Page 1 of 8

Burnout self-assessment

Welcome, and thank you for being here! 👋 This short questionnaire is designed to help you measure and reflect on your current well-being, especially in relation to burnout. It includes questions from the scientifically validated Burnout Assessment Tool (BAT-12), covering: - Exhaustion - Mental distance - Emotional impairment - Cognitive impairment

We’ll also ask some demographic and work-related questions. This will help us better understand burnout patterns and dependencies, crucial for the purposes of this research.

🧩 What you’ll get: - Immediately after filling out the form, you’ll get a personal burnout snapshot

- As we finish the analysis, you'll also receive a generalized report with research findings and patterns.

- Optionally, you can book a short follow-up talk to share your experience with us.

🕐 Estimated time to complete: 4-6 minutes.

🔒 Privacy Statement We respect your privacy and handle your data responsibly. - Your answers to this questionnaire will be used only for this research. - When we analyze results, we do so without personal identifiers. - We will use your email only once to share research findings with you, and will delete it right after that. - In case you changed your mind and don't want to participate, and/or want to request your data deletion, you can do so at any time by contacting us at info.mh.research@gmail.com Your answers are strictly confidential. Data will be used only in aggregated form for research purposes.

Let’s begin 👇