MBI-HSS Pre-survey
Maslach Burnout Inventory for Human Services Survey
Christina Maslach & Susan E Jackson
(Permission from Bacon Ng received from Mind Garden, Inc, on March 30 2013)

On the following 22 statements of job-related feelings. Please read each statement carefully and decide if you ever feel this way about your job. If you have never had this feeling, write the number "0" (zero) in the space before the statement. If you have had this feeling, indicate how often you feel it by selecting the number (from 1 to 6) that best describes how frequently you feel that way  
Sign in to Google to save your progress. Learn more
1. I feel emotionally drained from my work *
How often
2. I feel used up at the end of the workday *
How often
3. I feel fatiqued when I get up in the morning and have to face another day on the job. *
How often
4. I can easily understand how my recipients feel about things. *
How often
5. I feel I treat some recipients as if they were impersonal objects. *
How often
6. Working with people all day is really a strain for me. *
How often
7. I deal very effectively with the problems of my recipients. *
How often
8. I feel burnout out from my work. *
How often
9. I feel I'm positively influencing other people's lives through my work. *
How often
10. I've become more callous toward people since I took this job. *
How often
11. I worry that this job is hardening me emotionally. *
How often
12. I feel very energetic. *
How often
13. I feel frustrated by my job. *
How often
14. I feel I'm working too hard on my job. *
How often
15. I don't really care what happens to some recipients. *
How often
16. Working with people directly puts too much stress on me. *
How often
17. I can easily create a relaxed atmosphere with my recipients. *
How often
18. I feel exhilarated (joy) after working closely with my recipients. *
How often
19. I have accomplished many worthwhile things in this job. *
How often
20. I feel like I'm at the end of my rope. *
How often
21. In my work, I deal with emotional problems very calmly *
How often
22. I feel recipients blame me for some of their problems. *
How often
Date or return *
MM
/
DD
/
YYYY
Participant number/ e-mail *
Copyright by Mind Garden, Inc.,
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report