Employee Wellbeing & Burnout Check form template
Team members rate energy, workload and boundaries while a hidden burnout-risk score adds up. Higher risk quietly reveals questions about support and workload, and each person receives a confidential thriving, watch-zone, or high-risk page with the right resources — never shared with their manager.
What’s in the box
Risk scoring
Energy, workload and recovery combine into a burnout signal.
Gentle escalation
Support prompts appear only as risk rises.
Three support tiers
Thriving, watch, and high-risk each get tailored resources.
Perfect for
- Wellbeing programs
- EAP promotion
- Manager awareness
- Retention
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