1. In the past three months, I have experienced some kind of significant loss (e.g., loss of a loved one, relationship breakup, job loss, reduced income, etc.). | | | | | |
2. In the past three months, I have experienced changes in my life (e.g., new job, new relationship, changed work hours, increased work opportunities). | | | | | |
3. My life is routine with little change. | | | | | |
4. I rate my current level of stress as very low. | | | | | |
5. Over the past three months, I've felt confident in my ability to control the events in my life. | | | | | |
6. My responsibilities are piling up beyond my ability to accomplish them all. | | | | | |
7. I dream about running away from problems and difficulties. | | | | | |
8. I drink fewer than three caffeinated drinks per day. | | | | | |
9. Exercise is a regular part of my life (at least twice a week). | | | | | |
10. I get 7-8 hours of sleep a night. | | | | | |
11. I have a lot of physical tension. | | | | | |
12. I make time to have fun or relax at least once during the week. | | | | | |
13. During the week I socialize with friends and family. | | | | | |
14. I don't like to share my personal problems. | | | | | |
15. It's hard to find people that understand and support me. | | | | | |
16. There are times I can't sleep because I have too much on my mind. | | | | | |
17. I get a headache at least once a week. | | | | | |
18. At times I find myself reading something and my brain will not take it in or I forget quickly what I read. | | | | | |
19. Sometimes I will walk into a room and not remember what I was there to get. | | | | | |
20. I have a strong support system. | | | | | |
