Please indicate the items that apply to you at this time in your life
STRESS
Yes/no: i have a calm and peaceful life
yes/no: i wish i had more time for myself
yes/no: i have a very busy or stressful life
yes/no: i have a stress related health condition
yes/no: i have no control over my stresses
yes/no: i feel anxious, nervous, pressured, hyper
yes/no: i feel overly tired, exhausted or depressed
yes/no: i recover quickly from a stressful event
yes/no: i can't handle any more stress at this time
yes/no: i feel my stress is constant and never ending
yes/no: i feel overwhelmed by difficulties or challenges
yes/no: i feel stressed by a personal relationship
yes/no: i feel stressed by my money or finances
yes/no: i feel stressed by my career or job
yes/no: i feel very secure in my decision making
yes/no: i feel comfortable in relationships with others
yes/no: i often feel disappointed that i can't do more
yes/no: i have a very busy work schedule
yes/no: i have a very busy home life or personal life
yes/no: i have control over my schedule and time
yes/no: i allow others to dictate my schedule or activities
yes/no: i feel overwhelmed with responsibilities
yes/no: i am a workaholic or type A personality
yes/no: i have trouble unwinding after a stressful day
yes/no: i am not sleeping well due to stress
yes/no: i am constantly worrying and unable to relax
yes/no: i have moved my home or business recently
yes/no: i had a job change or job loss in the past year
yes/no: i had a relationship change in the past year
yes/no: i experienced the loss of a loved one recently
LIFESTYLE
yes/no: i have a regular and predictable work schedule
yes/no: i have a hectic lifestyle with no regular schedule
yes/no: i eat my meals at a regular time each day
yes/no: i eat whenever i can and on the run
yes/no: i take my time and eat slowly enjoying my meals
yes/no: i eat rapidly or at fast food restaurants often
yes/no: i go to bed at a certain time most days
yes/no: i stay up past my normal bedtime most days
yes/no: i exercise at a regular time each day
yes/no: i can't find the time to exercise most days
yes/no: i am most alert and productive earlier in the day
yes/no: i am at my best later in the day and evening
yes/no: i try to do one thing at a time and complete tasks
yes/no: i multi-task and have many unfinished projects
yes/no: i am calm and focused with a good memory
yes/no: i am distracted, unfocused and forgetful
yes/no: i like to focus on the details of a situation
yes/no: i like to skip details and go for the big picture
