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BAT12

Burnout Assessment Tool — short form. Indicate how often each statement applies to you at work.

1. 1.At work, I feel mentally exhausted.

   • [1]Never
   • [2]Rarely
   • [3]Sometimes
   • [4]Often
   • [5]Always

2. 2.After a day at work, I find it hard to recover my energy.

   • [1]Never
   • [2]Rarely
   • [3]Sometimes
   • [4]Often
   • [5]Always

3. 3.At work, I feel physically exhausted.

   • [1]Never
   • [2]Rarely
   • [3]Sometimes
   • [4]Often
   • [5]Always

4. 4.I struggle to find any enthusiasm for my work.

   • [1]Never
   • [2]Rarely
   • [3]Sometimes
   • [4]Often
   • [5]Always

5. 5.At work, I do not think much about what I am doing and I function on autopilot.

   • [1]Never
   • [2]Rarely
   • [3]Sometimes
   • [4]Often
   • [5]Always

6. 6.I feel a strong aversion towards my job.

   • [1]Never
   • [2]Rarely
   • [3]Sometimes
   • [4]Often
   • [5]Always

7. 7.At work, I have trouble staying focused.

   • [1]Never
   • [2]Rarely
   • [3]Sometimes
   • [4]Often
   • [5]Always

8. 8.At work I struggle to think clearly.

   • [1]Never
   • [2]Rarely
   • [3]Sometimes
   • [4]Often
   • [5]Always

9. 9.I'm forgetful and distracted at work.

   • [1]Never
   • [2]Rarely
   • [3]Sometimes
   • [4]Often
   • [5]Always

10. 10.At work, I feel unable to control my emotions.

    • [1]Never
    • [2]Rarely
    • [3]Sometimes
    • [4]Often
    • [5]Always

11. 11.I do not recognize myself in the way I react emotionally at work.

    • [1]Never
    • [2]Rarely
    • [3]Sometimes
    • [4]Often
    • [5]Always

12. 12.At work I may overreact unintentionally.

    • [1]Never
    • [2]Rarely
    • [3]Sometimes
    • [4]Often
    • [5]Always