Social Worker Fatigue Assessment Form
Please complete this form to help us assess fatigue and burnout among social workers. Your responses will remain confidential and will be used to improve workplace support.
Full Name (Optional)
First Name
Last Name
What is your current role or position?
*
How many years have you been working as a social worker?
*
What is your typical weekly workload (in hours)?
*
How many active cases do you manage on average?
*
Please indicate how often you have experienced the following symptoms in the past month:
*
Rows
Never
Rarely
Sometimes
Often
Always
Feeling physically exhausted at work
1
2
3
4
5
Difficulty concentrating on tasks
6
7
8
9
10
Feeling emotionally drained by your work
11
12
13
14
15
Trouble sleeping due to work-related stress
16
17
18
19
20
Loss of motivation in your role
21
22
23
24
25
On a scale of 1 to 10, how would you rate your current level of work-related stress?
*
No stress
1
2
3
4
5
6
7
8
9
Extreme stress
10
1 is No stress, 10 is Extreme stress
Which of the following coping strategies do you use to manage work-related fatigue? (Select all that apply)
Talking with colleagues or supervisors
Taking regular breaks
Seeking professional support
Exercise or physical activity
Mindfulness or relaxation techniques
Other
Have you considered leaving your position due to fatigue or burnout?
*
Yes
No
Unsure
Please share any additional comments or suggestions regarding workplace fatigue and support:
Submit Assessment
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