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BAT General Version

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Trang NGUYEN
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207 views2 pages

BAT General Version

Uploaded by

Trang NGUYEN
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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BURNOUT ASSESSMENT TOOL MANUAL

General version of the BAT


Instruction

The following statements are related to your day-to-day situation and how you
experience that. Please state how often each statement applies to you.

Scoring

Never Rarely Sometimes Often Always


1 2 3 4 5

Never Rarely Sometimes Often Always


Exhaustion
1. I feel mentally exhausted* ☐ ☐ ☐ ☐ ☐
2. Everything I do requires a great deal ☐ ☐ ☐ ☐ ☐
of effort
3. At the end of the day, I find it hard ☐ ☐ ☐ ☐ ☐
to recover my energy*
4. I feel physically exhausted* ☐ ☐ ☐ ☐ ☐
5. When I get up in the morning, I lack ☐ ☐ ☐ ☐ ☐
the energy to start a new day
6. I want to be active, but somehow I ☐ ☐ ☐ ☐ ☐
am unable to manage
7. When I exert myself, I quickly get ☐ ☐ ☐ ☐ ☐
tired
8. At the end of my day, I feel mentally ☐ ☐ ☐ ☐ ☐
exhausted and drained
Mental distance
9. I struggle to find any enthusiasm for ☐ ☐ ☐ ☐ ☐
my work*
10. I feel a strong aversion towards my ☐ ☐ ☐ ☐ ☐
job*
11. I feel indifferent about my job ☐ ☐ ☐ ☐ ☐
12. I’m cynical about what my work ☐ ☐ ☐ ☐ ☐
means to others*
Cognitive impairment
13. I have trouble staying focused* ☐ ☐ ☐ ☐ ☐
14. I struggle to think clearly ☐ ☐ ☐ ☐ ☐
15. I’m forgetful and distracted ☐ ☐ ☐ ☐ ☐
16. I have trouble concentrating* ☐ ☐ ☐ ☐ ☐
17. I make mistakes because I have my ☐ ☐ ☐ ☐ ☐
mind on other things*

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BURNOUT ASSESSMENT TOOL MANUAL

Emotional impairment
18. I feel unable to control my emotions* ☐ ☐ ☐ ☐ ☐
19. I do not recognize myself in the way I ☐ ☐ ☐ ☐ ☐
react emotionally*
20. I become irritable when things don’t ☐ ☐ ☐ ☐ ☐
go my way
21. I get upset or sad without knowing ☐ ☐ ☐ ☐ ☐
why
22. I may overreact unintentionally* ☐ ☐ ☐ ☐ ☐
Note: * Short version.

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