BURNOUT ASSESSMENT TOOL ENGLISH VERSION
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
Core symptoms
Never Rarely Sometimes Often Always
Exhaustion
1. At work, I feel mentally exhausted* ☐ ☐ ☐ ☐ ☐
2. Everything I do at work requires a great deal ☐ ☐ ☐ ☐ ☐
of effort
3. After a day at work, I find it hard to recover ☐ ☐ ☐ ☐ ☐
my energy*
4. At work, I feel physically exhausted* ☐ ☐ ☐ ☐ ☐
5. When I get up in the morning, I lack the ☐ ☐ ☐ ☐ ☐
energy to start a new day at work
6. I want to be active at work, but somehow I ☐ ☐ ☐ ☐ ☐
am unable to manage
7. When I exert myself at work, I quickly get ☐ ☐ ☐ ☐ ☐
tired
8. At the end of my working day, I feel mentally ☐ ☐ ☐ ☐ ☐
exhausted and drained
Mental distance
9. I struggle to find any enthusiasm for my ☐ ☐ ☐ ☐ ☐
work*
10. At work, I do not think much about what I am ☐ ☐ ☐ ☐ ☐
doing and I function on autopilot
11. I feel a strong aversion towards my job* ☐ ☐ ☐ ☐ ☐
12. I feel indifferent about my job ☐ ☐ ☐ ☐ ☐
13. I’m cynical about what my work means to ☐ ☐ ☐ ☐ ☐
others*
Citation: Schaufeli, W.B., De Witte, H. & Desart, S. (2019). Burnout Assessment Tool (BAT) – Test Manual. KU Leuven, Belgium: Internal
report.
1
BURNOUT ASSESSMENT TOOL ENGLISH VERSION
Never Rarely Sometimes Often Always
Cognitive impairment
14. At work, I have trouble staying focused* ☐ ☐ ☐ ☐ ☐
15. At work I struggle to think clearly ☐ ☐ ☐ ☐ ☐
16. I’m forgetful and distracted at work ☐ ☐ ☐ ☐ ☐
17. When I’m working, I have trouble ☐ ☐ ☐ ☐ ☐
concentrating*
18. I make mistakes in my work because I have ☐ ☐ ☐ ☐ ☐
my mind on other things*
Emotional impairment
19. At work, I feel unable to control my ☐ ☐ ☐ ☐ ☐
emotions*
20. I do not recognize myself in the way I react ☐ ☐ ☐ ☐ ☐
emotionally at work*
21. During my work I become irritable when ☐ ☐ ☐ ☐ ☐
things don’t go my way
22. I get upset or sad at work without knowing ☐ ☐ ☐ ☐ ☐
why
23. At work I may overreact unintentionally* ☐ ☐ ☐ ☐ ☐
Note: * = Short version
Secondary symptoms
Never Rarely Sometimes Often Always
Psychological complaints
1. I have trouble falling or staying asleep ☐ ☐ ☐ ☐ ☐
2. I tend to worry ☐ ☐ ☐ ☐ ☐
3. I feel tense and stressed ☐ ☐ ☐ ☐ ☐
4. I feel anxious and/or suffer from panic attacks ☐ ☐ ☐ ☐ ☐
5. Noise and crowds disturb me ☐ ☐ ☐ ☐ ☐
Psychosomatic complaints
6. I suffer from palpitations or chest pain ☐ ☐ ☐ ☐ ☐
7. I suffer from stomach and/or intestinal ☐ ☐ ☐ ☐ ☐
complaints
8. I suffer from headaches ☐ ☐ ☐ ☐ ☐
9. I suffer from muscle pain, for example in the ☐ ☐ ☐ ☐ ☐
neck, shoulder or back
10. I often get sick ☐ ☐ ☐ ☐ ☐
Citation: Schaufeli, W.B., De Witte, H. & Desart, S. (2019). Burnout Assessment Tool (BAT) – Test Manual. KU Leuven, Belgium: Internal
report.
2
BURNOUT ASSESSMENT TOOL ENGLISH VERSION
General version of the BAT
Instruction
The following statements are related to how you feel. Please state how often each statement applies
to you.
Scoring
Never Rarely Sometimes Often Always
1 2 3 4 5
Core symptoms
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*
Citation: Schaufeli, W.B., De Witte, H. & Desart, S. (2019). Burnout Assessment Tool (BAT) – Test Manual. KU Leuven, Belgium: Internal
report.
3
BURNOUT ASSESSMENT TOOL ENGLISH VERSION
Emotional impairment Never Rarely Sometimes Often Always
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
Secondary symptoms
Never Rarely Sometimes Often Always
Psychological complaints
1. I have trouble falling or staying asleep ☐ ☐ ☐ ☐ ☐
2. I tend to worry ☐ ☐ ☐ ☐ ☐
3. I feel tense and stressed ☐ ☐ ☐ ☐ ☐
4. I feel anxious and/or suffer from panic attacks ☐ ☐ ☐ ☐ ☐
5. Noise and crowds disturb me ☐ ☐ ☐ ☐ ☐
Psychosomatic complaints
6. I suffer from palpitations or chest pain ☐ ☐ ☐ ☐ ☐
7. I suffer from stomach and/or intestinal ☐ ☐ ☐ ☐ ☐
complaints
8. I suffer from headaches ☐ ☐ ☐ ☐ ☐
9. I suffer from muscle pain, for example in the ☐ ☐ ☐ ☐ ☐
neck, shoulder or back
10. I often get sick ☐ ☐ ☐ ☐ ☐
Citation: Schaufeli, W.B., De Witte, H. & Desart, S. (2019). Burnout Assessment Tool (BAT) – Test Manual. KU Leuven, Belgium: Internal
report.
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