Stress Evaluation Test
You may rate each of your symptoms as mild, moderate or severe.
Physical Stress Symptoms
_____ 1. Tension headaches and/or migraine headaches
_____ 2. Stomach upset and/or nervous stomach
_____ 3. Constipation, diarrhea or indigestion
_____ 4. Pounding or irregular heartbeat
_____ 5. Shortness of breath, shallow breathing
_____ 6. Clenching or grinding of teeth
_____ 7. Fatigue and exhaustion
_____ 8. Dizziness or fainting spells
_____ 9. Frequent colds/flu or illness
_____10. Choking, gagging or vomiting
_____11. Irregular menstrual periods
_____12. Frequent need to urinate
_____13. Nervous tics
_____14. Restless, nervous keyed-up feeling
_____15. Change in sexual interest (more or less than usual)
_____ 2. Stomach upset and/or nervous stomach
_____ 3. Constipation, diarrhea or indigestion
_____ 4. Pounding or irregular heartbeat
_____ 5. Shortness of breath, shallow breathing
_____ 6. Clenching or grinding of teeth
_____ 7. Fatigue and exhaustion
_____ 8. Dizziness or fainting spells
_____ 9. Frequent colds/flu or illness
_____10. Choking, gagging or vomiting
_____11. Irregular menstrual periods
_____12. Frequent need to urinate
_____13. Nervous tics
_____14. Restless, nervous keyed-up feeling
_____15. Change in sexual interest (more or less than usual)
Emotional Stress Symptoms
_____ 1. Impatient or easily angered
_____ 2. Overwhelmed and helpless/victimized
_____ 3. Resentful and/or jealous of others
_____ 4. Lonely and isolated
_____ 5. Sarcastic and spiteful
_____ 6. Bored, depressed or numb (without emotion)
_____ 7. Anxious or on edge
_____ 8. Extremely emotional/over-reactive
_____ 9. Cocky or arrogant
_____10. Distrustful, suspicious
_____11. Shameful or guilty
_____12. Indispensable (increased pressure to take care of or provide for self/others)
_____13. Insecure and unsafe
_____ 2. Overwhelmed and helpless/victimized
_____ 3. Resentful and/or jealous of others
_____ 4. Lonely and isolated
_____ 5. Sarcastic and spiteful
_____ 6. Bored, depressed or numb (without emotion)
_____ 7. Anxious or on edge
_____ 8. Extremely emotional/over-reactive
_____ 9. Cocky or arrogant
_____10. Distrustful, suspicious
_____11. Shameful or guilty
_____12. Indispensable (increased pressure to take care of or provide for self/others)
_____13. Insecure and unsafe
Mental / Cognitive Stress Symptoms
_____ 1. Mind filled with mostly negative thoughts and worries
_____ 2. Mind races from one thought to another/mind spin
_____ 3. Can’t get unwanted thoughts out of mind
_____ 4. Periods of confusion or disorientation
_____ 5. Losing track of time
_____ 6. Rigid thinking. Unable to see more than one (often limited) solution
_____ 7. Losing sense of humor and/or creativity
_____ 8. Frequent nightmares
_____ 9. Frequent daydreaming
_____10. Losing interest in hobbies and pastimes
_____11. Difficulty concentrating
_____12. Forgetful, mind goes blank
_____13. Paranoid/distrustful thoughts and behaviors
_____14. Overwhelmed by rapid change. Not sure you can keep up
_____15. Escaping overwhelm by electronic, drug, alcohol, relationship or other addictivediversions
_____ 2. Mind races from one thought to another/mind spin
_____ 3. Can’t get unwanted thoughts out of mind
_____ 4. Periods of confusion or disorientation
_____ 5. Losing track of time
_____ 6. Rigid thinking. Unable to see more than one (often limited) solution
_____ 7. Losing sense of humor and/or creativity
_____ 8. Frequent nightmares
_____ 9. Frequent daydreaming
_____10. Losing interest in hobbies and pastimes
_____11. Difficulty concentrating
_____12. Forgetful, mind goes blank
_____13. Paranoid/distrustful thoughts and behaviors
_____14. Overwhelmed by rapid change. Not sure you can keep up
_____15. Escaping overwhelm by electronic, drug, alcohol, relationship or other addictivediversions
Soul / Spiritual Stress Symptoms
_____ 1. Deep, generalized sadness
_____ 2. Feeling that you don’t belong here
_____ 3. Crisis of meaning, meaninglessness
_____ 4. Lacking a sense of purpose
_____ 5. Lack of fortitude and courage
_____ 6. Inability to love and/or feel loved
_____ 7. Disconnected from sense of a higher power or creative/intuitive source
_____ 8. Inability to feel joy
_____ 9. Lack of faith in higher human qualities/values (forgiveness, mercy, wisdom,compassion, clarity, freedom, equality, etc.)
_____10. Deep longing for soul connection, soul group, heaven or higher dimensional worlds
_____11. Life force feels blocked or diminished
_____12. Anger at God
_____13. Disillusioned by,or loss of faith in the teachings of your religion
_____ 2. Feeling that you don’t belong here
_____ 3. Crisis of meaning, meaninglessness
_____ 4. Lacking a sense of purpose
_____ 5. Lack of fortitude and courage
_____ 6. Inability to love and/or feel loved
_____ 7. Disconnected from sense of a higher power or creative/intuitive source
_____ 8. Inability to feel joy
_____ 9. Lack of faith in higher human qualities/values (forgiveness, mercy, wisdom,compassion, clarity, freedom, equality, etc.)
_____10. Deep longing for soul connection, soul group, heaven or higher dimensional worlds
_____11. Life force feels blocked or diminished
_____12. Anger at God
_____13. Disillusioned by,or loss of faith in the teachings of your religion
Interpreting Your Results
How did you do with the check list? Do you feel that your stress is manageable? Or is it totally out of hand?
In which category of stress (physical, emotional, mental or spiritual) did you discover more about yourself?
If you you checked more than 50% in any category at the moderate to severe level, it is important to develop new stress management skills.
In which category of stress (physical, emotional, mental or spiritual) did you discover more about yourself?
If you you checked more than 50% in any category at the moderate to severe level, it is important to develop new stress management skills.
