Response To Stress Questionnaire

Every stress questionnaire tries to find out the real reasons for the underlying stress in an individual. The response to stress questionnaire is a type of survey that helps others as well as the individual in question to identify the various stressful situations in their life and how they are dealing with it. The response to stress questionnaire also helps an individual to find a solution to their problems and to their stress.

Response To Stress Questionnaire Sample

Name of the individual: _______________________________________

Address: ___________________________________________________

City: ________________ State: ___________________  Zip: _________________

Telephone: ____________________  Fax: ____________________________

Email: _________________________

Q1. What according to you was the most stressful event in your life in the last one year?


Q2. Is stress ever prevalent in your life?

a)   Yes

b)   No

Q3. Which one of the following are you?

a)   Stress coper or beater

b)   Stress surrender

Q4. How often do you run away from stressful situations?

a)   Always

b)   Sometimes

c)   Once in a while

d)   Never

Q5. Which of the following according to you gives you maximum stress?

a)   Work overload

b)   Family responsibilities

c)   Child responsibilities

d)   Single parent

e)   Household chores

f)    Study and examination

g)   Others (pls specify): _________________________________

Q6. How do you fight your stress?

a)   By finding solutions

b)   By staying calm and focused

c)   By exercising

d)   By eating

e)   By watching a movie to divert attention

f)    By sleeping

Q7. Do you feel that your stress levels are due to lack of time available for doing things?

a)   Yes

b)   No

Q8. How often do you think of taking medication to fight stress?

a)   Everyday

b)   Often enough

c)   Most of the times

d)   Sometimes

e)   Not often enough

f)    Never

Q9. Do you feel that you can fight stress with ease?

a)   Yes

b)   No

Category: Stress Questionnaire

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