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STRESS
SELF ASSESSMENT TEST Check any that apply to you in the past year |
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| _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ |
Death of a spouse Divorce Marital Separation Jail term Death of family member Personal injury or illness Marriage Fired at work Marital reconciliation Retirement Change in health in family member Pregnancy Sex Difficulties Business adjustment Change in financial status Death of a close friend Change in a different line of work Change in number of arguments with spouse Mortgage over one year’s net salary Foreclosure on mortgage or loan Change in responsibilities at work Son or Daughter leaving home Trouble with in-laws Outstanding personal achievement Spouse begins or stops work Begin or end school Change in living conditions Revision in personal habits Trouble with the boss Change in work hours or conditions Change in residence Change in schools Change in recreation Change in church activities Change in social activities Mortgage or loan less than one year’s net salary Change in sleeping habits Change in number of family get togethers Vacation Christmas Minor traffic violation |
100 73 65 63 63 53 50 47 45 45 44 40 39 39 38 37 36 35 31 30 29 29 29 28 26 26 25 24 23 20 20 20 19 19 19 17 16 15 13 12 11 TOTAL _________ |
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If you accumulate a score is over 300 points within one year, you have an 80% chance of a serious change in your health within the next year. It will take up to twelve months to manifest due to what is known as the “incubation period.” |
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