Appendix
Name of Respondent: _______________________
Section: ________________
This survey aims to understand the difference between academic burnout and clinical
depression among students. Your responses will remain confidential and will be used
solely for research purposes.
1. Do you often feel physically and mentally exhausted due to schoolwork?
☐ YES
☐ NO
If yes, why? (Check all that apply)
☐ I feel overwhelmed by deadlines and assignments.
☐ I lose motivation to study even for subjects I enjoy.
☐ I lack sleep due to academic pressure.
☐ I feel like my efforts are not enough, no matter how hard I try.
If no, why? (Check all that apply)
☐ I manage my time well and avoid overloading myself.
☐ I seek help from teachers, friends, or family when stressed.
☐ I take breaks and engage in activities that help me relax.
2. Have you ever experienced any of the following symptoms for more than two weeks?
(You may check more than one)
☐ Persistent tiredness even after resting
☐ Frequent headaches or body pain with no medical cause
☐ Difficulty concentrating on schoolwork
☐ Loss of interest in activities you once enjoyed
☐ Feeling emotionally numb or detached
☐ Irritability, frustration, or unexplained mood swings
☐ Difficulty sleeping or oversleeping
☐ Loss of appetite or excessive eating
☐ Feeling hopeless, worthless, or excessively guilty
3. Do you think your exhaustion is temporary (burnout) or something deeper (possible
depression)?
☐ Temporary (I just need rest and a break from schoolwork)
☐ Deeper (Even after rest, I still feel empty, unmotivated, or hopeless)
☐ Not sure
4. How do you usually cope with stress and exhaustion?
(Check all that apply)
☐ Sleeping or resting
☐ Talking to friends or family
☐ Engaging in hobbies (sports, art, music, etc.)
☐ Watching movies, playing games, or scrolling social media
☐ Avoiding responsibilities (procrastination, skipping class, etc.)
☐ Expressing emotions through writing, crying, or venting
☐ Other: ____________
5. If you struggle emotionally, do you seek help?
☐ YES, I talk to someone I trust (family, friends, teachers, guidance counselor).
☐ NO, I keep my struggles to myself because I don’t want to burden others.
☐ NO, I don’t know where or how to seek help.
6. What do you think schools can do to help students struggling with academic burnout or
depression?
(You may check more than one)
☐ Lighter workloads or better schedule management
☐ More mental health awareness and support programs
☐ Open discussions about mental health in classrooms
☐ More accessible counseling services
☐ Encouragement to take breaks and practice self-care
☐ Other: ____________
7. When facing school challenges, how do you react?
☐ I get stressed but push through it
☐ I get frustrated but still try my best
☐ I feel helpless and don’t know if I can keep up
☐ I feel like nothing matters, so I don’t even try anymore
8. How often do you feel sad or hopeless without knowing exactly why?
☐ Rarely (I get sad, but it goes away quickly)
☐ Sometimes (it happens, but I can still move on)
☐ Often (I feel down for days and struggle to get back up)
☐ Always (I feel hopeless almost all the time)
9. In your opinion, do most students in your school experience burnout or depression?
☐ More students experience burnout but recover after resting.
☐ More students experience depression but do not seek help.
☐ I don’t know.
Thank you for your participation!
