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1. During the past month, have you felt burned out from your work?
2. During the past month, have you worried that your work is hardening you emotionally?
3. During the past month, have you often been bothered by feeling down, depressed, or hopeless?
4. During the past month, have you fallen asleep while sitting inactive in a public place?
5. During the past month, have you felt that all the things you had to do were piling up so high that you could not overcome them?
6. During the past month, have you been bothered by emotional problems (such as feeling anxious, depressed, or irritable)?
7. During the past month, has your physical health interfered with your ability to do your daily work at home and/or away from home?

Please rate your level of agreement with the two following statements:

8. The work I do is meaningful to me.
4
Very Strongly Disagree Very Strongly Agree
9. My work schedule leaves me enough time for my personal/family life.
3
Strongly Disagree Strongly Agree

The Physician Well-Being Index is a validated screening tool to evaluate fatigue, depression, burnout, anxiety/stress, and mental/physical quality of life in medical professionals. The index was developed through a rigorous process with multi-step validation with more than 19,600 individuals including separate studies of physicians, residents, medical students, nurses, advanced practice providers, pharmacy professionals, and general employees. Over 63,000 physicians have now used the index.

For physicians, an individual’s scores is compared to normative data from a large national sample of practicing physicians. Evidence indicates that the index is useful not only for identifying physicians in distress, but also for identifying those whose degree of distress places them at risk for adverse consequences (e.g. medical error and/or suicidal ideation). In practicing physicians, index scores also correlate with physicians’ career satisfaction and intent to leave their current practice.