Burnout Risk Assessment Survey

Burnout Risk Assessment Survey — Form Fields

This surveys template includes 6 fields. Identify early signs of employee burnout before they become critical. This confidential survey measures workload, emotional exhaustion, and recovery capacity. Free to customize and use on ZenBuild.

• How often do you feel emotionally exhausted at the end of the workday? (rating, required)
• I am able to disconnect from work during evenings and weekends. (rating, required)
• How would you describe your current workload? (dropdown selection, required) — options: Manageable and sustainable, Heavy but manageable, Consistently overwhelming, Not enough work / underutilized
• In the past month, have you felt cynical or detached from your work? (multiple choice, required) — options: No, I feel engaged, Occasionally, Often, Most of the time
• What would help reduce your stress or workload right now? (long text, optional)
• Do you feel comfortable raising workload concerns with your manager? (multiple choice, optional) — options: Yes, very comfortable, Somewhat comfortable, Not really comfortable, No, not at all