Burnout Rating Scale

Burnout Rating Scale

Think over the past 3 months and score the following questions according to how often you have experienced these symptoms. 0=Never 1=Very rarely 2=Rarely 3=Sometimes 4=Often 5=Very often
  • Date Format: MM slash DD slash YYYY
  • Other indicators of being over stressed or approaching burnout for me are:
  •  

    Score of 0 -15: You are doing well.

     

    Score of 16 - 25: Some attention needed, you may be a candidate.

     

  • Warning!
    Score above 25 you may be a candidate.
  • This field is for validation purposes and should be left unchanged.
Stress

Perceived Stress Scale

The questions in this scale ask you about your feelings and thoughts during THE LAST MONTH. In each case, you will be asked to indicate your response by indicating HOW OFTEN you felt or thought a certain way. Although some of the questions are similar, there are differences between them and you should treat each one as a separate question. The best approach is to answer fairly quickly. That is, don’t try to count up the number of times you felt a particular way, but rather indicate the alternative that seems like a reasonable estimate. 0 = Never 1 = Almost Never 2 = Sometimes 3 = Fairly Often 4 = Very Often 0=Never 1=Very rarely 2=Rarely 3=Sometimes 4=Often 5=Very often
  • Date Format: MM slash DD slash YYYY
  • Other indicators of being over stressed or approaching burnout for me are:
  •  

    Score of 0 -15: You are doing well.

     

    Score of 16 - 25: Some attention needed, you may be a candidate.

     

  • Warning!
    Score above 25 you may be a candidate.
  • From: Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385-396. PERCEIVED STRESS SCALE by Sheldon Cohen http://www.mindgarden.com/documents
  • This field is for validation purposes and should be left unchanged.
Anxiety
Depression
Substance Abuse

Substance Use Self Assessment Quiz

Please consider the following which sometimes occur after a traumatic event. This questionnaire is concerned with your personal reactions to the traumatic event which happened to you. Please indicate (Yes/No) whether or not you have experienced any of the following at least twice in the past week.
  • Date Format: MM slash DD slash YYYY
  • Other indicators of being over stressed or approaching burnout for me are:
  • If you have answered "Yes" to any of these questions, you may have an alcohol or drug problem.

    One “YES” answer: BE AWARE. You may have or you may develop a problem with alcohol or other drugs.

    Two or more “YES” answers: Indicates you have problems with alcohol and/or drugs and should seek help immediately.

    If you believe that you have or that you may have a problem with alcohol or other drugs, we can help. Learn more about our drug and alcohol rehabilitation programs.
  • Warning!
    If you answered yes to 2 or more questions you are encouraged to consider whether you think that some counselling support may be beneficial in helping you.
  • Source: https://www.cottonwooddetucson.com/drug-alcohol-self-assessment
  • This field is for validation purposes and should be left unchanged.
Trauma Scene Questionnaire

Trauma Screening Questionnaire (TSQ)

Please consider the following which sometimes occur after a traumatic event. This questionnaire is concerned with your personal reactions to the traumatic event which happened to you. Please indicate (Yes/No) whether or not you have experienced any of the following at least twice in the past week.
  • Date Format: MM slash DD slash YYYY
  • Other indicators of being over stressed or approaching burnout for me are:
  •  

    Score of 0 -5: You are doing well.

     

    Score of 6 - 10: Some attention needed, you may be a candidate.

     

  • Warning!
    If you answered yes to 6 or more questions you are encouraged to consider whether you think that some counselling support may be beneficial in helping you to lower your on-going reactions to the traumatic event.
  • This field is for validation purposes and should be left unchanged.

More ratings to be added soon!