Assessing the Influence of Stress on Your Health
Rate each of the following on a scale of 1 to 5(1 indicating “not true,” 5 indicating “entirely true”)
Don't forget to click 'Next' to rate the next statement.
Question 1 of 42
First & Last Name
Question 2 of 42
Mental Health ... I tend to think criticizing, concerned, or negative thoughts in relation to my: OVERALL HEALTH
1 Not True At All
2 Not Really True
3 Neutral
4 Somewhat True
5 Entirely True
Question 3 of 42
Mental Health ... I tend to think criticizing, concerned, or negative thoughts in relation to my: PERSONALITY
Question 4 of 42
Mental Health ... I tend to think criticizing, concerned, or negative thoughts in relation to my: BODY
Question 5 of 42
Mental Health ... I tend to think criticizing, concerned, or negative thoughts in relation to my: ENERGY LEVEL
Question 6 of 42
Mental Health ... I tend to think criticizing, concerned, or negative thoughts in relation to my: SLEEP
Question 7 of 42
Mental Health ... I tend to think criticizing, concerned, or negative thoughts in relation to my: WORK SATISFACTION
Question 8 of 42
Mental Health ... I tend to think criticizing, concerned, or negative thoughts in relation to my: WORKLOAD / RESPONSIBILITY
Question 9 of 42
Mental Health ... I tend to think criticizing, concerned, or negative thoughts in relation to my: HOME
Question 10 of 42
Mental Health ... I tend to think criticizing, concerned, or negative thoughts in relation to my: PARTNERSHIP / MARRIAGE
Question 11 of 42
Mental Health ... I tend to think criticizing, concerned, or negative thoughts in relation to my: FRIENDSHIPS
Question 12 of 42
Mental Health ... I tend to think criticizing, concerned, or negative thoughts in relation to my: FAMILY RELATIONSHIPS
Question 13 of 42
Mental Health ... I tend to think criticizing, concerned, or negative thoughts in relation to my: FINANCES
Question 14 of 42
Mental Health ... I tend to think criticizing, concerned, or negative thoughts in relation to my: DAILY TO-DO LIST
Question 15 of 42
Mental Health ... I tend to think criticizing, concerned, or negative thoughts in relation to my: LIFE PURPOSE
Question 16 of 42
Emotional Health I tend to feel disappointed, sad, frustrated, or embarrassed in relation to my: OVERALL HEALTH
Question 17 of 42
Emotional Health I tend to feel disappointed, sad, frustrated, or embarrassed in relation to my: PERSONALITY
Question 18 of 42
Emotional Health I tend to feel disappointed, sad, frustrated, or embarrassed in relation to my: BODY
Question 19 of 42
Emotional Health I tend to feel disappointed, sad, frustrated, or embarrassed in relation to my: ENERGY LEVEL
Question 20 of 42
Emotional Health I tend to feel disappointed, sad, frustrated, or embarrassed in relation to my: SLEEP
Question 21 of 42
Emotional Health I tend to feel disappointed, sad, frustrated, or embarrassed in relation to my: WORK SATISFACTION
Question 22 of 42
Emotional Health I tend to feel disappointed, sad, frustrated, or embarrassed in relation to my: WORKLOAD / RESPONSIBILITY
Question 23 of 42
Emotional Health I tend to feel disappointed, sad, frustrated, or embarrassed in relation to my: HOME
Question 24 of 42
Emotional Health I tend to feel disappointed, sad, frustrated, or embarrassed in relation to my: PARTNERSHIP / MARRIAGE
Question 25 of 42
Emotional Health I tend to feel disappointed, sad, frustrated, or embarrassed in relation to my: FRIENDSHIPS
Question 26 of 42
Emotional Health I tend to feel disappointed, sad, frustrated, or embarrassed in relation to my: FAMILY RELATIONSHIPS
Question 27 of 42
Emotional Health I tend to feel disappointed, sad, frustrated, or embarrassed in relation to my: FINANCES
Question 28 of 42
Emotional Health I tend to feel disappointed, sad, frustrated, or embarrassed in relation to my: DAILY TO-DO LIST
Question 29 of 42
Physical Health When it comes to my physical health, I tend to take shallow breaths/forget to breathe.
Question 30 of 42
Physical Health When it comes to my physical health, I tend to experience dehydration.
Question 31 of 42
Physical Health When it comes to my physical health, I tend to drink from a municipal water source.
Question 32 of 42
Physical Health When it comes to my physical health, I tend to eat more packaged/processed food than I'd like.
Question 33 of 42
Physical Health When it comes to my physical health, I tend to eat when distracted/rushed.
Question 34 of 42
Physical Health When it comes to my physical health, I tend to feel confused about what to eat.
Question 35 of 42
Physical Health When it comes to my physical health, I tend to sit for long durations.
Question 36 of 42
Physical Health When it comes to my physical health, I tend to spend a considerable amount of time on screens throughout the day.
Question 37 of 42
Physical Health When it comes to my physical health, I tend to prioritize work/family over exercise.
Question 38 of 42
Physical Health When it comes to my physical health, I tend to take prescribed medication.
Question 39 of 42
Physical Health When it comes to my physical health, I tend to lack sexual drive/desire.
Question 40 of 42
Spiritual Health I feel separated from, or confused about my life purpose.
Question 41 of 42
Spiritual Health I feel separated from, or confused about my inner wisdom.
Question 42 of 42
Spiritual Health I feel separated from, or confused about my higher power.