OOOOOOOOOOOOOO



Stress Screening Test

Stress is expressed in many ways - including how we feel (anxiety, depression, tension or anger), the way we think (poor concentration, forgetfulness, indecisiveness, apathy or hopelessness) and how we behave (excessive drinking and smoking, insomnia, accident proneness, weight problems).

When we feel under stress, our heartbeat, breathing rate and blood pressure all go up. The longer we feel stressed, the greater the demand on our body. Prolonged stress can lead to or exacerbate a range of physiological complications and psychological difficulties.

To receive a free stress screening, please enter your information and complete the questionnaire below.

Rate your answers as follows:

  (1) Sometimes
(2) Often
(3) Never - or I don't know

1. Stress keeps me from sleeping soundly through the night.
1 2 3
2. I worry about how much stress I'm under.
1 2 3
3. I regularly work more than 40 hours a week at my job.
1 2 3
4. I recently started or stopped a habit (like dieting, smoking, etc).
1 2 3
5.  I was divorced or ended a long term relationship within the last year.
1 2 3
6. I moved in the last year.
1 2 3
7. I recently recieved a promotion or some other type of outstanding personal achievement.
1 2 3
8. I changed jobs in the last year.
1 2 3
9. In the past year, I experienced the death of a close family member, friend, or pet.
1 2 3
10. I recently experienced a personal injury or illness.
1 2 3
11. I feel tired during the day.
1 2 3
12.  Recently I've found it more difficult to control my emotions.
1 2 3
13. I always get a good night's sleep without worrying about work.
1 2 3
14.  I'm so busy I find it increasingly difficult to concentrate on the job in front of me.
1 2 3
15. I spend so long at work that my outside relationships are suffering.
1 2 3
16. If a project I am working on fails, I blame myself whether it was my fault or not.
1 2 3
17. If there's a disagreement about work, I defer to other people's judgement and abilities.
1 2 3
18. I have someone at work or outside it who I can confide in.
1 2 3
19. I accept that my work has and will change and welcome the opportunities this gives me.
1 2 3
20. I am not in control of the success or failure I make of my life.
1 2 3

Please enter your contact information below if you would like to be contacted about your results and possble counseling.

Name:

Telephone:

Email:



Randi Fredricks   :::   1723 Hamilton Ave Suite D, San Jose, California, 95125   :::   408-315-0645

Contact Randi Online

This site does not provide medical advice, diagnosis, or treatment and is intended for informational purposes only. No therapeutic relationship is established by the use of this site. Randi Fredricks is a Marriage Family Therapist Intern IMF 56610 supervised by Mary Crocker Cook MFC 24835. Randi Fredricks is not licensed with the
California Bureau of Naturopathic Medicine. © 2001-2008 Randi Fredricks All rights reserved.