To evaluate your level of stress and to help you identify changes that you need to make, circle the number under the appropriate response to each question.
| How Frequently Do You: | RARELY | SOMETIMES | OFTEN |
|
Experience one or more of the symptoms of excess stress such as tension, pain in the neck or shoulders, or headaches? |
1 |
3 |
5 |
|
Find it difficult to concentrate on what you are doing because of deadlines or other tasks that must be completed? |
1 |
3 |
5 |
|
Become irritable when you have to wait in line or get caught in a traffic jam? |
1 |
3 |
5 |
|
Eat, drink, or smoke in an attempt to relax and/or relieve tension? |
1 |
3 |
5 |
|
Worry about your work or other deadlines at night and/or on weekends? |
1 |
3 |
5 |
|
Wake up in the night thinking about all the things you must do the next day? |
1 |
3 |
5 |
|
Feel impatient at the slowness with which many events take place? |
1 |
3 |
5 |
|
Find yourself short of time to complete everything that needs to take place? |
1 |
3 |
5 |
|
Become upset because things have not gone your way? |
1 |
3 |
5 |
|
Tend to lose your temper and get irritable? |
1 |
3 |
5 |
|
Wake up in the night and have a hard time getting back to sleep? |
1 |
3 |
5 |
|
Drive over the speed limit? |
1 |
3 |
5 |
|
Interrupt people while they are talking or complete their sentences for them? |
1 |
3 |
5 |
|
Forget about appointments and/or lose objects or forget where you put them? |
1 |
3 |
5 |
|
Take on too many responsibilities? |
1 |
3 |
5 |
