Stress level – Jarosław Chybicki

Self-assessment of stress

Stress affects each of the anatomical systems of our body to varying degrees, each of us reacts to stress differently To determine whether you have disorders caused by stress, mark the appropriate severity of individual symptoms. Using the following rating scale, for each of the symptoms, circle the number most appropriate in your case.

Over the past month, I have had: Headaches due to tension

Never

Sometimes

Often

Constantly

Over the past month, I have had: Difficulty falling asleep or sleeping

Never

Sometimes

Often

Constantly

Over the past month, I have had: Tiredness

Never

Sometimes

Often

Constantly

Over the past month, I have had: Overeating

Never

Sometimes

Often

Constantly

Over the past month, I have had: Constipation

Never

Sometimes

Often

Constantly

Over the past month, I have had: Low back pain

Never

Sometimes

Often

Constantly

Over the past month, I have had: Allergies

Never

Sometimes

Often

Constantly

Over the past month, I have had: Nervousness

Never

Sometimes

Often

Constantly

Over the past month, I have had: Nightmare dreams

Never

Sometimes

Often

Constantly

Over the past month, I have had: High pressure

Never

Sometimes

Often

Constantly

Over the past month, I have had: Urticaria

Never

Sometimes

Often

Constantly

Over the past month, I have had: Consumption of alcohol/over-the-counter medicines

Never

Sometimes

Often

Constantly

Over the past month, I have had: Minor infections

Never

Sometimes

Often

Constantly

Over the past month, I have had: Indigestion

Never

Sometimes

Often

Constantly

Over the past month, I have had: Hyperventilation, or accelerated breathing

Never

Sometimes

Often

Constantly

Over the past month, I have had: Anxiety

Never

Sometimes

Often

Constantly

Over the past month, I have had: Rashes

Never

Sometimes

Often

Constantly

Over the past month, I have had: Menstrual disorders

Never

Sometimes

Often

Constantly

Over the past month, I have had: Nausea or vomiting

Never

Sometimes

Often

Constantly

Over the past month, I have had: Bouts of irritability

Never

Sometimes

Often

Constantly

Over the past month, I have had: Migraines

Never

Sometimes

Often

Constantly

Over the past month, I have had: Waking up too early

Never

Sometimes

Often

Constantly

Over the past month, I have had: Loss of appetite

Never

Sometimes

Often

Constantly

Over the past month, I have had: Diarrhea

Never

Sometimes

Often

Constantly

Over the past month, I have had: Neck or shoulder pain

Never

Sometimes

Often

Constantly

Over the past month, I have had: Asthma attack

Never

Sometimes

Often

Constantly

Over the past month, I have had: Attack of colic

Never

Sometimes

Often

Constantly

Over the past month, I have had: Depressive states

Never

Sometimes

Often

Constantly

Over the past month, I have had: Rheumatism

Never

Sometimes

Often

Constantly

Over the past month, I have had: Runny nose or cold

Never

Sometimes

Often

Constantly

Over the past month, I have had: Minor accidents

Never

Sometimes

Often

Constantly

Over the past month, I have had: Taking prescription medication

Never

Sometimes

Often

Constantly

Over the past month, I have had: Stomach Ulcer

Never

Sometimes

Often

Constantly

Over the past month, I have had: Cold hands or feet

Never

Sometimes

Often

Constantly

Over the past month, I have had: Heart palpitations

Never

Sometimes

Often

Constantly

Over the past month, I have had: Sexual problems

Never

Sometimes

Often

Constantly

Over the past month, I have had: Fits of rage

Never

Sometimes

Often

Constantly

Over the past month, I have had: Difficulty communicating with others

Never

Sometimes

Often

Constantly

Over the past month, I have had: Difficulty concentrating

Never

Sometimes

Often

Constantly

Over the past month, I have had: Difficulty making decisions

Never

Sometimes

Often

Constantly

Over the past month, I have had: Low self-esteem

Never

Sometimes

Often

Constantly

Over the past month, I have had: Depression

Never

Sometimes

Often

Constantly