“Personal Stress Level” Questionnaire

Are you overwhelmed, stressed out, or having trouble coping? Many people today are having difficulty coping with something! In fact, more people than ever before are suffering from prolonged stress (from a variety of circumstances), one of the key villains in stress-related illnesses.

This questionnaire can help you start to move in a better direction. It can help you determine what you may want to focus on in your self-improvement efforts.

Complete the following Personal Stress Level Questionnaire. After clicking the “submit” button, you’ll learn your Personal Stress Level score, as well some valuable information that can help you to better manage stress and improve your life.

DIRECTIONS: Answer each of these questions as honestly and accurately as you possibly can. (Consider the time-frame of the past month.) Answer quickly with the first answer that comes into your mind by clicking on the most appropriate circle.

Please click one circle for each of the 20 items:

1. Are you experiencing any problems in your life right now?
2. Are you experiencing any job or school-related problems?
3. Are you experiencing financial problems?
4. Are you happy with your social relationships?
5. Is sleep a problem for you?
6. Are you happy with your family relationships?
7. Do others put you down?
8. Are you depressed?
9. Are you happy with things the way they are?
10. How much do you like yourself?
11. Are you satisfied with the activities that you are able to do?
12. Do you feel "stressed out"?
13. Are you satisfied with your ability to talk with others?
14. Are you angry?
15. Are you fearful or anxious?
16. How often do you criticize yourself?
17. Are any medical problems affecting you adversely?
18. Do you worry about things?
19. Do you use drugs or alcohol more than you should?
20. Do you think negative thoughts?

Please complete to obtain your results.

Name
Email
Phone
Age

How Can We Help?

Many people from all over the world have benefited from the successful, strategy-packed mental health services offered by The Coping Counselors at the Center for Coping. You can, too!

  • If you have questions about any of the issues you are dealing with, why not set up a free, no-obligation consultation with one of our Coping Counselors?
  • Simply call us at (516) 822-3131, with any questions or to set up your free appointment.
  • Or e-mail us at info@coping.com. We’ll be happy to respond to your e-mail.
  • Sign up for our free, email newsletter, “E-Cope.” See below.

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