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INSTRUCTION MANUAL

B URNOUT
a SSESSMENT
T OOL 1

Version 1.0 - September 2019

Wilmar Schaufeli

Hans De Witte

&

Steffie Desart

1 Citation: Schaufeli WB, White, H. & Desart, S. (2019). User Manual Burnout Assessment Tool (BAT). KU Leuven, Belgium: Internal report.
© 2019 Wilmar Schaufeli Hans De Witte & Steffie Desart, Belgium

All rights reserved. No part of this publication may be

reproduced, saved in a automated

system, or transmitted in any form or by any

means, electronic or photocopying, recording or any other

, without the prior written consent of the authors.

All rights reserved. No part of this publication May be reproduced, stored in a retrieval

system, or Transmitted in any form or by any Means, electronic, mechanical,

photocopying, recording, or otherwise, without prior written permission of the authors.


BURNOUT ASSESSMENT TOOL INSTRUCTION MANUAL

Prior to

This user manual provides a practical guide to the practical use of

the Burnout Assessment Tool (BAT). For more detailed information is

refer to the full manual (available on our website:

www.burnoutassessmenttool.be). The user's guide aims at a simple

and a clear way to explain how the BAT is constructed and used, in practice,

can become.

Index

PRIOR TO 3

INDEX 3

HOW TO USE THE BAT IN PRACTICE? 4

1. D E BAT TO FILL IN 5

1.1. Instruction 6

1.2. scoring 6

1.3. The questions 6

1.4. Interpretation 11

REFERENCES 17

QUESTIONNAIRES 18

Questionnaire for workers in Flanders 19

Questionnaire for non-workers in Flanders 21

Questionnaire for workers in Netherlands 23

Questionnaire for non-workers in the Netherlands 25

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BURNOUT ASSESSMENT TOOL INSTRUCTION MANUAL

How to use the BAT in practice?

Before you use the BAT in practice, it is important to have some rules of thumb in the

keep mind.

Rule of thumb 1. No diagnosis of burnout

BAT sets no diagnosis of burnout, but is a measure of burnout symptoms.

Therefore, we always refer below to "the degree of burn-out 'rather than to' burn-

out 'in itself. The manual is about to read next.

"Of course there can only and exclusively on the basis of the BAT no burnout

be diagnosed. This requires comprehensive assessment with

including a case history and diagnostic interview by a dedicated

trained professional. The BAT can be a valuable tool in

individual his assessment process. "

BAT Manual - Version 1.3, p. 94

A rule of thumb 2. The lumbar l of differ versions of the BAT

BAT can be used both for individual purchase groupwise

decrease. Whether you decrease the BAT individually or in a group, you can

also choose between two versions:

• Work-related version of the BAT

This version is specifically aimed at ' Workers'. The questions refer whatsoever

specific to their workplace.

• Overall, context-free version of the BAT

This version is specifically aimed at ' those currently not working

to be'. Because they are absent for long periods of work, they have no or

binding hardly any more. Except for the scale 'mental

distance 'statements refer not in the workplace.

In addition, questions about the secondary symptoms always context-free.

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BURNOUT ASSESSMENT TOOL INSTRUCTION MANUAL

Rule of thumb 3. BAT measuring burnout symptoms

BAT measuring burnout symptoms and not the causes or consequences. For this

are other questionnaires - eg. The Energy Compass ( found in

Appendix 1 of this manual) or Short Psychological Inventory to Monitor

hazards ( SIMPH; Notelaers, White, Van Veldhoven & Vermunt, 2007).

In addition, BAT is not suitable for making a differential diagnosis. Through

Just to take the BAT no distinction can be made between burn-

Out on the one hand and depression, enthusiasm, workaholism, and other perceptions

work on the other. Before you need to use separate questionnaires that

Measuring concepts like the 4DSQ (Terluin, 1996), Uwe (Schaufeli & Baker, 2004)

DUWAS (Schaufeli et al., 2011).

1. completing the BAT

Completing the BAT is simple and takes up to 5 minutes. BAT

a paper-and-pencil "questionnaire, so no online tool. You can of course itself

choose to integrate BAT in your digital environment and program

as an online tool which allows participants automatically get to see their score.

Depending on the goal you have in mind (eg. Support for diagnosis,

use in groups, etc.), it may be desirable for certain terms in the BAT (e.g.

' Burnout Assessment Tool ' or ' exhaustion) not to mention. As in the manual

Indeed, this can be described by the respondent (s) have a negative connotation

calls.

"Due to the fact that the term 'burnout' among respondents usually

evokes a negative connotation, this term is not included in the title of the

questionnaire. Instead, it is the neutral 'research work perception "(or

'Mental perception "for general release) is used."

BAT Manual - Version 1.3, p. 79

Therefore you will find in this manual a fill-in version of the BAT without

indication of the title or names of the dishes.

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BURNOUT ASSESSMENT TOOL INSTRUCTION MANUAL

1.1. Instruction

There are two instructions depending on the version used. The difference between

both is in reference to the work.

Work-related version

The following statements relate to * how to experience your work and how you

thereby feels. Please indicate how often each statement applies to you by

always tick the most appropriate answer.

* Note: You can also choose 'you' instead of 'you'.

General release

The following statements relate to * how you feel. Please indicate how

often each statement applies to you by getting the most appropriate response

tick.

* Note: You can also choose 'you' instead of 'you'.

1.2. scoring

The statements in both versions are assessed in the same way:

Never Rarely Sometimes Often Always

1 2 3 4 5

1.3. The questions

The BAT contains 5 dimensions, in the form of sub-scales.

• Four core dimensions each with four shells ( exhaustion, mental detachment,

cognitive disorder, emotional disturbance) which separately or together counted

can be interpreted.

• One secondary dimension consisting of two scales ( psychic

stress symptoms and psychosomatic stress symptoms) which ever

aggregated and as a single unit to be interpreted.

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BURNOUT ASSESSMENT TOOL INSTRUCTION MANUAL

Figure 1: The structure of the BAT

How many bowls you decrease depends on the goal you have in mind. In the

guide we read about.

"The BAT total score can be used to determine the degree of burnout

set, while the scores for the four core dimensions, possibly supplemented with

Secondary symptoms may further refine this. such

Differentiation will be particularly important for individual diagnostic use

BAT. "

BAT Manual - Version 1.3, p. 80

Wish you so only the degree of burnout 2 fix, you have enough to

the average score combined for the four core dimensions. Do you want a lake

differentiated image, you can also make a separate assessment for each

the five dimensions (four core dimensions and one secondary dimension).

2 Technically, this concerns "the degree of burnout symptoms, but to make as simple as possible this manual, we talk about" the degree of burn-out '

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BURNOUT ASSESSMENT TOOL INSTRUCTION MANUAL

Work-related version

Below are the questions on work-related version of the BAT.

exhaustion

1) At work I feel mentally exhausted

2) Everything I do in my work, I find it difficult

3) I touch but not fitted after I worked

4) At work I feel physically exhausted

5) When I get up in the morning, I miss the energy to start the day

6) I want to be active at work, but it does not work

7) If I inspan me at work, I get tired easily

8) At the end of the day I feel mentally exhausted and drained

mental distance

1) I can muster no interest and enthusiasm for my work

2) At work, I do not think much and I function on autopilot *

3) I feel a strong aversion to work

4) My work allows me indifferent

5) I'm cynical about what does work for others

Note: * In the Netherlands version of this item is: "At work I do not think much and I function on

automatic pilot'

emotional dysregulation

1) At work, I have no control over my emotions feel

2) I do not recognize myself in the way I react emotionally at work

3) During my work I become irritable when things do not go as I

want

4) I get angry or sad at work without knowing why

5) At work I can respond unintentionally strong emotional

cognitive disorder

1) At work I can be difficult to keep my attention

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BURNOUT ASSESSMENT TOOL INSTRUCTION MANUAL

2) During my work I am struggling to think clearly

3) I'm forgetful and distracted during work

4) When I'm working, I can not concentrate well

5) I make mistakes in my work because I'm not good at 'with my head

Psychosomatic complaints

1) I suffer from palpitations or pain in the chest

2) I suffer from stomach and / or intestinal problems

3) I suffer from headaches

4) I suffer from sore muscles, for example in the neck, shoulder or back

5) I am often sick

Psychological stress symptoms

1) I have trouble falling or staying asleep

2) I tend to worry

3) I feel tense and rushed me

4) I feel anxious and / or have suffered from panic attacks

5) I have trouble with noise and / or noise

General release

Below are the questions of the general version of the BAT.

exhaustion

1) I feel mentally exhausted

2) Everything I do, I find it difficult

3) I touch but not equipped

4) I feel physically exhausted

5) When I get up in the morning, I miss the energy to start the day

6) I want to be active, but it does not work

7) If I inspan me, I get tired easily

8) At the end of the day I feel mentally exhausted and drained

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BURNOUT ASSESSMENT TOOL INSTRUCTION MANUAL

Mental distance *

1) I can muster no interest and enthusiasm for my work

2) I feel a strong aversion to work

3) My work allows me indifferent

4) I'm cynical about what does work for others

Note: * The global version of the BAT is the item "At work I do not think much and I function on (the)

automatic pilot "is not added (see BAT Manual - Version 1.3, p. 35)

emotional dysregulation

1) I have the feeling not control my emotions

2) I do not recognize myself in the way I react emotionally

3) I get irritable when things do not go the way I want

4) I get angry or sad without knowing why

5) I can overreact emotionally, and I did not want

cognitive disorder

1) I can keep my attention difficult

2) I'm struggling to think clearly

3) I'm forgetful and scattered

4) I can not concentrate well

5) I make mistakes because I'm not good at 'with my head

Psychosomatic complaints

1) I suffer from palpitations or pain in the chest

2) I suffer from stomach and / or intestinal problems

3) I suffer from headaches

4) I suffer from sore muscles, for example in the neck, shoulder or back

5) I am often sick

Psychological stress symptoms

1) I have trouble falling or staying asleep

2) I tend to worry

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BURNOUT ASSESSMENT TOOL INSTRUCTION MANUAL

3) I feel tense and rushed me

4) I feel anxious and / or have suffered from panic attacks

5) I have trouble with noise and / or noise

1.4. Interpretation

While completing the BAT takes only 5 minutes, requires

correct interpretation of course more time.

As mentioned above, you may, depending on your goal, different scores

calculate and interpret. The manual is about following explanation.

"The average scale scores of the BAT scales are calculated by the

scores on scale all the items by adding to one another and dividing by the number of

Items from which the respective shell is made. If scoring categories

are used: 1 'never', 2 'rarely', 3 'sometimes', 4 'often' and 5 'always'. Which

means that the value of the scale scores ranging from 1 t / m 5. Due to the

BAT score on all items or counting and dividing by 23 the total score

obtained, which also lies between 1 and 5. The same applies to 10

secondary symptoms. "

BAT Manual - Version 1.3, p. 80

In essence, you must calculate an average score every time - which always between 1 and

5 is - before you can interpret it. On the basis of the fictitious respondents

X, Y and Z we explain this below.

Step 1. The average score (s) calculate

• If you want to determine the degree of burnout, So you take the total score on the

four core dimensions

O First you count on every score on each question

respondent X Y Z

Total score (TOTAL - NUCLEAR) 55 60 75

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BURNOUT ASSESSMENT TOOL INSTRUCTION MANUAL

O Thereafter we divide this by the number of questions - in this case 23 - and

We conclude on two decimal places.

respondent X Y Z

Average (TOTAL - NUCLEAR) 2:39 2.61 3:26

• If you want a more differentiated picture, you need for each

five dimensions to separately calculate an average score

O You hereby follows the same steps as above. First you count the score

each question for the relevant dimension and v ubsequently share your

that score by the number of questions that dimension.

Dimension Mental Exhaustion emotional cognitive Secondary


distance disruption disruption symptoms

Number of 8 4 or 5 * 5 5 10
questions

Note: * The global version of this dimension BAT has only four questions.

O Take for example the dimension exhaustion

• Then we add the score of each question in this dimension.

respondent X Y Z

Total score (EXHAUSTION) 20 25 28

• Because depletion contains eight questions, go so each score parts

by eight.

respondent X Y Z

Average (EXHAUSTION) 2:50 3:13 3:50

Step 2. Interpreting the average score (s)

You can average score (s) you calculated in step 1 in various ways

interpret. You can choose standard or limits 3.

3 More information about the distinction between norms and values ​can be found in the manual BAT under Part III: Practical Use

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BURNOUT ASSESSMENT TOOL INSTRUCTION MANUAL

• Choose for standards then compare your score (s) the average Flemish

or Dutch workforce. There are thereby four categories: low,

medium, high and Very high. "Low" means that the corresponding score

with the 25% lowest scoring Flemish or Dutch workers, and 'high'

that it corresponds to the 25% highest scoring employees.

O Standards are interesting because they provide information about how the score

of an individual or a group is related with respect to a certain

reference and therefore are often interesting for example. Organizations

wanting to know if they 'scored better or worse than the norm.

O The disadvantage However, they do not know or really score

is "problematic". So you can eg. High scores relative to

Flemish average worker without a problem this score

forms.

• Choose for limits then compare your score (s) in patients with

severe burnout symptoms.

O Limits are therefore of interest because they indicate when one

"Problematic" scores: score one too high or not? They therefore play

an important role in individual clinical diagnosis.

O Based limits are three categories,

analogously to a traffic light: green ( no risk of burn-out) Orange

(Risk of burn-out) or red ( very high risk of burn-out).

For the work-related version of the BAT are there standards ( Flanders &

Netherlands) and limits ( Flanders) available. For the overall

version of the BAT there are only limits ( Flanders) available. Others

norms and values ​are under development.

Work-related version

• Standards employed in Flanders

Table 1. Standards for workers in Flanders

Dimension Total Mental exhaustion emotional cognitive Secondary


(core) distance disruption disruption symptoms

Low 1 - 1.60 1 - 1.75 1 - 1:20 1 - 1:20 1 - 1.80 1 - 1.70

Average 1.61 - 2:40 1.76 - 2.70 1:21 to 2:40 1:21 to 2:19 1.81 - 2:59 1.71 - 2.75

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BURNOUT ASSESSMENT TOOL INSTRUCTION MANUAL

High 2.41- 3.29 2.71 - 3.74 2:41 to 3:59 2:20 to 3:19 2.60 -3.39 2.76 - 3:50

Very high 3:30 - 5 3.75 - 5 3.60 - 5 3:20 - 5 3:40 - 5 3:51 - 5

BAT Manual - Version 1.3, Table 34 and 35

1. Want to determine the degree of burnout, then we look at Table 1 to the

2 the column (total (core)) and found in the sample of respondents

X, Y and Z as follows:

respondent X Y Z

Average (TOTAL - NUCLEAR) 2:39 2.61 3:26

Classification obv Flemish standard Average High High

• In concrete terms this means that respondent X, as regards the extent

burnout to the Flemish population

average scores, where respondent Y and Z, relative to

Flemish population, high to score. That is to say,

Y and Z belong to the group of 25% highest scoring working

Flemings (and thus 75% of the Flemish workers lower

scores).

2. Want to define a differentiated picture, then we look at Table 1

3 the ( exhaustion) t / 7 m the column (secondary symptoms). We take

Again, the example of respondent X, Y and Z dimension

'Exhaustion', then we look at the three the column and we love it

next one:

respondent X Y Z

Average (EXHAUSTION) 2:50 3:13 3:50

Classification obv Flemish standard Average High High

• In concrete terms this means that respondent X concerning exhaustion

to the Flemish population average scores,

while respondent Y and Z with respect to the Flemish

labor force high to score. In other words, 75% of the

Flemish workers have a lower score.

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BURNOUT ASSESSMENT TOOL INSTRUCTION MANUAL

• Standards for workers in Netherlands

The standards for the Netherlands you interpret in the same way as for Flanders

just so you compare this with the Dutch population (see Table 2).

Table 2. Standards for workers in Netherlands

Dimension Total Mental exhaustion emotional cognitive Secondary


(core) distance disruption disruption symptoms

Low 1 - 1:55 1 - 1.75 1 - 1:20 1 - 1:20 1 - 1:40 1 - 1:45

Average 1.56 - 2.79 1.76 - 2.99 1:21 - 1:21 2.99 - 2.79 1:41 - 2.60 1:46 - 2.79

High 2.80 - 3.64 3.00 - 3.99 3.00 - 3.99 2.80 - 3.79 2.61 - 3.97 2.80 - 3:59

Very high 3.65 - 5 4:00 - 5 4:00 - 5 4:00 - 5 3.80 - 5 3.60 - 5

Manual BAT - version 1.3, Table 38

• Limit employed in Flanders

Table 3. Limit values ​for workers in Flanders

Dimension Total Mental exhaustion emotional cognitive Secondary


(core) distance disruption disruption symptoms

Green 1 - 2:58 1 - 3:05 1 - 2:49 1 - 2:09 1 - 2.69 1 - 2.84

Orange 2:59 to 3:01 3:06 to 3:30 2:50 to 3:09 2:10 - 2.89 2.70 - 3:09 2.85 - 3:34

Red 3:02 - 5 3:31 - 5 3:10 - 5 2.90 - 5 3:10 - 5 3:35 - 5

Manual BAT - version 1.3, Table 40

1. Want to determine the degree of burnout, we see in Table 3 to the

2 the column (total (core)) and found in the sample of respondents

X, Y and Z as follows:

respondent X Y Z

Average (TOTAL - NUCLEAR) 2:39 2.61 3:26

Classification obv Flemish standard Green Orange Red

• In concrete terms this means that respondent X in the green zone

is so no risk On burnout, respondent Y

contrast is in the Orange zone, and it passes a

risk burnout, while respondent Z in the red zone

and is therefore a very high risk runs on burnout.

2. Want to define a differentiated picture, we see in Table 3 to

3 the ( exhaustion) t / 7 m the column (secondary symptoms). We take

again the example of respondent X, Y and Z dimension

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BURNOUT ASSESSMENT TOOL INSTRUCTION MANUAL

'Exhaustion', then we look at the three the column and we love it

next one:

respondent X Y Z

Average (EXHAUSTION) 2:50 3:13 3:50

Classification obv Flemish standard Green Orange Red

• In concrete terms this means that respondent X in the green zone

is so no risk On burnout, respondent Y

contrast is in the Orange zone, and it passes a

risk burnout, while respondent Z in the red zone

and is therefore a very high risk runs on burnout.

General release

• Limit values ​for non-employed in Flanders

These limits can interpret the same way as the limits

Workers from Flanders, only you use it only for overall version of

BAT.

Table 4. Limit values ​for non-employed in Flanders

Dimension Total Mental exhaustion emotional cognitive Secondary


(core) distance disruption disruption symptoms

Green 1 - 2:58 1 - 3:30 1 - 2:49 1 - 2:09 1 - 2.69 1 - 2.76

Orange 2:59 - 3:31 - 2:50 - 2:10 to 3:49 2.70 - 3:49 2.77 - 3:22
3:01 3.80 3:09

Red 3:02 - 5 3.81 - 5 3:10 - 5 3:50 - 5 3:50 - 5 3:23 - 5

Manual BAT - version 1.3, Table 42

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BURNOUT ASSESSMENT TOOL INSTRUCTION MANUAL

References

Notelaers, G., De Witte, H., Van Veldhoven, M., & Vermunt, J. (2007). Construction and

validation or the Short Inventory to Monitor Psychological Hazards.

Occupational Health and Ergonomics, 44, 11-17.

Schaufeli, W., & Baker, A. (2004). Inspiration: a measured understanding. Behaviour &

Organization, 17 89-112.

Schaufeli W. Van Wijhe, C., Peeters, M., & Taris, T. (2011). Work Addiction, a concept

measured. Behavior & Organization 24, 43-63.

Schaufeli WB, White, H. & Desart, S. (2019). Manual Burnout Assessment Tool

(BAT). KU Leuven, Belgium: Internal report.

Terluin, B. (1996). The Four-Dimensional Symptom Questionnaire (4DSQ). A questionnaire for

measuring distress, depression, anxiety and somatization. GP and Science,

39, 538-54.

17
questionnaires

Questions without mentioning the titles of the subscales

On the following pages you will find back the entry version of the BAT without reference

to the respective sub-scale ( see p. 5 for explanation). Please when

distributing these documents always respect the copyrights through

correctly by referring to the manual.

Content

• Belgium (Flemish)

O Questionnaire for workers in Flanders

O Questionnaire for non-workers in Flanders

• Netherlands (Dutch)

O Questionnaire for workers in Netherlands

O Questionnaire for non-workers in the Netherlands


Questionnaire for workers in Flanders

The following statements relate to how you experience your work and how you

thereby feels. Please indicate how often each statement applies to you by

always tick the most appropriate answer

Never Rarely Sometimes Often Always

At work I feel mentally exhausted ☐ ☐ ☐ ☐ ☐

Everything I do in my work, I find it difficult ☐ ☐ ☐ ☐ ☐

I touch but not fitted after I worked ☐ ☐ ☐ ☐ ☐

At work I feel physically exhausted ☐ ☐ ☐ ☐ ☐

When I get up in the morning, I miss the energy to start the day ☐ ☐ ☐ ☐ ☐

I want to be active at work, but it does not work ☐ ☐ ☐ ☐ ☐

If I inspan me at work, I get tired easily ☐ ☐ ☐ ☐ ☐

At the end of the day I feel mentally exhausted and drained ☐ ☐ ☐ ☐ ☐

I can muster no interest and enthusiasm for my work ☐ ☐ ☐ ☐ ☐

At work, I do not think much and I function on autopilot ☐ ☐ ☐ ☐ ☐

I feel a strong aversion to work ☐ ☐ ☐ ☐ ☐

My work allows me indifferent ☐ ☐ ☐ ☐ ☐

I'm cynical about what does work for others ☐ ☐ ☐ ☐ ☐

At work I can be difficult to keep my attention ☐ ☐ ☐ ☐ ☐

During my work I am struggling to think clearly ☐ ☐ ☐ ☐ ☐

I'm forgetful and distracted during work ☐ ☐ ☐ ☐ ☐

When I'm working, I can not concentrate well ☐ ☐ ☐ ☐ ☐

I make mistakes in my work because I'm not good at 'with my head ☐ ☐ ☐ ☐ ☐

At work, I have no control over my emotions feel ☐ ☐ ☐ ☐ ☐

I do not recognize myself in the way I react emotionally at work ☐ ☐ ☐ ☐ ☐

© Schaufeli White, Desart (2019)


During my work I become irritable when things do not go the way I ☐ ☐ ☐ ☐ ☐
want
I get angry or sad at work without knowing why ☐ ☐ ☐ ☐ ☐

At work I can respond unintentionally strong emotional ☐ ☐ ☐ ☐ ☐

I have trouble falling or staying asleep ☐ ☐ ☐ ☐ ☐

I tend to worry ☐ ☐ ☐ ☐ ☐

I feel tense and rushed me ☐ ☐ ☐ ☐ ☐

I feel anxious and / or have suffered from panic attacks ☐ ☐ ☐ ☐ ☐

I have trouble with noise and / or noise ☐ ☐ ☐ ☐ ☐

I suffer from palpitations or pain in the chest ☐ ☐ ☐ ☐ ☐

I suffer from stomach and / or intestinal problems ☐ ☐ ☐ ☐ ☐

I suffer from headaches ☐ ☐ ☐ ☐ ☐

I suffer from sore muscles, for example in the neck, shoulder or back ☐ ☐ ☐ ☐ ☐

I am often sick ☐ ☐ ☐ ☐ ☐

© Schaufeli White, Desart (2019)


Questionnaire for non-workers in Flanders

The following statements relate to how you feel. Please indicate how

often each statement applies to you by getting the most appropriate response

tick '.

Never Rarely Sometimes Often Always

I feel mentally exhausted ☐ ☐ ☐ ☐ ☐

Everything I do, I find it difficult ☐ ☐ ☐ ☐ ☐

I touch but not equipped ☐ ☐ ☐ ☐ ☐

I feel physically exhausted ☐ ☐ ☐ ☐ ☐

When I get up in the morning, I miss the energy to start the day ☐ ☐ ☐ ☐ ☐

I want to be active, but it does not work ☐ ☐ ☐ ☐ ☐

If I inspan me, I get tired easily ☐ ☐ ☐ ☐ ☐

At the end of the day I feel mentally exhausted and drained ☐ ☐ ☐ ☐ ☐

I can muster no interest and enthusiasm for my work ☐ ☐ ☐ ☐ ☐

I feel a strong aversion to work ☐ ☐ ☐ ☐ ☐

My work allows me indifferent ☐ ☐ ☐ ☐ ☐

I'm cynical about what does work for others ☐ ☐ ☐ ☐ ☐

I can keep my attention difficult ☐ ☐ ☐ ☐ ☐

I'm struggling to think clearly ☐ ☐ ☐ ☐ ☐

I'm forgetful and scattered ☐ ☐ ☐ ☐ ☐

I can not concentrate well ☐ ☐ ☐ ☐ ☐

I make mistakes because I'm not good at 'with my head ☐ ☐ ☐ ☐ ☐

I have the feeling not control my emotions ☐ ☐ ☐ ☐ ☐

I do not recognize myself in the way I react emotionally ☐ ☐ ☐ ☐ ☐

I get irritable when things do not go the way I want ☐ ☐ ☐ ☐ ☐

I get angry or sad without knowing why ☐ ☐ ☐ ☐ ☐

I can overreact emotionally, and I did not want ☐ ☐ ☐ ☐ ☐

I have trouble falling or staying asleep ☐ ☐ ☐ ☐ ☐

I tend to worry ☐ ☐ ☐ ☐ ☐

© Schaufeli White, Desart (2019)


I feel tense and rushed me ☐ ☐ ☐ ☐ ☐

I feel anxious and / or have suffered from panic attacks ☐ ☐ ☐ ☐ ☐

I have trouble with noise and / or noise ☐ ☐ ☐ ☐ ☐

I suffer from palpitations or pain in the chest ☐ ☐ ☐ ☐ ☐

I suffer from stomach and / or intestinal problems ☐ ☐ ☐ ☐ ☐

I suffer from tension headaches ☐ ☐ ☐ ☐ ☐

I suffer from sore muscles, for example in the neck, shoulder or back ☐ ☐ ☐ ☐ ☐

I am often sick ☐ ☐ ☐ ☐ ☐

© Schaufeli White, Desart (2019)


Questionnaire for workers in Netherlands

The following statements relate to how you experience your work and how you

thereby feels. Please indicate how often each statement applies to you by

always tick the most appropriate answer

Never Rarely Sometimes Often Always

At work I feel mentally exhausted ☐ ☐ ☐ ☐ ☐

Everything I do in my work, I find it difficult ☐ ☐ ☐ ☐ ☐

I touch but not fitted after I worked ☐ ☐ ☐ ☐ ☐

At work I feel physically exhausted ☐ ☐ ☐ ☐ ☐

When I get up in the morning, I miss the energy to start the day ☐ ☐ ☐ ☐ ☐

I want to be active at work, but it does not work ☐ ☐ ☐ ☐ ☐

If I inspan me at work, I get tired easily ☐ ☐ ☐ ☐ ☐

At the end of the day I feel mentally exhausted and drained ☐ ☐ ☐ ☐ ☐

I can muster no interest and enthusiasm for my work ☐ ☐ ☐ ☐ ☐

At work, I do not think much and I function on autopilot ☐ ☐ ☐ ☐ ☐

I feel a strong aversion to work ☐ ☐ ☐ ☐ ☐

My work allows me indifferent ☐ ☐ ☐ ☐ ☐

I'm cynical about what does work for others ☐ ☐ ☐ ☐ ☐

At work I can be difficult to keep my attention ☐ ☐ ☐ ☐ ☐

During my work I am struggling to think clearly ☐ ☐ ☐ ☐ ☐

I'm forgetful and distracted during work ☐ ☐ ☐ ☐ ☐

When I'm working, I can not concentrate well ☐ ☐ ☐ ☐ ☐

I make mistakes in my work because I'm not good at 'with my head ☐ ☐ ☐ ☐ ☐

At work, I have no control over my emotions feel ☐ ☐ ☐ ☐ ☐

I do not recognize myself in the way I react emotionally at work ☐ ☐ ☐ ☐ ☐

© Schaufeli White, Desart (2019)


During my work I become irritable when things do not go the way I ☐ ☐ ☐ ☐ ☐
want
I get angry or sad at work without knowing why ☐ ☐ ☐ ☐ ☐

At work I can respond unintentionally strong emotional ☐ ☐ ☐ ☐ ☐

I have trouble falling or staying asleep ☐ ☐ ☐ ☐ ☐

I tend to worry ☐ ☐ ☐ ☐ ☐

I feel tense and rushed me ☐ ☐ ☐ ☐ ☐

I feel anxious and / or have suffered from panic attacks ☐ ☐ ☐ ☐ ☐

I have trouble with noise and / or noise ☐ ☐ ☐ ☐ ☐

I suffer from palpitations or pain in the chest ☐ ☐ ☐ ☐ ☐

I suffer from stomach and / or intestinal problems ☐ ☐ ☐ ☐ ☐

I suffer from headaches ☐ ☐ ☐ ☐ ☐

I suffer from sore muscles, for example in the neck, shoulder or back ☐ ☐ ☐ ☐ ☐

I am often sick ☐ ☐ ☐ ☐ ☐

© Schaufeli White, Desart (2019)


Questionnaire for non-workers in the Netherlands

The following statements relate to how you feel. Please indicate how

often each statement applies to you by getting the most appropriate response

tick '.

Never Rarely Sometimes Often Always

I feel mentally exhausted ☐ ☐ ☐ ☐ ☐

Everything I do, I find it difficult ☐ ☐ ☐ ☐ ☐

I touch but not equipped ☐ ☐ ☐ ☐ ☐

I feel physically exhausted ☐ ☐ ☐ ☐ ☐

When I get up in the morning, I miss the energy to start the day ☐ ☐ ☐ ☐ ☐

I want to be active, but it does not work ☐ ☐ ☐ ☐ ☐

If I inspan me, I get tired easily ☐ ☐ ☐ ☐ ☐

At the end of the day I feel mentally exhausted and drained ☐ ☐ ☐ ☐ ☐

I can muster no interest and enthusiasm for my work ☐ ☐ ☐ ☐ ☐

I feel a strong aversion to work ☐ ☐ ☐ ☐ ☐

My work allows me indifferent ☐ ☐ ☐ ☐ ☐

I'm cynical about what does work for others ☐ ☐ ☐ ☐ ☐

I can keep my attention difficult ☐ ☐ ☐ ☐ ☐

I'm struggling to think clearly ☐ ☐ ☐ ☐ ☐

I'm forgetful and scattered ☐ ☐ ☐ ☐ ☐

I can not concentrate well ☐ ☐ ☐ ☐ ☐

I make mistakes because I'm not good at 'with my head ☐ ☐ ☐ ☐ ☐

I have the feeling not control my emotions ☐ ☐ ☐ ☐ ☐

I do not recognize myself in the way I react emotionally ☐ ☐ ☐ ☐ ☐

I get irritable when things do not go the way I want ☐ ☐ ☐ ☐ ☐

I get angry or sad without knowing why ☐ ☐ ☐ ☐ ☐

I can overreact emotionally, and I did not want ☐ ☐ ☐ ☐ ☐

I have trouble falling or staying asleep ☐ ☐ ☐ ☐ ☐

I tend to worry ☐ ☐ ☐ ☐ ☐

© Schaufeli White, Desart (2019)


I feel tense and rushed me ☐ ☐ ☐ ☐ ☐

I feel anxious and / or have suffered from panic attacks ☐ ☐ ☐ ☐ ☐

I have trouble with noise and / or noise ☐ ☐ ☐ ☐ ☐

I suffer from palpitations or pain in the chest ☐ ☐ ☐ ☐ ☐

I suffer from stomach and / or intestinal problems ☐ ☐ ☐ ☐ ☐

I suffer from tension headaches ☐ ☐ ☐ ☐ ☐

I suffer from sore muscles, for example in the neck, shoulder or back ☐ ☐ ☐ ☐ ☐

I am often sick ☐ ☐ ☐ ☐ ☐

© Schaufeli White, Desart (2019)

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