In the last month, have you experienced: –
Tick each check-box that applies to you, then press the Submit button for an evaluation of your stress level.| PHYSICAL SYMPTOMS | PSYCHOLOGICAL SYMPTOMS |
| Headaches | Anxiety |
| Backache | Depression |
| Tight or tense muscles | Confusion |
| Neck & shoulder pain | Excessive perspiration |
| Jaw tension | Compulsive behaviour |
| Teeth grinding | Irrational fears |
| Muscle cramps or spasms | Forgetfulness |
| Nausea | Feeling overwhelmed, or overloaded |
| Insomnia | Feeling that you can’t slow down |
| Fatigue, lack of energy | Mood swings |
| Cold hands &, or, feet | Loneliness |
| High blood pressure | Problems with relationships |
| Tightness or pressure in the head | Unhappy with work |
| Diarrhoea | Restlessness |
| Constipation | More irritable than usual |
| Stomach pains or ulcer | Frequently feeling bored |
| Digestive upsets (cramps, bloating) | Frequently worrying |
| Skin conditions (e.g. rash) | Frequent feelings of guilt |
| Allergies | Getting angry, losing temper |
| Frequent colds | Crying, sometimes for no reason |
| Rapid heartbeat, even at rest | Nightmares |
| Appetite change / weight change | Feeling apathetic |
| Sexual problems | |
| Loss of libido | |
| Increased use of any of the following:food, alcohol, cigarettes, recreational drugs, or prescribed drugs | |
