Just like the arrival of a child gives immense happiness, it also brings with it many responsibilities. Being a parent, you need to think about your child care, its future planning, managing the finances appropriately, etc. Physicians can use the stress questionnaire for parents to help parents manage their lives well and make it stress-free.

Stress Questionnaire for Parents Sample:

First Name:                _____________________

Last Name:                _____________________

Address:            _____________________

Phone Number:   _____________________

Email id:            _____________________

Profession:                 _____________________

Age:                  _____________________

Q1:  Which of the following best represents your life?

a)   Carefree

b)   Worried and anxious

c)   Stressful and depressed

d)   None

Q2: What is the age of your child?


Q3. Is your family financially secure?

a)   Yes

b)   No

Q4. In what ways are you financially planning for your child’s future?


Q5. Are your expectations about your child contrasting with his or her choice?

a)   Yes

b)   No

Q6. If yes, how do you deal with them?


Q7. Is your relationship with your spouse stable and happy?

a)   Yes

b)   No

Q8. Which of the following affects you most?

a)   Lack of sleep

b)   High blood pressure

c)   Reduced satisfaction with life

d)   Worry and anxiety

e)   None

f)    Others _________________________

Q9. How are you trying to manage your stress?

a)   Talking to the doctor

b)   Developing problem changing attitude

c)   Smoking and/or drinking

d)   None

Q10. Do you have loans to repay?

a)   Yes

b)   No

Q11. Can your child handle his problems independently?

a)   Yes

b)   No

c)   May be yes