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Stress Less Quiz

Stress comes in many forms and is an inevitable part of daily life -- the key is to eliminate stressors where possible and buffer stress from negatively impacting your health by applying daily stress reduction techniques. Complete the questionnaire below to gage your present stress levels in each category, help identify you primary stressors, and learn valuable stress-reduction tools for your lifestyle:

Physical

  1. Do you have increased physical symptoms of stress such as headaches, digestive problems, fatigue.  ___ Yes (5)  ___ No (0)
  2. Have you experienced major physical trauma, injury or had surgery. ___ Yes (5)  ___ No (0)
  3. How often do you wake up feeling un-rested or in need of more sleep? ___ Never or rarely (0) ___ 1 x week (1) ___ 3 x week (5)    ___ 3+ times per week (10)
  4. Do you commonly go to bed after 10:30pm? ___ Yes (10)  ___ No (0)
  5. Do you do shift work that requires you to stay up late at night? ___ Yes (10)  ___ No (0)
  6. Do you feel your sex drive is lower than normal for you?    ___ Yes (5)  ___ No (0)
  7. Do you take any form of medication prescribed by a physician directly or indirectly related to stress in your life or for a psychological disorder?    ___ Yes (15)  ___ No (0)
  8. Do you commonly lose more than two days of work a year due to illness?    ___ Yes (5)  ___ No (0)

Total Score: _____

Mental/Emotional

  1. Do you eat more or less when stressed than when not stressed? ___ More (10) ___ Same/less (0)
  2. Do you worry over job, income or money problems? ___ Yes (10) ___ No (0)
  3. Are any of your relationships causing you stress? ___ Yes (10) ___ No (0)
  4. Do you often feel anxious? ___ Yes (5) ___ No (0)
  5. Do you often get upset when things go wrong? ___ Yes (5) ___ No (0)
  6. Do you lash out at others? ___ Yes (5) ___ No (0)
  7. Do you feel isolated or lonely? ___ Yes (5) ___ No (0)
  8. Do you feel stressed due to lack of intimacy in one or more relationships? ___ Yes (5) ___ No (0)
  9. Have you had reduced contact with friends (feeling antisocial) or an increase in contact because you feel you need to vent your frustrations or stresses to others? ___ Yes (3) ___ No (0)
  10. I rarely make time to do something I enjoy ‘just for me’ during an average week. ___ Yes (3)  ___ No (0)

Total Score: _____

Nutritional

  1. Do you buy/consume more non-organic vegetables than organic vegetables? ___ Yes (5)  ___ No (0)
  2. Do you eat non-organic meats, eggs, poultry, dairy versus organic/free-range? ___ Yes (5)  ___ No (0)
  3. Do you eat farm-raised fish versus wild caught? ___ Yes (5)  ___ No (0)
  4. How often do you use hydrogenated oils? ___ Never or rarely (0) ___ 1 x week (1) ___ 3 x week (5) ___ 3+ times per week (10)
  5. How often do you use artificial sweeteners such as Sweet-n-Low, Equal or NutraSweet? ___ Never or rarely (0) ___ 1 x week (1)   ___ 3 x week (5) ___ 3+ times per week (10)
  6. Do you use standard white table salt? ___ Yes (5)  ___ No (0)
  7. Do you eat frozen dinners or highly-processed foods more than 3 x week? ___ Yes (5)  ___ No (0)
  8. How often do you eat from fast food restaurants? ___ Never or rarely (0) ___ 1 x week (1)   ___ 3 x week (5) ___ 3+ times per week (10)
  9. Do you drink tap water? ___ Yes (5)  ___ No (0)
  10. Do you frequently skip meals? ___ Yes (5)  ___ No (0)
  11. How often do you skip breakfast? ___ Never or rarely (0) ___ 1 x week (1)   ___ 3 x week (5) ___ 3+ times per week (10)
  12. Do you freqently eat carbohydrates (ie breads, bagels, cookies, pasta, fruit, cereals, muffins, candy) by themselves? ___ Yes (5)  ___ No (0)
  13. Do you often get hungry or crave sweets within two hours after eating a meal? ___ Yes (5)  ___ No (0)
  14. How often do you consume drinks containing caffeine or sugar (ie coffee, tea, sodas, fruit juices with sucrose, corn syrup or added sugar)? ___ Never or rarely (0) ___ 1 x week (1)   ___ 3 x week (5) ___ 3+ times per week (10)
  15. Have you tried diets to lose weight? ___ No (0) ___Once (1) ___Twice (2) ___3-5 times (5) ___More than 5 times (10)

Total Score: _____

Chemical/Environmental

  1. Do you use caustic household cleaning products that contains phosphates & bleaches? ___ Yes (5) ___ No (0)
  2. Do you use non-natural hygiene products that contain parabens and other synthetic chemicals? ___ Yes (5) ___ No (0)
  3. Do you get less than 30 minutes of direct sunlight exposure daily? ___ Yes (5) ___ No (0)
  4. Do you use aluminum or treated cookware? ___ Yes (5) ___ No (0)
  5. How often do you use microwave ovens? ___ Never or rarely (0) ___ 1 x week (1)   ___ 3 x week (5) ___ 3+ times per week (10)

Total Score: _____

Add up your total score for each section and use the key below to identify your stress level per stress category:

Score:

0-30 Low Stress

35-65 Moderate Stress

65-100 High Stress

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