1. Have you considered resigning from ministry in the last 12 months?
2. If you have, select as many reasons as apply
3. How often do you feel tired from ministry
4. How often are you emotionally exhausted from ministry
5. Do you feel burned out because of your work
6. Do you feel worn out at the end of a working day
7. In the last 12 months I have experienced
8. It is important to me to try to understand what my feelings mean
9. Thinking about my thoughts makes me more confused
10. I often find it difficult to make sense of the way I feel about things
11. I could be experiencing some emotion and not be conscious of it until some time later
12. I break or spill things because of carelessness, not paying attention, or thinking of something else
13. I find it difficult to stay focused on what's happening in the present
14. I tend to walk quickly to get where I'm going without paying attention to what I experience along the way
15. I forget a person's name almost as soon as I've been told it for the first time
16. It seems I am running on automatic without much awareness of what I'm doing
17. I rush through activities without being really attentive to them
18. I get so focused on the goal I want to achieve that I lose touch with what I'm doing right now to get there
19. I do jobs or tasks automatically, without being aware of what I'm doing
20. I find myself listening to someone with one ear, doing something else at the same time
21. I drive places on automatic pilot and then wonder why I went there
22. I find myself preoccupied with the future or the past
23. I find myself doing things without paying attention
24. I snack without being aware that I'm eating
25. Select any of these that have applied to you in the last week
26. I have experienced a deeply distressing or overwhelming life event, and thinking about it still affects my emotional wellbeing today
27. Select as many as you agree to:
28. Select as many as you agree to:
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32. Select as many as you agree to: