1 · Print the anonymous questionnaire
Distribute on paper or via any form tool. No names — use department codes only if needed.
2 · Enter responses
One row per respondent. WHO-5: five items scored 0–5 (At no time → All of the time). CBI personal burnout: six items 0–100 (Never=0, Seldom=25, Sometimes=50, Often=75, Always=100).
| Dept | WHO-5 items (0–5) | CBI items (0/25/50/75/100) | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
3 · Results
| # | Dept | WHO-5 (0–100) | WHO-5 flag | CBI burnout (0–100) | CBI flag |
|---|
Interpretation: WHO-5 < 50 = poor wellbeing, ≤ 28 = screen for depression (refer to occupational physician). CBI ≥ 50 = high burnout. Aggregate before sharing; never report groups < 5 respondents.