

Create your survey now

Enter Survio

Login

Forgot password?

Digicert

Start surveying now!

  • Build a survey Easy-to-use survey editor, 100+ ready-made survey templates
  • Collect responses Mobile friendly, omnichannel collection, identity tracking
  • Analyze results Fast and comprehensive analytics, one-click reports
  • Engage with Survio PRO User management, custom dashboards, integrations, API
  • GDPR
  • SSO
  • ISO 27001:2022