Calculating Your Stressload

How do you know if you are stressed out?
Following is a questionnaire that can help you calculate your stressload and your likely vulnerability to stress related illnesses.
I will E-Mail you with your vulnerability to stress score and any related illnesses.

IMPORTANT: ANSWER EVERY QUESTION.
Your Email Address: Required

Your Name:

1. Do you eat at least one hot, balanced meal a day?

  1. Yes/Always
  2. Probably/Usually
  3. I suppose/It depends
  4. Rarely/Not a lot
  5. No/Never

2. Do you get seven hours sleep at least four nights per week?

  1. Yes/Always
  2. Probably/Usually
  3. I suppose/It depends
  4. Rarely/Not a lot
  5. No/Never

3. Do you give and receive affection frequently?

  1. Yes/Always
  2. Probably/Usually
  3. I suppose/It depends
  4. Rarely/Not a lot
  5. No/Never

4. Do you have a relative within fifty miles on whom you can rely?

  1. Yes/Always
  2. Probably/Usually
  3. I suppose/It depends
  4. Rarely/Not a lot
  5. No/Never

5. Do you exercise to perspiration at least twice a week?

  1. Yes/Always
  2. Probably/Usually
  3. I suppose/It depends
  4. Rarely/Not a lot
  5. No/Never

6. Do you smoke fewer than 10 cigarettes per day?

  1. Yes/Always
  2. Probably/Usually
  3. I suppose/It depends
  4. Rarely/Not a lot
  5. No/Never

7. Do you take alcohol less than five times per week?

  1. Yes/Always
  2. Probably/Usually
  3. I suppose/It depends
  4. Rarely/Not a lot
  5. No/Never

8. Do you keep within the appropriate weight for your height?

  1. Yes/Always
  2. Probably/Usually
  3. I suppose/It depends
  4. Rarely/Not a lot
  5. No/Never

9. Do you have an adequate income for your needs?

  1. Yes/Always
  2. Probably/Usually
  3. I suppose/It depends
  4. Rarely/Not a lot
  5. No/Never

10. Do you get strength from religious, philosophical or some other deeply held beliefs?

  1. Yes/Always
  2. Probably/Usually
  3. I suppose/It depends
  4. Rarely/Not a lot
  5. No/Never

11. Do you regularly attend a social gathering?

  1. Yes/Always
  2. Probably/Usually
  3. I suppose/It depends
  4. Rarely/Not a lot
  5. No/Never

12. Do you have a network of friends and acquaintances?

  1. Yes/Always
  2. Probably/Usually
  3. I suppose/It depends
  4. Rarely/Not a lot
  5. No/Never

13. Do you have a close friend you can confide in?

  1. Yes/Always
  2. Probably/Usually
  3. I suppose/It depends
  4. Rarely/Not a lot
  5. No/Never

14. Are you in good health?

  1. Yes/Always
  2. Probably/Usually
  3. I suppose/It depends
  4. Rarely/Not a lot
  5. No/Never

15. Do you express feelings of anger or worry?

  1. Yes/Always
  2. Probably/Usually
  3. I suppose/It depends
  4. Rarely/Not a lot
  5. No/Never

16. Do you have regular domestic discussions with those you live with?

  1. Yes/Always
  2. Probably/Usually
  3. I suppose/It depends
  4. Rarely/Not a lot
  5. No/Never

17. Do you do something for fun at least once per week?

  1. Yes/Always
  2. Probably/Usually
  3. I suppose/It depends
  4. Rarely/Not a lot
  5. No/Never

18. Do you organize your time effectively?

  1. Yes/Always
  2. Probably/Usually
  3. I suppose/It depends
  4. Rarely/Not a lot
  5. No/Never

19. Do you drink less than three cups of caffeine (tea, coffee, or cola) per day?

  1. Yes/Always
  2. Probably/Usually
  3. I suppose/It depends
  4. Rarely/Not a lot
  5. No/Never

20. Do you have a quiet time for yourself each day?

  1. Yes/Always
  2. Probably/Usually
  3. I suppose/It depends
  4. Rarely/Not a lot
  5. No/Never

Please enter any Comments or Questions

Thank you for taking this test.
Within a week of submitting your answers I will email to you your scores.

NOTE: It is IMPORTANT that you send
your TOTAL SCORES.

The test results are confidential and will only be sent to the email address you provide.

Questions? Please email me

email

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