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HOW VULNERABLE ARE YOU TO STRESS?

Developed by: Lyle H. Miller and Alma Dell Smith Boston University Medical Center. Instruction: Indicate how frequent you experience these situations by checking the appropriate response. Please be guided by the following scale: 5 Never Always INDICATORS 1. 2. 3. 4. 5. I eat at least one hot, balanced meal a day. I get 7 to 8 hours of sleep at least 4 nights a week. I give and receive affection regularly. I have at least one relative within 50 miles on whom I can rely. I exercise to the point of perspiration at least twice a week. I do not smoke. I am a social drinker. I am the appropriate weight for my height. I have an income adequate to meet my basic expenses. 4 Seldom 3 Sometimes 2 Often 1

6. 7.
8. 9.

10. I get strength from my religious beliefs. 11. I regularly attend club or social activities. 12. I have a network of friends and acquaintances. 13. I have one or more friends to confide in about personal matters. 14. I am in good health (including eyesight, hearing, and teeth). 15. I am able to speak openly about my feelings when angry or worried. 16. I have regular conversations with the people I live with about domestic problems, e.g., chores, money, and daily living issues. 17. I do something for fun at least once a week.

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18. I drink fewer than three cups of coffee (or tea or cola) a day. 19. I am able to organize my time effectively. 20. I take quiet time for myself during the day. TOTAL SCORE: (5) _____ + (4) _____ + (3) _____ + (2) _____ + (1) _____ = ______ - 20 = __________ Interpretation: Any number over 5 indicates a vulnerability to stress. You are seriously vulnerable if your score is between 25 and 55, and extremely vulnerable if your score is over 55.

PERSONAL & WORK LIFE STRESSORS SELF-ASSESSMENT QUESTIONNAIRE

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By: Dr. John W. Olmstead

This self-assessment questionnaire helps you identify levels of stress in your life. Identification of your stress profile is the key to developing an effective action plan and coping skills. PART I. PERSONAL DATA NAME: ______________________________________________________________________ AGE: ________________ CIVIL STATUS: ____________________ SEX: _________________ NAME OF INSTITUTION: ________________________________________________________ NO. OF YEARS IN SERVICE: ___________ STATUS OF EMPLOYMENT: _________________

Instruction: Listed below are stressful events in ones life. Indicate how frequent you experience these stressful situations by checking the appropriate response. Please be guided by the following scale: 5 Always Never 4 Often 3 Sometimes 2 Seldom 1

PERSONAL TIME 1. I work too many hours. 2. My work commute is too long. 3. I work too many weekends. 4. I take too few vacations. 5. There is too little time for me. 6. There is too little time for my family. 7. There is too little time for my friends.

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8. I dont have time for hobbies or other interests. Total Average: (5) _____ + (4) _____ + (3) _____ + (2) _____ + (1) _____ = ______ /8 = MONEY 1. I feel pressured to make more money. 2. I need to pay off loans and other debts. 3. I need more money to provide for basic needs of myself/my family. 4. I want money to reach/maintain a certain lifestyle. 5. I feel that I have to make more money as a sign of success. 6. I feel I have to make more money to provide me with more power. 7. I need more money so I can feel that I am secure. 8. I need to make money to demonstrate my worthiness. Total Average: (5) _____ + (4) _____ + (3) _____ + (2) _____ + (1) _____ = ______ /8 = HEALTH 1. I am worried about my personal health. 2. I have not been living a healthy lifestyle. 3. I often worry about my future health. 4. I am worried about a health condition for which there has been a diagnosis. Total Average: (5) _____ + (4) _____ + (3) _____ + (2) _____ + (1) _____ = ______ /4 = FAMILY 1. I am worried about health conditions of family members. 2. I worry or am worried about my childrens/familys lifestyles. 3. I worry or am worried about my partners fidelity. 4. I often fight with my spouse/my children/my family. 5. I worry about the health and security of my/spouses parents. Total 5 4 3 2 1 5 4 3 2 1

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Average: (5) _____ + (4) _____ + (3) _____ + (2) _____ + (1) _____ = ______ /5 = WORKCULTURE 1. I do not trust my co-workers. 2. Communications at work is poor. 3. We are expected to work too many hours. 4. I dont get recognition or respect. 5. I dont know if I am successful at work. 6. There is too much competition at work. Total Average: (5) _____ + (4) _____ + (3) _____ + (2) _____ + (1) _____ = ______ /6 = ROLE AND DEMANDS 1. I have too much work. 2. My work has too many details. 3. I dont like the work that I do. 4. I dont get to do the work that I like. 5. I am in a dead-end job. 6. My role, objectives or expectations are not well defined. 7. I am not trained for the work I am being asked to do. 8. I do not have the competencies or skills to perform the work 9. I feel pressured to beat deadlines. 10. 11. Total Average: (5) _____ + (4) _____ + (3) _____ + (2) _____ + (1) _____ = ______ /11 = CONTROL 1. I have no say in how the work is done. 2. I am not able to plan my work. 3. I do not get to participate in decision-making. 4. There are excessive interruptions. I do not like the some aspects of work. The work is boring or repetitive.

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5. I do not have adequate staff and other resources. 6. I have fears about my job security. 7. I have insufficient knowledge as to the plans of the institution. Total Average: (5) _____ + (4) _____ + (3) _____ + (2) _____ + (1) _____ = ______ /7 = RELATIONSHIPS AND SUPPORT 1. I am isolated and I work alone, apart from other workers. 2. I have poor relationships in the institution Im working. 3. I have lack of respect from peers. Total Average: (5) _____ + (4) _____ + (3) _____ + (2) _____ + (1) _____ = ______ /3= SUMMARY: 1. Personal Time 2. Money 3. Health 4. Family 5. WorkCulture 6. Role And Demands 7. Control 8. Relationships And Support

Total Average