Select one
answer for each of the statements below that best reflects your situation. Please keep in mind that
this is a general assessment of your stress levels. Further and more
in-depth assessment may be obtained from your health care or mental
health care provider.
| I handle changes with ease. |
|
| I take time for myself. |
|
| I have stress-related symptoms (i.e. -
headache, racing heart, cold hands or feet, inability to
concentrate). |
|
| My family is very supportive. |
|
| My work is satisfying. |
|
| I have trouble sleeping. |
|
| I feel good about myself. |
|
| I'm a perfectionist |
|
| I tend to look on the bright side of
life. |
|
| I'm able to talk about my feelings. |
|
| I get impatient and irritable with
other drivers. |
|
| I limit my intake of fat, cholesterol
and junk food. |
|
| I smoke. |
|
| I engage in 30 minute (or longer)
sessions of moderate or rigorous exercise. |
|
| I have conflicts with others. |
|
| I get sick, especially with colds. |
|
| I'm happy with my social life. |
|
| I'm happy with where I live. |
|
| I'm happy with my partner (or with the
fact that I don't have a partner). |
|
| I'm a forgiving person. |
|
| I drink caffeinated coffee and/or tea. |
|
| I have a drink of alcohol (one drink
equals 1.5 oz. of spirits; 5 oz. of wine, or 12 oz. of beer) |
|
| I feel overwhelmed by all that I have
to do. |
|
| I feel calm and relaxed. |
|
| I have several good friends I can
count on. |
|
