Stress Level Questionnaire

Stress Level Questionnaire helps to analyse how well people appraise situations into least or extremely stressful situations. Various dimensions of life are looked at while designing the questionnaire. Respondents are made conscious about even those aspects that they might have ignored. And hence the stressful situations are handled by tackling those aspects that cause trouble in a person’s mind.

Stress Level Questionnaire Sample:

Name:                       ____________________

Address:            ____________________

Phone Number:   ____________________

Email id:            ____________________

Profession:         ____________________

Q1. Pick the choice that demonstrates your current level of stress

a)   Enormously stressed

b)   Moderately stressed

c)   Least stressed

d)   Not stressed at all

Q2. Did you ever consult a physician and received treatment for stress related problems?

a)   Yes

b)   No

Q3. Have you experienced any financial difficulty in the last couple of years?

a)   Yes

b)   No

Q4. List down the ailments that you are suffering from (if any)


Q5. Who among the following are you staying with?

a)   Spouse

b)   Parents

c)   Children

d)   Friends

e)   None

f)    Other _________________________

Q6. Do you look forward to the events of the day daily after waking up?

a)   Yes

b)   No

Q7. How many cigarettes do you smoke per day?

a)   I do not smoke

b)   1

c)   2 or 3

d)   4 to 6

e)   More than 6

Q8. Are you confident of dealing with problems positively?

a)   Yes

b)   No

c)   Often

d)   Rarely

Q9. Do you introspect too much about your conversation with others?

a)   Yes

b)   No

Q10. Do you choose tasks according to your interests?

a)   Yes

b)   No

c)   Sometimes

d)   Mostly

e)   Rarely

Category: Stress Questionnaire

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