Burnout Risk Check-in
An anonymous early-warning read on exhaustion, detachment, and recovery.
4 questions · 1 page · about 2 minutes to answer · fully editable after you start
Burnout is measurable long before it is visible: exhaustion that rest stops fixing, growing cynicism about work that used to matter, effectiveness sliding despite longer hours. This anonymous check-in reads those three classic dimensions plus the recovery question – whether evenings and weekends actually restore anything.
Run it quarterly at team granularity, never individual. A team trending down on recovery is a workload conversation for its leader this month, not a resilience webinar next quarter.
Replace [local emergency number, e.g. 000] and [local crisis line, e.g. Lifeline on 13 11 14] in its opening note with the services where your respondents live, before you share it: the numbers shown are Australia's. The Collect tab lists both until they are changed.
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Page 1
Honestly, how are you?
This check-in asks how work has been affecting your energy and wellbeing over the past month. Answer for yourself, as honestly as you can. It takes about 2 minutes.
This check-in is not a crisis service. If you are in immediate danger, call [local emergency number, e.g. 000]. For crisis support at any time, call [local crisis line, e.g. Lifeline on 13 11 14].
Q1.Over the past month... (Anonymous.)*
| Rarely | Sometimes | Often | Constantly | |
|---|---|---|---|---|
| I feel drained even after rest | ||||
| I care less about work than I used to | ||||
| I doubt my work makes a difference | ||||
| Small tasks feel heavier than they should |
Q2.Do your evenings and weekends actually recharge you?*
Q3.What is the biggest drain right now?
- Workload volume
- Unclear priorities
- Meetings and interruptions
- Emotional load of the work
- Something outside work
Q4.What would give you the most relief in the next month?
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