BURNOUT ASSESSMEN T TOOL ENGLISH (UK)

Work-related version of the BAT

Instruction

The following statements are related to your work situation and how you experience this situation.
Please state how often each statement applies to you.

Scoring

Never Rarely Sometimes Often Always

1 2 3 4 5
Questions

Never Rarely Sometimes Often Always

Exhaustion
At work, I feel mentally exhausted ☐ ☐ ☐ ☐ ☐
Everything I do at work requires a great deal of effort ☐ ☐ ☐ ☐ ☐
After a day at work, I find it hard to recover my energy ☐ ☐ ☐ ☐ ☐
At work, I feel physically exhausted ☐ ☐ ☐ ☐ ☐
When I get up in the morning, I lack the energy to start ☐ ☐ ☐ ☐ ☐
a new day at work
I want to be active at work, but somehow I am unable ☐ ☐ ☐ ☐ ☐
to manage
When I exert myself at work, I quickly get tired ☐ ☐ ☐ ☐ ☐
At the end of my working day, I feel mentally ☐ ☐ ☐ ☐ ☐
exhausted and drained
Mental distance
I struggle to find any enthusiasm for my work ☐ ☐ ☐ ☐ ☐
At work, I do not think much about what I am doing ☐ ☐ ☐ ☐ ☐
and I function on autopilot
I feel a strong aversion towards my job ☐ ☐ ☐ ☐ ☐
I feel indifferent about my job ☐ ☐ ☐ ☐ ☐
I’m cynical about what my work means to others ☐ ☐ ☐ ☐ ☐
Cognitive impairment
At work, I have trouble staying focused ☐ ☐ ☐ ☐ ☐
At work I struggle to think clearly ☐ ☐ ☐ ☐ ☐
I’m forgetful and distracted at work ☐ ☐ ☐ ☐ ☐
When I’m working, I have trouble concentrating ☐ ☐ ☐ ☐ ☐
I make mistakes in my work because I have my mind ☐ ☐ ☐ ☐ ☐
on other things
Emotional impairment
At work, I feel unable to control my emotions ☐ ☐ ☐ ☐ ☐
I do not recognize myself in the way I react emotionally ☐ ☐ ☐ ☐ ☐
at work
Citation: Schaufeli, W.B., De Witte, H. & Desart, S. (2019). Handleiding Burnout Assessment Tool (BAT). KU Leuven, België: Intern rapport.
With the help of Russell Watts – Operations Director, Publishing and Ventures @ Penguin Random House UK
1
BURNOUT ASSESSMEN T TOOL ENGLISH (UK)

During my work I become irritable when things don’t ☐ ☐ ☐ ☐ ☐

go my way
I get upset or sad at work without knowing why ☐ ☐ ☐ ☐ ☐
At work I may overreact unintentionally ☐ ☐ ☐ ☐ ☐

Never Rarely Sometimes Often Always

Psychological complaints
I have trouble falling or staying asleep ☐ ☐ ☐ ☐ ☐
I tend to worry ☐ ☐ ☐ ☐ ☐
I feel tense and stressed ☐ ☐ ☐ ☐ ☐
I feel anxious and/or suffer from panic attacks ☐ ☐ ☐ ☐ ☐
Noise and crowds disturb me ☐ ☐ ☐ ☐ ☐
Psychosomatic complaints
I suffer from palpitations or chest pain ☐ ☐ ☐ ☐ ☐
I suffer from stomach and/or intestinal complaints ☐ ☐ ☐ ☐ ☐
I suffer from headaches ☐ ☐ ☐ ☐ ☐
I suffer from muscle pain, for example in the neck, ☐ ☐ ☐ ☐ ☐
shoulder or back
I often get sick ☐ ☐ ☐ ☐ ☐

Citation: Schaufeli, W.B., De Witte, H. & Desart, S. (2019). Handleiding Burnout Assessment Tool (BAT). KU Leuven, België: Intern rapport.
With the help of Russell Watts – Operations Director, Publishing and Ventures @ Penguin Random House UK
2
BURNOUT ASSESSMEN T TOOL ENGLISH (UK)

General version of the BAT

Instruction

The following statements are related to your work situation and how you experience this situation.
Please state how often each statement applies to you.

Scoring

Never Rarely Sometimes Often Always

1 2 3 4 5
Questions

Never Rarely Sometimes Often Always

Exhaustion
I feel mentally exhausted ☐ ☐ ☐ ☐ ☐
Everything I do requires a great deal of effort ☐ ☐ ☐ ☐ ☐
At the end of the day, I find it hard to recover my ☐ ☐ ☐ ☐ ☐
energy
At work, I feel physically exhausted ☐ ☐ ☐ ☐ ☐
When I get up in the morning, I lack the energy to start ☐ ☐ ☐ ☐ ☐
a new day
I want to be active, but somehow I am unable to ☐ ☐ ☐ ☐ ☐
manage
When I exert myself, I quickly get tired ☐ ☐ ☐ ☐ ☐
At the end of my day, I feel mentally exhausted and ☐ ☐ ☐ ☐ ☐
drained
Mental distance
I struggle to find any enthusiasm for my work ☐ ☐ ☐ ☐ ☐
I feel a strong aversion towards my job ☐ ☐ ☐ ☐ ☐
I feel indifferent about my job ☐ ☐ ☐ ☐ ☐
I’m cynical about what my work means to others ☐ ☐ ☐ ☐ ☐
Cognitive impairment
I have trouble staying focused ☐ ☐ ☐ ☐ ☐
I struggle to think clearly ☐ ☐ ☐ ☐ ☐
I’m forgetful and distracted ☐ ☐ ☐ ☐ ☐
I have trouble concentrating ☐ ☐ ☐ ☐ ☐
I make mistakes because I have my mind on other ☐ ☐ ☐ ☐ ☐
things
Emotional impairment
I feel unable to control my emotions ☐ ☐ ☐ ☐ ☐
I do not recognize myself in the way I react emotionally ☐ ☐ ☐ ☐ ☐
I become irritable when things don’t go my way ☐ ☐ ☐ ☐ ☐
I get upset or sad without knowing why ☐ ☐ ☐ ☐ ☐

Citation: Schaufeli, W.B., De Witte, H. & Desart, S. (2019). Handleiding Burnout Assessment Tool (BAT). KU Leuven, België: Intern rapport.
With the help of Russell Watts – Operations Director, Publishing and Ventures @ Penguin Random House UK
3
BURNOUT ASSESSMEN T TOOL ENGLISH (UK)

I may overreact unintentionally ☐ ☐ ☐ ☐ ☐

Never Rarely Sometimes Often Always

Psychological complaints
I have trouble falling or staying asleep ☐ ☐ ☐ ☐ ☐
I tend to worry ☐ ☐ ☐ ☐ ☐
I feel tense and stressed ☐ ☐ ☐ ☐ ☐
I feel anxious and/or suffer from panic attacks ☐ ☐ ☐ ☐ ☐
Noise and crowds disturb me ☐ ☐ ☐ ☐ ☐
Psychosomatic complaints
I suffer from palpitations or chest pain ☐ ☐ ☐ ☐ ☐
I suffer from stomach and/or intestinal complaints ☐ ☐ ☐ ☐ ☐
I suffer from headaches ☐ ☐ ☐ ☐ ☐
I suffer from muscle pain, for example in the neck, ☐ ☐ ☐ ☐ ☐
shoulder or back
I often get sick ☐ ☐ ☐ ☐ ☐

Citation: Schaufeli, W.B., De Witte, H. & Desart, S. (2019). Handleiding Burnout Assessment Tool (BAT). KU Leuven, België: Intern rapport.
With the help of Russell Watts – Operations Director, Publishing and Ventures @ Penguin Random House UK
4