• Burn Out Assessment Tool

  • How often do you experienced the following?

  •   Daily 3-5 days a week 1-2 days a week 1-2 times per month Rarely Never
    Fatigue that does not go away without rest
    Headaches
    Joint Pain
    Low back pain
    Insomnia, difficulty getting to sleep and/or staying asleep
    Tight shoulders, neck or upper back pain
    Jaw Pain
  •   Daily 3-5 days a week 1-2 days a week 1-2 times per month Rarely Never
    Uncontrolled or sensitive emotions like crying or loss of temper
    Crying at inappropriate times
    Pessimism, loss of excitement in things you once enjoyed
    Feelings of abandonment, or feeling all on your own
    Intense emotions such as fear, grief or sadness
    Feeling moody and reacting to others in ways you feel you shouldn't
    Feel like everything around you is "heavy" and weighing on your shoulders
    You feel like walking away from your job or career without your next step planned or available.
  •   Daily 3-5 days a week 1-2 days a week 1-2 times per month Rarely Never
    Feeling on edge or anxious
    Feeling scattered
    Overwhelmed by everyday situations or events, like reaction to opening emails
    Unable to shut your mind off, especially at night
    Difficulty calming your nerves
    Difficulty making decisions as easily as you used to
    Unable to solve problems as easily as you used to
  •   Daily 3-5 days a week 1-2 days a week 1-2 times per month Rarely Never
    Concerned you are forgetting or will forget something important
    Forgetting simple words or phrases that are familiar to you
    Missing important appointments or dates such s Birthdays, anniversaries, etc.
    Frequent thoughts of painful past events
  •   Daily 3-5 days a week 1-2 days a week 1-2 times per month Rarely Never
    Difficulty translating the guidance your highest self is providing
    Difficulty recognizing or acting on intuition when it comes
    Difficulty remembering your dreams
    Difficulty understanding the meaning and guidance provided in our dreams
    Difficulty prioritizing things in life
  •   Daily 3-5 days a week 1-2 days a week 1-2 times per month Rarely Never
    Feeling disconnected from the Divine
    Feeling alone on your journey through life
    Disconnected from your heart and inner wisdom
    Cut off from the deeper truths you know are within you
    Easily thrown off by the emotions, thoughts and energies of others
  •   Daily 3-5 days a week 1-2 days a week 1-2 times per month Rarely Never
    Feeling uncertain about your future or purpose in this lifetime
    Standing at a crossroads in life and need help finding your way
    Feeling disconnected from Earth and would like to have a better connection with it.
    Difficulty releasing unwanted energies, feeling like things are sticking to you.
  • Your score indicates a extreme level of stress and serious burnout. It's recommended that you address these changes immediately and make significant changes in your life. These changes include: a thorough physical examination, councelling, coaching, exercise, nutritional changes and a comprehensive and urgent energy medicine package.

  • You are experiencing high levels of stress and significant burnout and its time to seriously consider major changes in our life. It's recommended to pursue: a thorough physical examination, coaching, exercise, nutritional changes and thorough and immediate energy medicine package.

  • While you're yet in full-fledge burnout, you could be well on your way. Its recommended to pursue: a physical examination, coaching, and a monthly energy medicine package.

  • While you may have occasional stressors and minor burnout, your symptoms probably comes and goes when under a tight deadline or challenging expectations. You could benefit from a quarterly coaching and a monthy energy medicine package.

  • Should be Empty: