{"id":1791,"date":"2022-03-22T13:25:14","date_gmt":"2022-03-22T13:25:14","guid":{"rendered":"http:\/\/oshoclinicpanchkula.com\/\/?page_id=1791"},"modified":"2022-03-27T08:27:50","modified_gmt":"2022-03-27T08:27:50","slug":"burnout-prevention-assessment","status":"publish","type":"page","link":"https:\/\/oshoclinicpanchkula.com\/index.php\/burnout-prevention-assessment\/","title":{"rendered":"Burnout Prevention Assessment"},"content":{"rendered":"<p>[vc_section][vc_row][vc_column][vc_column_text]<\/p>\n<h5><strong>Burnout Prevention Assessment<\/strong><\/h5>\n<p>This brief checklist has been designed to help you assess for yourself important ways to prevent burnout. Record your score for each question.<\/p>\n<h5><em>(<strong>Note:<\/strong> some questions range from 5 to 0 others from 4 or 3 to 0)<\/em><\/h5>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][\/vc_section][vc_row][vc_column][vc_column_text]<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-2241\"><form id=\"wpforms-form-2241\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"2241\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/1791\" data-token=\"54171488d98d093c8339a36c785c7afe\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-2241-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-2241-field_1\">Full Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2241-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" required><\/div><div id=\"wpforms-2241-field_3-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-2241-field_3\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-2241-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required><\/div><div id=\"wpforms-2241-field_4-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-2241-field_4\">Do you have a full day off to do what you like? (5 - Weekly, 4 - Mostly, 3 - Frequently, I - Occasionally, 0 \u2013 Never)<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-2241-field_4\" class=\"wpforms-field-medium\" name=\"wpforms[fields][4]\" value=\"0\"\t\tvalue=\"0\"\n\tmin=\"0\"\n\tmax=\"5\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Selected Value: {value}\">\n\tSelected Value: <b>0<\/b><\/div>\n<\/div><div id=\"wpforms-2241-field_5-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-2241-field_5\">Do you have time out for yourself to think, reflect, meditate and pray?[](5 - Daily, 3 - Frequently, I - Occasionally, 0 - Seldom or never)<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-2241-field_5\" class=\"wpforms-field-medium\" name=\"wpforms[fields][5]\" value=\"0\"\t\tvalue=\"0\"\n\tmin=\"0\"\n\tmax=\"5\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Selected Value: {value}\">\n\tSelected Value: <b>0<\/b><\/div>\n<\/div><div id=\"wpforms-2241-field_6-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-2241-field_6\">Do you have good vacations, about 3 - 4 weeks in each year?[](5 - Every year, 3 - Some years, 1 - Occasionally, 0 - Never)<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-2241-field_6\" class=\"wpforms-field-medium\" name=\"wpforms[fields][6]\" value=\"0\"\t\tvalue=\"0\"\n\tmin=\"0\"\n\tmax=\"5\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Selected Value: {value}\">\n\tSelected Value: <b>0<\/b><\/div>\n<\/div><div id=\"wpforms-2241-field_7-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-2241-field_7\">Do you do some aerobic exercise for at least half an hour at a time?[](5 - 3 to 5 times a week, 3 - Frequently, 1 - Occasionally, 0 - Seldom or never)<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-2241-field_7\" class=\"wpforms-field-medium\" name=\"wpforms[fields][7]\" value=\"0\"\t\tvalue=\"0\"\n\tmin=\"0\"\n\tmax=\"5\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Selected Value: {value}\">\n\tSelected Value: <b>0<\/b><\/div>\n<\/div><div id=\"wpforms-2241-field_8-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-2241-field_8\">Do you do something for fun or enjoyment Eg. Game, movie, concert?[](4 - Weekly, 3 - Monthly, 1 - Occasionally, 0 - Never)<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-2241-field_8\" class=\"wpforms-field-medium\" name=\"wpforms[fields][8]\" value=\"0\"\t\tvalue=\"0\"\n\tmin=\"0\"\n\tmax=\"5\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Selected Value: {value}\">\n\tSelected Value: <b>0<\/b><\/div>\n<\/div><div id=\"wpforms-2241-field_9-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-2241-field_9\">Do you practice any muscle relaxation or slow breathing technique?[](5 - Daily, 3 - Frequently, 1 - Occasionally, 0 - Seldom or never)<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-2241-field_9\" class=\"wpforms-field-medium\" name=\"wpforms[fields][9]\" value=\"0\"\t\tvalue=\"0\"\n\tmin=\"0\"\n\tmax=\"5\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Selected Value: {value}\">\n\tSelected Value: <b>0<\/b><\/div>\n<\/div><div id=\"wpforms-2241-field_10-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-2241-field_10\">Do you listen to your body messages (symptoms, illnesses, etc)?[](5 - Always, 3 - Mostly, 1 - Occasionally, 0 - Seldom or never)<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-2241-field_10\" class=\"wpforms-field-medium\" name=\"wpforms[fields][10]\" value=\"0\"\t\tvalue=\"0\"\n\tmin=\"0\"\n\tmax=\"5\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Selected Value: {value}\">\n\tSelected Value: <b>0<\/b><\/div>\n<\/div><div id=\"wpforms-2241-field_11-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-2241-field_11\">IF SINGLE: Do you have friends with whom you can share at a feelings level?[](5 - Regularly, 4 - Frequently, 3 - Occasionally, 0 - Seldom or never)<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-2241-field_11\" class=\"wpforms-field-medium\" name=\"wpforms[fields][11]\" value=\"0\"\t\tvalue=\"0\"\n\tmin=\"0\"\n\tmax=\"5\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Selected Value: {value}\">\n\tSelected Value: <b>0<\/b><\/div>\n<\/div><div id=\"wpforms-2241-field_12-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-2241-field_12\">IF MARRIED (or in relationship): how often do you share intimately?[] (5 - Daily, 3 - Frequently, I - Occasionally, 0 - Seldom or never)<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-2241-field_12\" class=\"wpforms-field-medium\" name=\"wpforms[fields][12]\" value=\"0\"\t\tvalue=\"0\"\n\tmin=\"0\"\n\tmax=\"5\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Selected Value: {value}\">\n\tSelected Value: <b>0<\/b><\/div>\n<\/div><div id=\"wpforms-2241-field_13-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-2241-field_13\">Do you share your stressors [cares, problems, struggles, needs] with others &amp; God? [ ](5 - Regularly, 3 - Frequently, 1 - Occasionally, 0 - Seldom or never)<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-2241-field_13\" class=\"wpforms-field-medium\" name=\"wpforms[fields][13]\" value=\"0\"\t\tvalue=\"0\"\n\tmin=\"0\"\n\tmax=\"5\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Selected Value: {value}\">\n\tSelected Value: <b>0<\/b><\/div>\n<\/div><div id=\"wpforms-2241-field_14-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-2241-field_14\">How would you describe your ability to communicate with others?[](5 -.Excellent, 3 - Fair, 1 - Difficult, 0 - Poor)<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-2241-field_14\" class=\"wpforms-field-medium\" name=\"wpforms[fields][14]\" value=\"0\"\t\tvalue=\"0\"\n\tmin=\"0\"\n\tmax=\"5\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Selected Value: {value}\">\n\tSelected Value: <b>0<\/b><\/div>\n<\/div><div id=\"wpforms-2241-field_15-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-2241-field_15\">Do you sleep well (8-9 hours per night)?[](3 - Frequently, 1 - Occasionally, 0 - Seldom or never)<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-2241-field_15\" class=\"wpforms-field-medium\" name=\"wpforms[fields][15]\" value=\"0\"\t\tvalue=\"0\"\n\tmin=\"0\"\n\tmax=\"5\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Selected Value: {value}\">\n\tSelected Value: <b>0<\/b><\/div>\n<\/div><div id=\"wpforms-2241-field_16-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-2241-field_16\">Are you able to say<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-2241-field_16\" class=\"wpforms-field-medium\" name=\"wpforms[fields][16]\" value=\"0\"\t\tvalue=\"0\"\n\tmin=\"0\"\n\tmax=\"5\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Selected Value: {value}\">\n\tSelected Value: <b>0<\/b><\/div>\n<\/div><div id=\"wpforms-2241-field_17-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-2241-field_17\">Do you set realistic goals for your life, both long and short term?[](5 - Regularly, 3- Frequently, 1 - Occasionally, 0 - Seldom or never)<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-2241-field_17\" class=\"wpforms-field-medium\" name=\"wpforms[fields][17]\" value=\"0\"\t\tvalue=\"0\"\n\tmin=\"0\"\n\tmax=\"5\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Selected Value: {value}\">\n\tSelected Value: <b>0<\/b><\/div>\n<\/div><div id=\"wpforms-2241-field_18-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-2241-field_18\">Are you careful to eat a good balanced diet?[](5 - Always, 3 - Mostly, 2 - Not often, 0 - A lot of junk food)<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-2241-field_18\" class=\"wpforms-field-medium\" name=\"wpforms[fields][18]\" value=\"0\"\t\tvalue=\"0\"\n\tmin=\"0\"\n\tmax=\"5\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Selected Value: {value}\">\n\tSelected Value: <b>0<\/b><\/div>\n<\/div><div id=\"wpforms-2241-field_19-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-2241-field_19\">Is your weight appropriate for your height?[](3 - Consistently, 2 - A battle to keep it down, 0 - Overweight<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-2241-field_19\" class=\"wpforms-field-medium\" name=\"wpforms[fields][19]\" value=\"0\"\t\tvalue=\"0\"\n\tmin=\"0\"\n\tmax=\"5\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Selected Value: {value}\">\n\tSelected Value: <b>0<\/b><\/div>\n<\/div><div id=\"wpforms-2241-field_20-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-2241-field_20\">Can you deal with anger without repressing or dumping it on others?[](5 - Always, 4 - Mostly, 2 - Occasionally, 1 - Rarely, 0 - Never)<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-2241-field_20\" class=\"wpforms-field-medium\" name=\"wpforms[fields][20]\" value=\"0\"\t\tvalue=\"0\"\n\tmin=\"0\"\n\tmax=\"5\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Selected Value: {value}\">\n\tSelected Value: <b>0<\/b><\/div>\n<\/div><div id=\"wpforms-2241-field_21-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-2241-field_21\">Do you have a good<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-2241-field_21\" class=\"wpforms-field-medium\" name=\"wpforms[fields][21]\" value=\"0\"\t\tvalue=\"0\"\n\tmin=\"0\"\n\tmax=\"5\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Selected Value: {value}\">\n\tSelected Value: <b>0<\/b><\/div>\n<\/div><div id=\"wpforms-2241-field_22-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-2241-field_22\">Do you have a creative hobby time ( E.g. Gardening, reading, music)?[](4 - Weekly, 2 - Occasionally, 1 - Rarely, 0 - Never)<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-2241-field_22\" class=\"wpforms-field-medium\" name=\"wpforms[fields][22]\" value=\"0\"\t\tvalue=\"0\"\n\tmin=\"0\"\n\tmax=\"5\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Selected Value: {value}\">\n\tSelected Value: <b>0<\/b><\/div>\n<\/div><div id=\"wpforms-2241-field_23-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-2241-field_23\">Do you nurture your self-esteem (E.g. with self affirmations)?[](5 - Regularly, 3 - Frequently, 1 - Occasionally, 0 - Rarely or never)<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-2241-field_23\" class=\"wpforms-field-medium\" name=\"wpforms[fields][23]\" value=\"0\"\t\tvalue=\"0\"\n\tmin=\"0\"\n\tmax=\"5\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Selected Value: {value}\">\n\tSelected Value: <b>0<\/b><\/div>\n<\/div><div id=\"wpforms-2241-field_24-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-2241-field_24\">Do you practice forgiveness of others who have hurt you?[](5 - Regularly, 3 - Occasionally, 1 - Rarely, 0 - Never)<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-2241-field_24\" class=\"wpforms-field-medium\" name=\"wpforms[fields][24]\" value=\"0\"\t\tvalue=\"0\"\n\tmin=\"0\"\n\tmax=\"5\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Selected Value: {value}\">\n\tSelected Value: <b>0<\/b><\/div>\n<\/div><div id=\"wpforms-2241-field_25-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-2241-field_25\">Have you dealt with old hurts and<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-2241-field_25\" class=\"wpforms-field-medium\" name=\"wpforms[fields][25]\" value=\"0\"\t\tvalue=\"0\"\n\tmin=\"0\"\n\tmax=\"5\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Selected Value: {value}\">\n\tSelected Value: <b>0<\/b><\/div>\n<\/div><\/div><div class=\"wpforms-submit-container\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"2241\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-2241\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/oshoclinicpanchkula.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"\"><\/div><\/form><\/div>  <!-- .wpforms-container -->[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_section][vc_row][vc_column][vc_column_text] Burnout Prevention Assessment This brief checklist has been designed to help you assess for yourself important ways to prevent burnout. Record your score for each question. (Note: some questions range from 5 to 0 others from 4 or 3 to 0) [\/vc_column_text][\/vc_column][\/vc_row][\/vc_section][vc_row][vc_column][vc_column_text][\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1791","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/oshoclinicpanchkula.com\/index.php\/wp-json\/wp\/v2\/pages\/1791","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/oshoclinicpanchkula.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/oshoclinicpanchkula.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/oshoclinicpanchkula.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/oshoclinicpanchkula.com\/index.php\/wp-json\/wp\/v2\/comments?post=1791"}],"version-history":[{"count":4,"href":"https:\/\/oshoclinicpanchkula.com\/index.php\/wp-json\/wp\/v2\/pages\/1791\/revisions"}],"predecessor-version":[{"id":2244,"href":"https:\/\/oshoclinicpanchkula.com\/index.php\/wp-json\/wp\/v2\/pages\/1791\/revisions\/2244"}],"wp:attachment":[{"href":"https:\/\/oshoclinicpanchkula.com\/index.php\/wp-json\/wp\/v2\/media?parent=1791"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}