Stress Management
Questionnaire
T his questionnaire is not intended to replace professional diagnosis. It is a screening tool.
It has been adapted from: Perceived Stress Scale – Sheldon Cohen.
In the last month, how often have you: (Circle your answer)
Almost Never
Some- times
Fairly Often
Very Often
Never
Been upset because of something that happened unexpectedly? Felt that you were unable to control the important things in your life?
0
1
2
3
4
0
1
2
3
4
Felt nervous and “stressed?”
0
1
2
3
4
Felt unsure about your ability to handle your personal problems?
0
1
2
3
4
Felt that things weren’t going your way?
0
1
2
3
4
Found that you could not cope with all the things that you had to do?
0
1
2
3
4
Been unable to control irritations in your life?
0
1
2
3
4
Felt that you weren’t on top of things?
0
1
2
3
4
Been angered because of things that were outside of your control? Felt difficulties were piling up so high that you could not overcome them?
0
1
2
3
4
0
1
2
3
4
Score: ______________
Interpretation of Total Score:
Can I Eliminate Stress? W e may feel overwhelmed at times, which causes us to become stressed. But remember that we are not wanting to eliminate all stress, as some stress can actually be good.The goal for dealing with stress is to learn how to manage it. So, learning how to regain control over our thoughts, our emotions, our schedules, our environment and even the way we deal with problems.
Score Stress Scale
Below Average - Congratulations, you seem to be handling life’s stressors well at the moment. Average - Your life is far from stress-free, so now is the time to learn how to reduce your stress to healthier levels. Medium-High - You may not realize how much stress is already affecting your mood, productivity and relationships. High - You’re experiencing high levels of stress. The higher your score, the more damage stress is doing to your mind, body and behavior.
0-10
11-14
15-18
19+
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