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Questionnaire

Dear participant,
This questionnaire is designed to study the Stress. The information you provide
will help us better to understand the Stress.

1: Do you let others know how you are feeling? Please select...?

 Almost Never  rarely  Sometimes


 Quite Often  Most of the time

2: Do you get jealous of others?

 Almost Never  rarely  Sometimes


 Quite Often  Most of the time

3: How often do you suffer with headaches?

 Almost Never  Rarely  Sometimes


 Quite Often  Most of the time

4: When your normal routine is constantly adjusted and altered. Do you feel
stress?

 strongly disagree  disagree  neither agree nor


disagree
 agree  strongly agree

5: I take stress as threatening for me


 strongly disagree  disagree  neither agree nor
disagree
 agree  strongly agree

6: When you need to have some extra energy or creativity. Do you feel
stress?

 strongly disagree  disagree  neither agree nor


disagree
 agree  strongly agree

7: Can task difficulty cause stress?

 strongly disagree  disagree  neither agree nor


disagree
 agree  strongly agree

8: Career development can also cause stress?

 strongly disagree  disagree  neither agree nor


disagree
 agree  strongly agree

8: Birthday parties and any other events like marriage, picnics cause
stress?

 strongly disagree  disagree  neither agree nor


disagree
 agree  strongly agree

9: Which of the following shows high stress?


 Hypertension  Depression Headache
 Sick often irritable  Neck and back pain

10: Do you feel stress in decision making?


 Yes  No

11: How many hours per day you feel stress approximately?

 Below 1hour  between 2 and 4


 Over 4 and under 10 hour’s  Over 10 hours

12: How you reduce your stress?

Abdominal Breathing  Music  taking a walk

 Taking a break/vacation  Praying

Personal Information

Name, First Name....................................................................................


Date of Birth............................................................................................
Occupation..............................................................................................
Address...................................................................................................
City..........................................................................................................
Contact...................................................................................................

I sincerely appreciate your time and corporation….


Thank you so much…..

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