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Stress Questionnaire

Because everyone reacts to stress in his or her own way, no one stress test can give you a complete diagnosis of your stress levels. This stress test is intended to give you an overview only. Please see your Primary Care Provider for more information on our Behavioral Healthcare specialists that can help you further.

Answer all the questions but just tick one box that applies to you, either yes or no. Answer yes, even if only part of a question applies to you. Take your time, but please be completely honest with your answers:

I frequently bring work home at night(Required)
Not enough hours in the day to do all the things that I must do(Required)
I deny or ignore problems in the hope that they will go away(Required)
I do the jobs myself to ensure they are done properly(Required)
I underestimate how long it takes to do things(Required)
I feel that there are too many deadlines in my work / life that are difficult to meet(Required)
My self confidence / self esteem is lower than I would like it to be(Required)
I frequently have guilty feelings if I relax and do nothing(Required)
I find myself thinking about problems even when I am supposed to be relaxing(Required)
I feel fatigued or tired even when I wake after an adequate sleep(Required)
I often nod or finish other peoples sentences for them when they speak slowly(Required)
I have a tendency to eat, talk, walk and drive quickly(Required)
My appetite has changed, have either a desire to binge or have a loss of appetite / may skip meals(Required)
I feel irritated or angry if the car or traffic in front seems to be going too slowly/ I become very frustrated at having to wait in a queue(Required)
If something or someone really annoys me I will bottle up my feelings(Required)
When I play sport or games, I really try to beat whoever I play(Required)
I experience mood swings, difficulty making decisions, concentration and memory is impaired(Required)
I find fault and criticize others rather than praising, even if it is deserved(Required)
I seem to be listening even though I am preoccupied with my own thoughts(Required)
My sex drive is lower, can experience changes to menstrual cycle(Required)
Increase in muscular aches and pains especially in the neck, head, lower back, shoulders(Required)
I am unable to perform tasks as well as I used to, my judgment is clouded or not as good as it was(Required)
I find I have a greater dependency on alcohol, caffeine, nicotine or drugs(Required)
I find that I don’t have time for many interests / hobbies outside of work(Required)

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For the best primary care in New Mexico, turn to Duke City.