survey examples Human Resources

Employee Burnout Survey

  • 1. Are you satisfied with your work? *

    Are you satisfied with your work?
    You can give only one answer.
  • 2. What emotions do you experience every day before starting work? *

    You can select several answers.
  • 3. Is the work performed by you the fulfillment of your professional ambitions? *

    You can give only one answer.
  • 4. Do you think about changing your current job? If so, for what reason? *

    Do you think about changing your current job? If so, for what reason?
    You can give only one answer.
  • 5. Is your job stressful? *

    You can give only one answer.
  • 6. What do you think is the main reason why your job is stressful? *

    You can give only one answer.
  • 7. Do you experience any of the following symptoms of burnout? If so, how often? *

    You can give only one answer in a row.
    never rarely sometimes often very often
    feeling of apathy and dullness  
    headache  
    boredom  
    lack of concentration  
    insomnia  
    annoyance  
    nausea  
    isolating oneself from the environment  
    decreased immunity  
    bad mood / depression  
    feeling of helplessness  
  • 8. Do you think that your salary is adequate to the work you do? *

    You can give only one answer.
  • 9. Do you think about your professional duties after work? *

    You can give only one answer.
  • 10. How much time a day do you spend working? *

    You can give only one answer.
  • 11. Do you work more hours a day than you should under your contract of employment *

    Do you work more hours a day than you should under your contract of employment
    You can give only one answer.
  • 12. Do you think that you are affected by work burnout? *

    You can give only one answer.
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