Sample Stress Questionnaire

Stress is felt by people both in their work place and in their personal life. Therefore a sample stress questionnaire helps to measure the type and intensity of stress. It can help to find the reasons for undergoing a stressful life. Stress questionnaire are generally useful for HR consultants and HR professionals to assess whether the employees in a firm are suffering stress and to find ways to minimise it.

Stress Questionnaire Sample:

Name: _______________________

Address: _____________________

Working Phone Number: ________________

Email id: _____________________________

Profession: ____________________

Q1:  Do you feel you suffer stress in your life?

____________________________

Q2: Can you provide some of the symptoms of stress that are visibly palpable?

__________________________

Q3: How often do you have peaceful sleep?

a)   Rarely

b)   Sometimes

c)   Mostly

d)   Almost everyday

Q4: Are you suffering a financial turmoil?

a)   Yes

b)   No

Q5: Do you have a good work-life balance?

a)   Yes

b)   No

Q6: Do you enjoy your time at work and at home?

a)   Mostly yes

b)   Rarely yes

c)   Never

Q7: What steps do you take to relieve yourself of stressful situations?

____________________

Q8: What options have worked positively and alleviated your stress?

__________________

Q9: Do you get the support of family, friends, and colleagues while suffering stress?

a)      Yes

b)      No

Q10: Are you getting into substances like alcohol, drugs or smoking for mitigating stress?

a)      Yes

b)      No

c)      Sometimes

d)     Rarely

Q11: Are you taking a healthy diet?

a)   Yes

b)   No

Q12: Are you suffering from excessive work load?

a)   Yes

b)   No