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Burnout Questionnaire

Burnout Questionnaire

What is Burnout Questionnaire

The Burnout Questionnaire is a standardized tool to assess burnout. It consist 28 response column/questions which are divided into three further sub categories. It is scored according to 5 point scale. The total scoring ranges from minimum 28 score to maximum 140 score.

Burnout Questionnaire Printable PDF

You can create a free account on PsyPack to access fillable PDFs, manuals and educational resources for the Burnout Questionnaire

Burnout Questionnaire Scoring and Interpretation

Participants are asked to rate each of the 28 questions according to the following scale: 1 = never/no change 2 = rarely 3 = sometimes 4 = often 5 = always/much change

Total up the numbers in the response column to obtain total score.

Stratification of burnout score of the American Welfare Association Burnout Scale.

Table 4
Grades of burnoutScoresInferences



No stress and professional burnout



Stress but no professional burnout



Fair chances of burnout



Early burnout



Advanced burnout

PsyPack can automatically score the Burnout Questionnaire assessment and prepare corresponding tables and graphs.

Burnout Questionnaire sample result

Further, PsyPack automatically plots a graph to help you easily track progress over time.

Burnout Questionnaire track progress

Sample Report of Burnout Questionnaire


Stress, Burnout

What does Burnout Questionnaire measure

The purpose of the evaluation is to:

  • assess burnout.



Type of outcome tool


Assessment modes


Age and eligibility


Estimated time

About 5 minutes


Since the questionnaire relies on client self-report, all responses should be verified by the clinician, and a definitive diagnosis is made on clinical grounds taking into account how well the client understood the questionnaire, as well as other relevant information from the client.

The purpose of this assessment is to help individuals reduce work-related stress through increased self understanding and awareness. This assessment is meant to measure the risk of burnout, by identifying warning signs and is not meant to be used as a diagnostic tool.

Attribution and References

Adapted by Michelle Post, MA, LMFT from Public Welfare, Vol. 39, No. 1, 1981, American Public Welfare Association.