4.

How Often
For use by Paul Hutman only. Received from Mind
_________
0-6
MBI–Human
5. _________ Services and Educators Scorin

Personal
6. Accomplishment (PA) Subscale
1. _________
_________
For use by Paul Hutman only. Received from Mind Garden, Inc. on February 14, 2017
7. _________
2. _________
Directions: Line up the item numbers on this key with the same
8. _________
unshaded items only, add the scores in the “How Often” column a
MBI-Human Services Survey 3. _________
bottom of the survey form.
9. _________
4. _________
Scoring & Interpretation Key – MBI-HSS 10.How
_________
Often
5. _________
How often: 0 1 2 3 4 50-6
11. _________ 6
6. _________
12. _________
1. _________
7. _________
Never
Instructions.
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13. _________
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times a month times a week 2. _________
8.
14. _________
times
_________
three columns below. Only transfer numbers to the unshaded/ungreyed spaces. Then, sum each
MBI–Human a year or less a month 3. a_________
week
columnServices and
MBI–Human Educators
Services Scoring
and
MBI–Human Key
Educators
Services Scoring
and Key your score
Educators Scoring Key
9.
15. _________
_________
and place that number
or less in the space provide below. This number represents
4. _________
16. _________
Emotional Exhaustion
for that dimension. (EE) Subscale
Depersonalization (DP) Subscale
Personal
Guidelines for interpretation Accomplishment
can be found on the17.
10. _________
right (PA)
side
5. _________
_________
of Subscale
the sheet.
11. _________
Directions: Line up the item numbers Line
Directions: on this
upkey
the with
item the same numbers
numbers
Directions: on
Line onwith
thisupkey
the the the
item survey 6. form.
same
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18.
12. onLooking
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this key
_________
_________
_________ the
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numbers the
unshaded items only, add unshaded
the scoresitems
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only, add total
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the column
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19. “EE”
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in space
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_________
7. _________ “How
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the the
total
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column “DP”
and space
enter at
thethe
tota
13.
bottom of the
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Often
Emotional Exhaustion form.bottom of the survey form. bottom of the survey
Depersonalization Professional Accomplishment 14. form. 20. _________
8. _________
_________
0-6 Statements: 21. _________
How Often How Often How Often 9. _________
15. _________
22. _________
0-6 0-6 0-6 10. _________
16. _________
1. _________ I feel emotionally drained from my work. 11. _________
17. _________Categorization:
Emotional Exhaustion, Human Services &
1. 2. _________
_________ I feel
1. used up at the end of the
_________ 1. workday.
_________ 12. _________
18. _________
Educators Forms
13. _________
2. 3. _________
_________ I feel
2. fatigued when I get up in
_________ 2. the_________
morning and have to face 19.another
_________ day on the Frequency
job. High14. _________ 27 or over
20. _________
3. _________ 3. _________ 3. _________ Moderate 17-26
15. _________
Low 21. _________
4. _________ I can easily understand how my recipients feel about things. 0-16
4. _________ 4. _________ 4. _________ 16.
22. _________
_________
5. _________ the
I feel I treat some recipients as if they were impersonal
Note to Researchers:
objects.
Research reports using the MBI—Human Services & Educators Fo
total. To determine the average rating for each subscale, divide the total by the numb
5. _________ 5. _________ 5. _________ 17. _________
Exhaustion scale contains 9 items.
6. _________ Working with people all day is really a strain for me. 18. _________Categorization:
6. _________ 6. _________ 6. _________ Depersonalization, Human
MBI-General Survey: Services
Copyright ©1996, 2016Form
Wilmar B. Schaufeli, Michael P
MBI-Human Services Survey: Copyright ©1981 Christina Maslach & Susan E
7. _________ I deal very effectively with the problems of my recipients. 19. _________ MBI-Educators Survey: Copyright Frequency
©1986 Christina Maslach, Susan E. Jacks
7. _________ 7. _________ 7. _________ 20. _________
All rights reserved in all media. Published by Mind Garden, Inc., www.mindga

8. _________ I feel burned out from my work. High 13 or over High

8. _________ 8. _________ 8. _________ Moderate
21. _________ 7-12 Modera
9. _________ I feel I'm positively influencing other people's lives through
Low22. my_________
work. 0-6 Low
9. _________ 9. _________ 9. _________
10. _________ I've become more callous toward people since I took this Notejob.
to Researchers: Research reports using the MBI—Human Services
10. _________ 10. _________ 10. _________ rating rather than the Categorization:
total. To determine the average rating for each sub
11. _________ I worry that this job is hardening me emotionally. responded to. Personal
The Depersonalization
Accomplishment,* scale contains 5 items.
11. _________ 11. _________ 11. _________ Human Services Form
12. _________ I feel very energetic. MBI-General Survey: Copyright Frequency
©1996, 2016 Wilmar B. Schaufeli, M
12. _________ 12. _________ 12. _________ MBI-Human Services Survey: Copyright ©1981 Christina Maslach &
High 39 or over HighSusan
13. _________ I feel frustrated by my job. Moderate
MBI-Educators Survey: Copyright
All rights reserved in all media.32-38
©1986 Christina Maslach,
Published by Mind Garden, Moderate
Inc., www
13. _________ 13. _________ 13. _________
14. _________ I feel I'm working too hard on my job. Low 0 - 31 Low
14. _________ 14. _________ 14. _________ *Interpreted in opposite direction from EE and DP. Note to Researchers: Res
15. _________ I don't really care what happens to some recipients. Educators Forms usually report the average rating rather than the total.
15. _________ 15. _________ 15. _________ divide the total by the number of items responded to. The Personal Acc
16. _________ Working with people directly puts too much stress on me.
16. _________ 16. _________ 16. _________ MBI-General Survey: Copyright ©1996, 2016 Wilmar B. Schaufeli, M
17. _________ I can easily create a relaxed atmosphere with my recipients.
17. _________ 17. _________ 17. _________ MBI-Human Services Survey: Copyright ©1981 Christina Maslach &
MBI-Educators Survey: Copyright ©1986 Christina Maslach, Susan
18. _________ I feel exhilarated after working closely with my recipients.

All rights reserved in all media. Published by Mind Garden, Inc., www

18. _________ 18. _________ 18. _________

19. _________ I have accomplished many worthwhile things in this job.
19. _________ 19. _________ 19. _________
20. _________ I feel like I'm at the end of my rope.
20. _________ 20. _________ 20. _________
21. _________ In my work, I deal with emotional problems very calmly.
21. _________ 21. _________ 21. _________
22. _________ I feel recipients blame me for some of their problems.
22. _________ 22. _________ 22. _________

Categorization: Categorization: Categorization: Categorization: Cate
(Administrative
Emotional use only)
Exhaustion, Human Services &
Depersonalization, Human Services
EE Sum______ Dep Sum______ PA Sum______ FormAccomplishment,*
Personal Depersonalization, EducatorsPersonalForm A
Educators Forms Frequency Human Services Form FrequencyEduc
EE: _______ cat:_______ DP: _______ cat:_______ PA: _______ cat:_______
High Frequency 13 or over High Frequency 14 or over
High 27 or over High 39 or over High
MBI-GeneralModerate
Survey: Copyright ©1996, 2016 Wilmar
Moderate
B. 7-12
Schaufeli, Michael P. Leiter, Moderate
Christina Maslach &
32-38
Susan E. Jackson.
Moderate
9-13
Moderate MBI-Human Services Survey: 17-26
Copyright ©1981 Christina Maslach & Susan E. Jackson.
Low Survey: Copyright
MBI-Educators Low
©1986 Christina Maslach, 0-6
Susan E. Jackson & Low
Richard L. 0 - 31
Schwab. Low 0-8
Low All rights reserved in all media.0-16
Published by Mind Garden, Inc., www.mindgarden.com
Note to Researchers: Research *Interpreted in opposite
reports using direction from EE
the MBI—Human and DP.
Services Note to Researchers:
& Educators Forms usuallyResearch reports
report the using
average
Note to Researchers: Research reports using the
rating rather MBI—Human
than Services
the total. To & Educators
Educators
determine Forms Forms rating
usually
the average usually
reportreport
the
for eachthesubscale,
average
average rating
rating rather
rather
divide than
than
the the
total bytotal. To determine
the number the a
of items
the total. To determine the average rating for each subscale, dividedivide
the total bytotal
thescale the number of items responded
by the number to. The Emotional
of items responded to. The Personal Accomplishments sca
responded
Exhaustion scale contains 9 items.
to. The Depersonalization contains 5 items.