Stress Test


INSTRUCTIONS
Each of the questions below pertain to the last 12 months of your life.
For anything that doesn't apply simply delete the number on the right of the question.

 

       
Death of spouse
 
 
Divorce
 
 
Marital Separation from mate
 
 
Detention in jail or other institution
 
 
Death of a close family member
 
 
Major personal injury or illness
 
 
Marriage
 
 
Being fired at work
 
 
Marital reconciliation with mate
 
 
Major change in the health or behavior of a family member
 
 
Pregnancy
 
 
Sexual Difficulties
 
 
Gaining a new family member (i.e.. birth, adoption, older adult moving in, etc)
 
 
Major business readjustment
 
 
Major change in financial state (i.e.. a lot worse or better off than usual)
 
 
Death of a close friend
 
 
Changing to a different line of work
 
 
Major change in the number of arguments w/spouse
(i.e.. either a lot more or a lot less than usual regarding child rearing, personal habits, etc.)
 
 
       
Taking on a mortgage (for home, business, etc..) .
 
 
Foreclosure on a mortgage or a loan
 
 
Major change in responsibilities at work (i.e. promotion, demotion, etc.)
 
 
Son or daughter leaving home (marriage, attending college, joined mil.)
 
 
In-law troubles
 
 
 
       
Changes in residence
 
 
Changing to a new school
 
 
Major change in usual type and/or amount of recreation
 
 
Major change in church activity (i.e.. a lot more or less than usual)
 
 
Major change in social activities (clubs, movies,visiting, etc.)
 
 
Taking on a loan (car, tv, freezer,etc)
 
 
Major change in sleeping habits (a lot more or a lot less than usual)
 
 
Major change in number of family get-togethers
 
 
Major change in eating habits
 
 
Vacation
 
 
Major holidays
 
 
Minor violations of the law (traffic tickets, jaywalking, disturbing the peace, etc)
 
 
No time for relaxation:
 
 
Getting fast-food or takeout frequently:
 
 
Eating while watching tv/videos, working, using cellphone, studying etc.:
 
 
Outstanding personal achievement
 
 
Spouse beginning or ceasing work outside the home
 
 
Beginning or ceasing formal schooling
 
 
Major change in living condition
(new home, remodeling, deterioration of neighborhood or home etc.)
 
 
Revision of personal habits (dress rnanners, associations, quitting srnoking)
 
 
Troubles with the boss
 
 
Major changes in working hours or conditions
 
 

 

 


Now, check your score below.

Your Score =   


15O pts or less means a relatively low amount of life change and a low susceptibility to stress-induced health breakdown.

150 to 300 pts implies about a 50% chance of a major health breakdown in the next 2 years. [Call us for help 407-745-9433 E.S.T.]

300 pts or more raises the odds to about 80% according to the Holmes-Rahe statistical prediction model. [Call us for help 407-745-9433 E.S.T.]

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