Employee Job Stress and Burnout Diagnostic Survey

Thanks for taking a few minutes for this check-in on work stress. There are no right or wrong answers — honest responses help us make real changes. About 5-6 minutes, and your individual answers stay confidential.

Thinking about the past 30 days, how would you rate your overall stress level at work?

How much of a source of stress is each of the following in your current role?

In the last 30 days, how often have you felt so overwhelmed at work that it affected your ability to concentrate or complete tasks?

• Never
• Rarely (a few times)
• Sometimes (about once a week)
• Often (several times a week)
• Daily or almost daily

Which of the following have you experienced because of work stress in the last 30 days? Select all that apply.

• Trouble sleeping
• Physical symptoms (headaches, stomach issues, fatigue)
• Irritability or short temper
• Difficulty focusing or forgetfulness
• Withdrawing from colleagues or friends
• Increased use of caffeine, alcohol, or other substances to cope
• Thoughts of quitting or looking for another job

How well does your manager support you in managing your workload and stress?

From the list below, which changes would do the most — and least — to reduce your work stress?

• More realistic workload or deadlines
• Clearer priorities and expectations
• More flexibility in work schedule or location
• Better recognition and compensation
• More support from my manager
• More staffing or headcount on my team
• Better tools or processes to reduce inefficiency
• More say in decisions that affect my work

If your organization had 100 points worth of budget and effort to spend on reducing employee stress, how would you allocate it across these areas?

• Hiring more staff
• Manager training and support
• Flexible work arrangements
• Compensation and benefits
• Mental health resources (EAP, counseling)
• Workload or process redesign

Identify the single biggest source of this respondent's work stress right now, anchoring on whatever they flagged as a major stressor or burnout symptom above, and reconstruct one specific recent instance: what happened, what made it stressful, and what they did (or wished they could do) about it. If they report low or no stress, probe what's currently keeping it low so those conditions can be replicated for others.

Is there anything about your work stress, or what would help, that we haven't asked about?

Which department or team do you primarily work in? (Template note: replace with your organization's actual department list before launching.)

• Sales
• Marketing
• Operations
• Customer Support
• Engineering/Product
• Finance/HR
• Other
• Prefer not to say

How long have you worked at this organization?

• Less than 6 months
• 6 months to 1 year
• 1-3 years
• 3-5 years
• 5+ years
• Prefer not to say

What is your primary work arrangement?

• Fully on-site
• Hybrid
• Fully remote
• Prefer not to say

Thank you for sharing this with us. Responses are aggregated into a report the people and leadership teams use to reduce sources of stress and improve support — individual answers are never shared with your manager.