Benjamin Cummings: Fitness & Wellness WebSite

Stress Index Questionnaire

To print this activity, download it as a pdf file, lab12.pdf

Purpose:
The purpose of this stress index questionnaire is to increase your awareness of stress in your life.

Directions:
Answer "yes" or "no" to each of the stress index questions.

Yes	No	1. I have frequent arguments.
Yes	No	2. I often get upset at work.
Yes	No	3. I often have neck and/or shoulder pains due to anxiety/stress.
Yes	No	4. I often get upset when I stand in long lines.
Yes	No	5. I often get angry when I listen to the local, national, or world news or read the newspaper.
Yes	No	6. I do not have a sufficient amount of money for my needs.
Yes	No	7. I often get upset when driving.
Yes	No	8. At the end of a workday I often feel stress-related fatigue.
Yes	No	9. I have at least one constant source of stress/anxiety in my life (e.g., conflict with boss, Neighbor, mother-in-law, etc.).
Yes	No	10. I often have stress-related headaches.
Yes	No	11. I do not practice stress management techniques.
Yes	No	12. I rarely take time for myself.
Yes	No	13. I have difficulty in keeping my feelings of anger and hostility under control.
Yes	No	14. I have difficulty in managing time wisely.
Yes	No	15. I often have difficulty sleeping.
Yes	No	16. I am generally in a hurry.
Yes	No	17. I usually feel that there is not enough time in the day to accomplish what I need to do.
Yes	No	18. I often feel that I am being mistreated by friends or associates.
Yes	No	19. I do not regularly perform physical activity.
Yes	No	20. I rarely get 7 to 9 hours of sleep per night.