Name:     ID: 
 
    Email: 

Teacher Stress and Burnout Survey

Thank you for your willingness to participate in this important survey.  For questions 1 through 31, please rate the degree to which you feel stressed in the various activities and demands of your work as a teacher from “Not at all Distressing” to “Very Distressing”. 

Questions 32 through 54 allow you to describe yourself as a teacher.  Please be sure to complete these.  Once you have completed the survey, simply click “Submit” and the results will be sent to us. 

To ensure your pivacy, we have a procedure in place to separate your e-mail address from your responses.  Your response to this survey is completely confidential, and once the data has been recorded, no record of your participation will be kept. 

If you are interested in our findings, we will post them at this address upon completion, which is expected in May 2006.

If you have any questions or concerns, please feel free to contact us.
Thank you again!
Tausha Skinner, and Lisa Estep
Graduate Students

Daniel Cruikshanks, Ph.D.
Assistant Professor
Graduate Studies in Counseling
Heidelberg College
dcruiksh@heidelberg.edu
 

 1. 
The number of meetings I have to attend
a.
Not at all Distressing
b.
Slightly Distressing
c.
Moderately Distressing
d.
Very Distressing
 

 2. 
The amount of time I spend on paperwork
a.
Not at all Distressing
b.
Slightly Distressing
c.
Moderately Distressing
d.
Very Distressing
 

 3. 
Lack of administrative support in my classroom
a.
Not at all Distressing
b.
Slightly Distressing
c.
Moderately
Distressing
d.
Very Distressing
 

 4. 
Being looked down on by other teachers.
a.
Not at all Distressing
b.
Slightly Distressing     
c.
Moderately Distressing     
d.
Very Distressing     
 

 5. 
Parents who won’t get involved.
a.
Not at all Distressing
b.
Slightly Distressing     
c.
Moderately Distressing     
d.
Very Distressing
 

 6. 
Parents’ lack of support for discipline procedures.
a.
Not at all Distressing
b.
Slightly Distressing
c.
Moderately Distressing
d.
Very Distressing
 

 7. 
Being responsible for instruction in too many subjects.
a.
Not at all Distressing
b.
Slightly Distressing
c.
Moderately Distressing
d.
Very Distressing
 

 8. 
Having to work with too many different disabilities.
a.
Not at all Distressing
b.
Slightly Distressing
c.
Moderately Distressing
d.
Very Distressing
 

 9. 
Too many demands for documentation.
a.
Not at all Distressing
b.
Slightly Distressing
c.
Moderately Distressing
d.
Very Distressing
 

 10. 
Inadequate skills in my paraprofessional/teachers aide.
a.
Not at all Distressing
b.
Slightly Distressing
c.
Moderately Distressing
d.
Very Distressing
 

 11. 
Being responsible for legal requirements, e.g. confidentiality.
a.
Not at all Distressing
b.
Slightly Distressing
c.
Moderately Distressing
d.
Very Distressing
 

 12. 
Inconsistent school-wide discipline practices.
a.
Not at all  Distressing
b.
Slightly Distressing
c.
Moderately Distressing
d.
Very Distressing
 

 13. 
Being observed by administrators.
a.
Not at all
Distressing
b.
Slightly Distressing
c.
Moderately Distressing
d.
Very Distressing
 

 14. 
Limited space in my classroom.
a.
Not at all Distressing
b.
Slightly Distressing
c.
Moderately Distressing
d.
Very Distressing
 

 15. 
Unrealistic parental expectations for child’s school performance.
a.
Not at all
Distressing
b.
Slightly Distressing
c.
Moderately Distressing
d.
Very Distressing
 

 16. 
Unrealistic parental goals for their child.
a.
Not at all Distressing
b.
Slightly Distressing
c.
Moderately Distressing
d.
Very Distressing
 

 17. 
Lack of motivation in my students.
a.
Not at all Distressing
b.
Slightly Distressing
c.
Moderately Distressing
d.
Very Distressing
 

 18. 
Administrators using my class as a detention room.
a.
Not at all Distressing
b.
Slightly Distressing
c.
Moderately Distressing
d.
Very Distressing
 

 19. 
Having my schedule changed too often.
a.
Not at all Distressing
b.
Slightly Distressing
c.
Moderately Distressing
d.
Very Distressing
 

 20. 
Violent behavior by my students toward me.
a.
Not at all Distressing
b.
Slightly Distressing
c.
Moderately Distressing
d.
Very Distressing
 

 21. 
Students who try to manipulate me.
a.
Not at all Distressing
b.
Slightly
Distressing
c.
Moderately Distressing
d.
Very Distressing
 

 22. 
Having to collect data on my students’ behavior.
a.
Not at all Distressing
b.
Slightly Distressing
c.
Moderately Distressing
d.
Very Distressing
 

 23. 
Students who are disrespectful toward me.
a.
Not at all Distressing
b.
Slightly Distressing
c.
Moderately Distressing
d.
Very Distressing
 

 24. 
Parents who argue with me.
a.
Not at all Distressing
b.
Slightly Distressing
c.
Moderately Distressing
d.
Very Distressing
 

 25. 
Having to supervise extracurricular activities.
a.
Not at all Distressing
b.
Slightly Distressing
c.
Moderately Distressing
d.
Very Distressing
 

 26. 
Being in an isolated classroom.
a.
Not at all Distressing
b.
Slightly Distressing
c.
Moderately Distressing
d.
Very Distressing
 

 27. 
Frequent turnover of students in my class.
a.
Not at all Distressing
b.
Slightly Distressing
c.
Moderately Distressing
d.
Very Distressing
 

 28. 
Acts of cruelty by my students.
a.
Not at all Distressing
b.
Slightly Distressing
c.
Moderately Distressing
d.
Very Distressing
 

 29. 
Lack of coordination between other staff serving my students.
a.
Not at all Distressing
b.
Slightly Distressing
c.
Moderately Distressing
d.
Very Distressing
 

 30. 
The school politics involved in my job.
a.
Not at all Distressing
b.
Slightly Distressing
c.
Moderately Distressing
d.
Very Distressing
 

 31. 
Lack of good order in my class.
a.
Not at all Distressing
b.
Slightly Distressing
c.
Moderately Distressing
d.
Very Distressing
 

 32. 
Please indicate your classroom type
a.
Regular
Education 
c.
ED classroom in a regular education  building
d.
Separate Facility
e.
Other
b.
Learning Disability
 

 33. 
What is your gender?
a.
Male
b.
Female
 

 34. 
Do you teach EBD students?
a.
Yes
b.
No
 

 35. 
If you are an EBD teacher, how long do you want to continue in an EBD teaching position? 
a.
1 year or less
b.
More than 1yr up to 5 years
c.
More than 5 years
 

 36. 
Have you been injured by a student within the past 12 months?
a.
Yes
b.
No
 

 37. 
If you teach EBD students and were offered a non-EBD teaching position, would you take it?
a.
Yes
b.
No
 

 38. 
If you teach students in regular education would consider teaching EBD students? 
a.
Yes
b.
No
 

 39. 
Do you teach Talented/Gifted students?
a.
Yes
b.
No
 

 40. 
Do you teach students with Learning Disabilities?
a.
Yes
b.
No
 

 41. 
Please indicate your school type
a.
Public
b.
Private
c.
Charter
d.
Other
 

 42. 
Would you say that your school is located in a more rural, suburban, or urban setting?
a.
rural
b.
suburban
c.
urban
 

Numeric Response
 

 43. 
What is your age?

 

 44. 
How long have you been a teacher?_____ (round to nearest whole year)

 

 45. 
If you teach EBD students, how long have you taught this population?_________ (round to nearest whole year)

 

 46. 
If you teach talented and gifted students, how long have you taught this population?_________ (round to nearest whole year)

 

 47. 
If you teach students with learning disabilities, how long have you taught this population?_________ (round to nearest whole year)

 

 48. 
How many incidents of aggressive acts by students have you had in the past 1 month?

 

 49. 
How many students do you currently have in your classroom?

 

 50. 
How many students in your classroom would you classify as having learning disabilities?

 

 51. 
How many students in your classroom would you classify as having emotional/behavioral disabilities?

 

 52. 
How many students in your classroom would you classify as talented/gifted?

 

Short Answer
 

 53. 
If you answered “Other” in Question 32, Please specify your classroom type.
 

 54. 
What grade level(s) do you teach (record all that apply): K,   1,   2,   3,   4,   5,  or  6?
 



 
Submit          Reset Help