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Stress Assessment
Step
1
of
11
9%
How often do you feel supported by a network of friends, family, colleagues, or a therapist who can help you manage stress?
(Required)
0 (Never): I rarely experience this.
1 (Almost Never): I experience this occasionally.
2 (Sometimes): I experience this fairly often.
3 (Fairly Often): I experience this frequently.
4 (Very Often): I experience this very frequently.
On a scale of 0 (very poorly) to 4 (very effectively), how well do you feel you manage stress in your daily life?
(Required)
0: Very poorly
1: With difficulty
2: Moderately well
3: Quite effectively
4: Very effectively
How often do you find yourself clenching your jaw or grinding your teeth?
(Required)
0 (Never): I rarely experience this.
1 (Almost Never): I experience this occasionally.
2 (Sometimes): I experience this fairly often.
3 (Fairly Often): I experience this frequently.
4 (Very Often): I experience this very frequently.
Over the past month, how often have you noticed changes in your sleep quality, such as difficulty falling asleep or staying asleep throughout the night?
(Required)
0 (Never): I rarely experience this.
1 (Almost Never): I experience this occasionally.
2 (Sometimes): I experience this fairly often.
3 (Fairly Often): I experience this frequently.
4 (Very Often): I experience this very frequently.
How often do you feel constantly tired or depleted of energy, even after completing routine tasks?
(Required)
0 (Never): I rarely experience this.
1 (Almost Never): I experience this occasionally.
2 (Sometimes): I experience this fairly often.
3 (Fairly Often): I experience this frequently.
4 (Very Often): I experience this very frequently.
How often do you find it difficult to unwind or relax after a long day, even when you have free time?
(Required)
0 (Never): I rarely experience this.
1 (Almost Never): I experience this occasionally.
2 (Sometimes): I experience this fairly often.
3 (Fairly Often): I experience this frequently.
4 (Very Often): I experience this very frequently.
How frequently do you experience physical symptoms like headaches, stomachaches, muscle tension, or difficulty breathing?
(Required)
0 (Never): I rarely experience this.
1 (Almost Never): I experience this occasionally.
2 (Sometimes): I experience this fairly often.
3 (Fairly Often): I experience this frequently.
4 (Very Often): I experience this very frequently.
How often do you struggle to concentrate on tasks or find your mind racing constantly?
(Required)
0 (Never): I rarely experience this.
1 (Almost Never): I experience this occasionally.
2 (Sometimes): I experience this fairly often.
3 (Fairly Often): I experience this frequently.
4 (Very Often): I experience this very frequently.
How often do you feel overwhelmed by negative emotions, such as anxiety, worry, or anger?
(Required)
0 (Never): I rarely experience this.
1 (Almost Never): I experience this occasionally.
2 (Sometimes): I experience this fairly often.
3 (Fairly Often): I experience this frequently.
4 (Very Often): I experience this very frequently.
How often do you use specific strategies or techniques, such as meditation, exercise, or spending time in nature, to manage stress?
(Required)
0 (Never): I rarely experience this.
1 (Almost Never): I experience this occasionally.
2 (Sometimes): I experience this fairly often.
3 (Fairly Often): I experience this frequently.
4 (Very Often): I experience this very frequently.
Where can we send the results?
First Name
(Required)
Email
(Required)
