Stress Assessment Questionnaire

Stress Assessment Questionnaires focus on various aspects of a person’s life and uncovers the hidden reasons behind palpable symptoms. This helps to solve the symptoms not just by medication but also by resolving the issues with various aspects of life.

Stress Assessment Questionnaire Sample:

Name:                       ____________________

Address:            ____________________

Phone Number:   ____________________

Email id:            ____________________

Profession:         ____________________

Q1. What is the level of organizational hierarchy do you belong to?

a)   Top hierarchy

b)   Middle management

c)   Execution level

Q2. If you belong to top or middle management, how many employees report to you?


Q3. Have you undergone any stress mitigation session in your organization?

a)   Yes

b)   No

Q4. If yes, do you find them beneficial?

a)   Yes

b)   No

Q5. Are you satisfied with your current position, job, and compensation?

a)   Yes

b)   No

c)   Not satisfied with at least one of the three

Q6. Are you looking for a change of company?

a)   Yes

b)   No

Q7. Do you feel restless during sleep and worry about the job?

a)   Yes

b)   No

Q8. Have you experienced dizziness, headaches, and/or diarrhoea more often than not during work?

a)   Yes

b)   No

Q9. What is your general attitude while facing your boss?

a)   Nervous

b)   Confident

c)   Lazy

d)   Angry

e)   Other _________________________________

Q10. Do you experience Monday blues and often wait for weekend?

a)   Yes

b)   No

Q11. Do you carry your troubles home and have a strained relationship with your family due to the same reason?

a)   Yes

b)   No

c)   Sometimes

Q12. Which of the following trouble you the most?

a)   Work

b)   Family

c)   Children

d)   Others _______________________________


Category: Stress Questionnaire

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