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جنسیت:…………. سن:…………. وضعیت تأهل:…………. سنوات خدمت در این حرفه:………….

1. 1. Rossi, R. ↑

1. 1. Fogarty & Uliss ↑

1. 1. Herda, D., & Lavelle, J. ↑

1. 1. Lo´pez, D. M. & Gary F. Peters ↑

1. 1. Pines & Aronson (1988 (Burnout Measure (BM) ↑