Stress Survey - Anti Stress Center

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Everyone reacts to stress in their own way, so there is no one stress survey that can give a complete assessment of stress levels. This stress survey is only intended to help with a basic overview. See a medical doctor for an in depth physical and mental health analysis. This information is confidential. In appreciation for your participation, I will be sending you a no cost stress management pack. Thank You! - Scott Lea https://AntiStressCenter.Com

Select the best answer that currently applies to you.

Email *

Your Free Gift Pack Includes: 49 Proven Stress Reducers, Three Types of Stress You Need To Know About, How Hypnosis Works For Stress Reduction, Tips for Better Sleep and Positive - Motivational Wallpaper

Where would you say your current overall stress level is?

No Stress

Maximum Stress

Clear selection

I currently worry most about...

It seems there are just not enough hours in the day to do all the things that I must do *

Sometimes I ignore problems in the hope that they will go away *

I do most things myself to ensure they are done properly *

Yes

I underestimate how long it takes to do things *

I frequently feel guilty if I relax and do nothing *

True

False

I find myself thinking about problems even when I am supposed to be relaxing or sleeping *

Yes

I don't get enough restful sleep *

True

False

I feel fatigued or tired even when I wake after an adequate sleep *

I have a tendency to eat, talk, walk and drive quickly *

Yes

I often feel irritated, frustrated or angry if I have to wait on lines or in traffic *

I often have difficulty communicating how I really feel. *

I find myself grinding my teeth, clenching my jaw, or tightening my muscles. *

Yes

How much of your time do you feel you are making progress towards accomplishing your personal goals? *

None of my time.

All of my time.

Check all that currently apply to you *

I would like to learn how I can manage stress effectively..

I want to improve the way I manage my time.

I want to lose weight.

I want to break a habit.

I would like to get motivated.

I want to get better sleep.

I would like to take better care of myself.

I would like to create a more positive attitude.

I want to feel happier and learn to enjoy life.

None of these apply to me.

Required

If you have any questions or comments, please enter them here.

Thank you for taking the time to answer these questions. I will be sending your Free Stress Management Pack along with some helpful stress reduction recommendations based on your answers. Always talk to your doctor about how you are feeling, physically, mentally AND emotionally. - Sincerely, Scott Lea, CH.t.

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