Describe your audience and goals. Makeform creates an editable burnout self test with rating questions, scoring rules, result bands, and careful next steps.
Route opt-in follow-ups to Slack, Google Sheets, and Zapier.
Sample prompts for the builder
Choose a prompt, adapt it, or send it to the builder. Examples are not diagnoses or live results.
Audience
Employees completing a voluntary private reflection
Format
12-item rating scale with three result bands
Prompt size
344 chars
Example test structure
12-item rating scale with three result bands
I feel drained at the end of my workday
I can mentally switch off after work
I feel detached from work I usually value
I have enough control over my workload
Would you like a confidential follow-up?
Suggested routing tags
Low strain
Watch patterns
High strain
Use one time frame and reverse-score positive items so support does not increase the strain score.
Step 1
Define
audience, time frame, and dimensions
Step 2
Ask
balanced items on one consistent scale
Step 3
Score
reverse scoring, totals, and result bands
Step 4
Guide
private results and proportionate next steps
Why use a scored check-in
Consistent questions, transparent scoring, and measured guidance help people notice pressure without implying a clinical judgment.
Use one labeled frequency scale and keep the recall period visible throughout.
Mix strain items with positive recovery or support items, then reverse-score the positive responses.
Map each score band to a plain explanation and proportionate options.
Made for careful audiences
Purpose changes question wording, identity handling, and results. Choose the closest setting, then edit it.
Separate personal results from aggregate organizational review.
Pair scores with reflections that begin a grounded conversation.
Show results before offering resources or optional email follow-up.
Focus on workload, control, clarity, boundaries, and recovery.
Build the assessment
Describe the audience, then review questions, scoring, result language, and follow-up before publishing.
Name the setting, time frame, dimensions, scale, tone, privacy model, and optional follow-up.
Keep one idea per item, remove clinical wording, and mark positive items for reverse scoring.
Assign values, test total boundaries, and map non-overlapping ranges to neutral result screens.
Submit low, mixed, and high patterns; check results, optional follow-up, and resource links.
Choose the right format
Use a scored test for personal feedback, a pulse for group patterns, or reflections for nuance.
Field guide
Use these six blocks to define the measure, scoring, privacy, results, and next steps.
Scope and framing
Explain purpose, audience, time frame, result use, and that the test supports reflection rather than diagnosis.
Question dimensions
Use focused items across energy, detachment, effectiveness, control, support, and recovery.
Response scale
Use one labeled five-point frequency scale across scored items; do not mix frequency with agreement.
Scoring logic
Assign values, reverse positive items, and define ranges covering every total without gaps or overlap.
Result language
Use neutral band names, explain the pattern, acknowledge context, and avoid conclusions about causes or health.
Privacy and follow-up
Omit names when possible. Put contact fields behind an opt-in and identify who receives the request.
Related tools
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Open toolFAQ
Practical answers for HR leads, coaches, and creators building a careful scored assessment.
It is a scored reflection on exhaustion, detachment, control, support, and recovery over a defined period. It organizes patterns but is not a diagnosis or substitute for professional care.
Assign consistent values, reverse positive items, total the points, and map every possible score to one non-overlapping result band. Document the rules and test each boundary. Review usage terms before adapting a published assessment.
Cover energy, recovery, detachment, effectiveness, workload control, clarity, recognition, boundaries, and support. Keep one idea per question, use one recall period, and avoid diagnostic wording.
Yes. Omit identity fields and avoid demographics that reveal someone in a small group. Put follow-up behind a separate opt-in explaining who receives it. Promise anonymity only when your workflow supports it.
Three neutral bands—lower, moderate, and higher strain—are easy to explain. Ensure their ranges cover every score and give each result proportionate options.
Yes. Makeform is unlimited free for generating, editing, publishing, and collecting responses. The paid tier only removes the Makeform badge. Review questions, calculations, result paths, and links before sharing.
Show the result first. Offer resources, coaching, or workplace follow-up afterward as a separate optional choice that explains what will be sent and to whom.
Submit minimum, mixed, threshold, and maximum patterns. Check reverse-scored items, range gaps or overlaps, every result screen, and optional follow-up logic.
Turn a broad concern into a careful reflection.
