(Partially modeled on a test developed by Robert S. Eliot, M.D.)

Score as follows:

5 = All the time
4 = Often
3 = Sometimes
2 = Rarely
1 = Never

1. My stress is caused by forces beyond my control. _______
   
2. When change is required, I become anxious. _______
   
3. I am dissatisfied with my personal relationships. ________
   
4. I am tired because of demands at work and at home. _______
   
5. I don't seem to have enough time to finish things. _______
   
6. I have financial pressures that are difficult to deal with. _______
   
7. I dislike my work and can't risk trying to change it. _______
   
8. I feel disappointment about my achievements. _______
   
9. I don't take advice or criticism very well. _______
   
10. I feel that many people are dependent on me. _______
    
11. I find it hard to ask for help. _______
    
12. I use food, smoking, or alcohol to help me cope. _______
    
13. I do not handle anger very well. _______
    
14. I feel there are few people I can trust and confide in. _______
    
15. I feel that things will not work out for me. _______
    

Scoring Analysis:

15 – 29 Excellent – You have things under control and are probably happy.
30 – 44 Good – You are emotionally stable and can improve in some areas.
45 – 69 Concern – You have more stress than you can handle and could use some help making a plan to avoid stress in some areas.
60 – 75 Danger – You have too many stressful situations and need professional assistance to help reverse and/or manage your problems.