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Complete the official English CBI to review personal, work, and client-related exhaustion as three separate scale means.

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Use one consistent recent pattern. Choose the response that fits best.

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Exhaustion can follow someone through every part of life, rise mainly around the job, or become strongest during direct work with other people. Those patterns call for different questions. Sleep, health, caregiving, workload, staffing, emotional demands, role conflict, and recovery time can overlap, so one combined burnout number would conceal where the burden appears concentrated.

The Copenhagen Burnout Inventory (CBI) separates 19 self-report items into three scales and reports each scale on its own 0–100 range:

Personal burnout
General prolonged physical and psychological exhaustion, regardless of its cause.
Work burnout
Exhaustion that the respondent perceives as related to work.
Client-related burnout
Exhaustion linked to work with recipients such as patients, students, residents, customers, or clients.

The distinction between personal and occupational exhaustion matters. A high personal score may coexist with lower work and client-related scores when strain is driven largely by illness, caregiving, grief, or poor recovery outside work. A high work score can point toward job conditions even when direct service contact is not the main issue. A high client-related score narrows attention toward people-facing exposure, difficult interactions, handoffs, boundaries, and recovery after contact.

The first-edition CBI does not prescribe a fixed recall window, so answers should use one consistent recent pattern rather than switching between a difficult shift, a typical month, and a long-term career judgment. Comparisons over time are most useful when the period, job, and meaning of “clients” stay similar.

CBI results describe self-reported exhaustion burden. They do not diagnose a medical or mental health condition, prove that work caused a symptom, identify a single remedy, or justify employment decisions. The World Health Organization classifies burn-out as an occupational phenomenon rather than a medical condition, while the CBI personal scale deliberately captures exhaustion beyond work.

How to Use This Tool:

Answer all 19 items from the same recent pattern and interpret the three domain means separately; no combined CBI total is produced.

  1. Start the CBI assessment and answer each item using the frequency or degree choices shown with that question.
  2. Keep the same recent period in mind. For client-related items, use the recipient term that fits the work, such as patient, student, resident, customer, or client.
  3. Complete every item. The current result waits for all 19 answers so each domain mean uses its full item set.
  4. Read Personal burnout, Work burnout, and Client-related burnout together. Note the highest domain and how many means are at or above the 50-point attention line.
  5. Compare the current means with the PUMA sample anchors only as context, then inspect Answer review for a mistaken response or a small set of high-burden items.
  6. Choose a follow-up that fits the highest domain and the surrounding evidence. Persistent or disruptive exhaustion may warrant an occupational-health or qualified health-professional conversation.

Interpreting Results:

Pattern Useful review question
Personal burnout is highestAre sleep, health, caregiving, grief, financial strain, or work spillover driving general exhaustion?
Work burnout is highestDo workload, schedule, staffing, interruptions, role clarity, or control over work need review?
Client-related burnout is highestAre direct-contact demands, difficult interactions, boundaries, handoffs, or recovery after contact the main burden?
Two or three domains are ≥ 50Is exhaustion broad enough to require both work-condition and recovery-condition changes?
All domains are < 50Is the highest domain rising or still causing meaningful difficulty despite staying below the attention line?

The 50-point line is a PUMA study reference for a high degree of burnout, not a diagnostic cutoff. PUMA sample means of 35.9 for personal, 33.0 for work, and 30.9 for client-related burnout describe a Danish human-service sample. They are not universal targets for every country, occupation, workplace, or individual.

Verify an unexpected profile against the selected answers and the period being rated. One temporary event, a misunderstood client term, or the reverse-keyed work item can shift a domain mean. Repeat comparison is most meaningful under similar conditions.

Technical Details:

Each response is converted to 0, 25, 50, 75, or 100 points. Higher keyed values mean greater exhaustion. Personal burnout averages items 1 through 6; work burnout averages items 7 through 13; client-related burnout averages items 14 through 19. This implementation requires all 19 answers even though the first-edition instrument also documents partial-response rules.

Transformation Core

Response direction Keyed score
Never / almost never or very low degree0
Seldom or low degree25
Sometimes or somewhat50
Often or high degree75
Always or very high degree100

The final work item asks about having enough energy for family and friends during leisure time. It is reverse-keyed, so Never / almost never contributes 100 and Always contributes 0. All other items follow the direct mapping above.

Formula Core

Each domain is the arithmetic mean of its keyed item scores.

Cd= ∑i=1ndsd,i nd swork 13=100-25r

Cd is the mean for domain d, s is a keyed 0–100 item score, and nd is 6 for personal, 7 for work, or 6 for client-related burnout. In the reverse-item equation, r is the raw response code from 0 through 4. Means are displayed to one decimal place; the full value is retained for comparisons.

Rule Core

Artifact Exact rule or value
Domain attention lineBelow 50 when mean < 50; at or above 50 when mean ≥ 50
Personal PUMA mean35.9 points
Work PUMA mean33.0 points
Client-related PUMA mean30.9 points
Combined totalDeliberately not calculated

Limitations and Privacy:

CBI means do not identify the cause of exhaustion and should not replace evaluation of sleep, medical conditions, depression, anxiety, substance use, safety, workload, harassment, staffing, or other workplace risks. A voluntary self-report profile is not suitable for hiring, dismissal, promotion, insurance, eligibility, or another high-stakes individual decision.

Answers and progress update this page's URL as you work. Anyone with the URL can read and edit the responses; the URL is not encrypted or access-controlled. Opening or reloading it sends the URL to this website and may leave it in browser history or server logs. Starting over clears this attempt and removes its response state from the current URL; it does not erase previously copied links, browser history or server logs.

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