Sect io n 1: Li ste d b e low a re 7 r is k f a c tors that i ncrea s e c h a n c es o f b u r n o u t : Read through the risk factors mentioned below and check the box next to the risk factor if you experience that particular risk factor in your life.
Yes
No
Tick the symptoms that you currently experience in your life.
1: Constant pressure from work or personal life: Constant pressure from a stressful work environment work or personal life without many outlets to get rid of stress
2. A situation with no solution: Any situation in life that creates stress constantly and appears to be a dead end situation with not many options or solutions.
3: Overwork at the expense of relaxation: Do you overwork yourself and cut down on rest and relaxation, or push yourself harder and harder to get things done without taking the time to unwind and rejuvenate?
4: A perfectionist tendency Do you try to observe & correct every little detail of your work or somebody else’s work?
MODERNSTRESS M A N A G E M E N T
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Yes
No
Tick the symptoms that you currently experience in your life.
5: Severe physical or emotional trauma Have you recently suffered any physical or emotional trauma?
6. Long standing physical illness Presence of a long standing illness (few months or years)
7. Long term use of strong medications, especially steroids Consistent long-term use of medications such as the chemotherapy and steroids.
MODERNSTRESS M A N A G E M E N T
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From the list mentioned above, what are the top 3 risk factors for burnout in your life? 1. ___________________________________________________ 2. ___________________________________________________ 3. ___________________________________________________
What can you do to remedy risk factor1 ? 1.___________________________________________________ 2. ___________________________________________________ 3. ___________________________________________________
What can you do to remedy risk factor 2? 1. ___________________________________________________ 2. ___________________________________________________ 3. ___________________________________________________
What can you do to remedy risk factor 3? 1. ___________________________________________________ 2. ___________________________________________________ 3. ___________________________________________________