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For each of the items below, write: (1)
strongly disagree;
(2) mildly disagree; (3) neutral; (4) mildly agree; (5) strongly agree
____1. I have recently experienced
difficulty falling asleep at night.
____2. I am more easily irritated now than a year ago.
____3. I have less recreation in my life now than a year ago.
____4. Over the past two years, I have had an increase in stress
related
disorders such as headaches, high blood pressure, and gastric disorders.
____5. I consume more alcohol now than a year ago.
____6. I consume more stress related medications such as pain
killers and
tranquilizers now than a year ago.
____7. Often I feel that there is more and more to do in less and
less time.
____8. Within the past year, I have considered seeking some type of
help for
feelings of stress.
____9. I feel stressed much of the time.
____10. All things considered, my life is worse now than a year ago.
Scoring:
15 points and below - No Indication
for treatment at this time.
16 - 20 points - Neutral
21 - 25 points - Mildly stressed
26 - 30 points - Moderately stressed
31 - 35 points - Stressed
36 points or more - Very
stressed
Use your final score to assess your need for stress management training. |
